CUSTOM ORDER FORM and PERSONALIZATION DETAILS

For office use only:
P
Aliza Boyer
236 Washington Avenue, #3
Brooklyn, NY 11205
646.812.0584
aliza@ketubahgraphia.com
www.ketubahgraphia.com
Ketubah Graphia
loc:_______
This form can either be filled out online and emailed back to me or please send in the mail to the address above.
Please contact me by phone or email if you have questions.
Date of Order
Phone
E-mail
TEXT & DESIGN DETAILS (Please fill in all sections that apply):
Type of Ketubah: Printed (16x23”)
*Custom
*If Custom, please specify size:
16x20”
**Original
22x30”
**If Original, please use description from website:
Text Choice:
Language(s):
Both Hebrew & English
Other(s)
English only
_______________________________________________
Ink Color(s):
English
Text Layout:
Interlinear (alternating lines)
English Font:
Script
Paper Orientation: Vertical
Hebrew/Aramaic only
Hebrew
Other
Stacked (Eng over Heb or vice versa)
Block
Horizontal
Papercut Design:
Additional decorative papercut poetic phrase (add $150.00):
Personalization (Your names, date/place of ceremony included into body of the ketubah text)
Yes
* No
*If yes, please fill out Page 2 of this form in full.
Additional handmade gifts for Family, Friends and/or Wedding Guests:
# of Home Blessings (add $100/ea)
# of Grand/Parent Blessings (add $150/ea)
ADDITIONAL NOTES OR INFORMATION:
O
___/___/___
CUSTOM ORDER FORM and PERSONALIZATION DETAILS
Customer Name(s)
C
PERSONALIZATION DETAILS
Date of wedding:
Day of week:
Hebrew date (if known, or I can look it up):
Before Sundown
After Sundown
City and State of ceremony:
Coupleʼs Information (Note: Please fill out all names exactly as you would like them to appear on the ketubah)
Person 1: English Name
Person 1: Hebrew Name (Note: If no Hebrew name(s), please write ʻTransliterateʼ)
Person 1: Parentʼs English Names
Mother
Father
Person 1: Parentʼs Hebrew Names (Note: If no Hebrew name(s), please write ʻTransliterateʼ)
Mother
Are parents living?
Is Father: Kohen
Father
Father: Yes
No
Levi
Mother: Yes
No
Israelite
Person 2: English Name (as youʼd like it to appear on the ketubah)
Person 2: Hebrew Name (Note: If no Hebrew name(s), please write ʻTransliterateʼ)
Person 2: Parentsʼ English Names
Mother
Father
Person 2: Parentsʼ Hebrew Names (Note: If no Hebrew name(s), please write ʻTransliterateʼ)
Mother
Are parents living?
Is Father: Kohen
Father
Father: Yes
Levi
No
Mother: Yes
No
Israelite
Signature Lines
Number of additional witness signature lines (beyond standard two):
Title for officiantʼs signature line: Rabbi
Cantor
Officiant
Label signature lines (“Bride”, “Groom”, “Witness”, “Rabbi”, etc.):
Other
Yes
No
SHIPPING & PAYMENT
Ketubahs are shipped using FedEx priority mail and the cost is included in the price. For
expedited or international shipping, additional charges apply. Please contact me for details.
Ketubahs can also be picked up at the Ketubah Graphia studio in Brooklyn, NY.
Date ketubah needed by:
Ship
Pick up at Brooklyn, NY studio
Ship to Name:
Ship to Address:
Apt./Unit#
City/Country
Home
State/Province
Office
Other
Zip
specify:
Phone Number:
Special Shipping Instructions:
Printed and Original ketubahs require full payment at time of order. Custom ketubahs require a
50% deposit at time of order and the balance due before ketubah ships.
Method of payment: Check
Cash
Type of Credit Card: AMEX
Visa
Credit Card
MasterCard
Money Order
Direct Deposit
Discover
Card #
Exp:
CVV:
Zip code associated with credit card:
Please donate a percentage of the sale of our ketubah to (check one):
Human Rights Campaign
Natʼl Art Education Association
Foundation for Jewish Culture