Name of Purchaser/s *

First Name

Last Name

Officiant's Title for Signature *

(Rabbi, Officiant, Other)

Rabbi

Cantor

Officiant

Other (please fill in blank area at the bottom of this form)

Partner 1: Full English Name *

Please include first and middle name in first slot if you'd like to include the middle name in your ketubah document.

First Name

Last Name

Partner 1: Pronoun *

she/her/hers/daughter of

he/him/his/son of

they/them/theirs/child of

Other (please explain on the form at the bottom)

Partner 1: Preferred Title *

Bride

Groom

Beloved

Partner

Other (please fill in, in open space at the bottom of this form)

Partner 2: Name *

Please include first and middle name in first slot if you'd like to include the middle name in your ketubah document.

First Name

Last Name

Partner 2: Pronoun *

she/her/hers/daughter of

he/him/his/son of

they/them/theirs/child of

Other (please explain on the form at the bottom)

Partner 2: Preferred Title *

Bride

Groom

Beloved

Partner

Other (please fill in, in open space at the bottom of this form)

Shipping *

All orders take approximately 8 weeks to complete when the active production stage begins, however orders should be made 4-6 months ahead of the deadline for me to accommodate into my studio schedule. Rush orders (within 2 months of due date) will be accepted on a case by case basis and with an additional $200 charge.

Pick up from artist's studio - free of charge

Delivery in the Chicagoland area - $25.00

USPS (price based on weight and shipping cost) - TBD

Name on shipping label

First Name

Last Name

Shipping Addresss

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Shipping phone number

(###)

###

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