To personalize your Ketubah, print this form.
Personalization of Ketubah is an additional charge as noted in the item description.
Mail to JUDAISM.COM 2028 Murray Ave Pittsburgh PA 15217
Questions? Call 1-800-Judaism or 412-421-3033 [email protected]

Include the following information.
IT IS ADVISABLE TO VERIFY ALL SPELLING OF HEBREW NAMES WITH YOUR RABBI


Customer Name:_______________________________________________________

Address:______________________________________________________________

City:_____________________________ State:______________ Zip:_____________

Phone #: (H)__________________________ (W)_____________________________

Fax #:________________________ E-mail:_________________________________

Ketubah Artist:________________________________________________________

Ketubah Name:________________________________________________________

Language:____________________________________________________________


Groom's complete Hebrew name (print name in Hebrew);______________________________________

Groom's complete English name (If Heb/Eng Ketubah); ______________________________________

Groom's Father's Hebrew name (print name in Hebrew); ______________________________________

Groom's Father's English name (If Heb/Eng Ketubah); _______________________________________

(Circle One.)  - Cohen - Levi - Israelite -

Groom's Mother's Hebrew name (print name in Hebrew); ______________________________________

Groom's Mother's English name (If Heb/Eng Ketubah); _______________________________________


Bride's complete Hebrew name (print name in Hebrew)_______________________________________

Bride's complete English name (If Heb/Eng Ketubah). ________________________________________

Bride's Father's Hebrew name (print name in Hebrew) ._______________________________________

Bride's Father's English name (If Heb/Eng Ketubah). _________________________________________

(Circle One.)  - Cohen - Levi - Israelite -

Bride's Mother's Hebrew name (print name in Hebrew) ._______________________________________

Bride's Mother''s English name (If Heb/Eng Ketubah). ________________________________________


Is the Bride a convert? YES NO
Is the Groom a convert? YES NO
Is the Bride's Father living? YES NO
Is the Groom's Father living? YES NO
Is this a first marrige for the Bride? YES NO


City where the ceremony will take place:___________________________________________________

State (or Country if outside U.S.) or where the ceremony will take place:_________________________

Date and time of ceremony; _____________________________________________________________

(Circle One) - Before Sundown -  After Sundown -

Name and daytime telephone number of person to

call in case of questions; ______________________ Phone #(___)____--_____.


(Personalization will be charged upon receiving the fax.)

Mail or Fax this form;
Fax #: (412) 421-6103.
JUDAISM.COM
2028 Murray Ave.
Pittsburgh PA 15217

Customer Signature:______________________________________________________

Rabbi's Signature (Suggested):_____________________________________________

Rabbi's Phone # (Suggested):_______________________________________________


Please allow 4 to 6 weeks for delivery of your personalized Ketubah.