Print or Submit Judaica Personalizing Form, Judaic Connection Ketubah Collection

JudaicConnection.com
KetubahCollection.com / ShopKetubah.com

5201 NE 17th Terrace
Fort Lauderdale, FL 33334
Toll Free 1.888.920.3636
in Florida 1.954.489.3907
Fax 1.954.489.3908

Perpetuating Jewish Tradition Through Art
Ketubot & Judaica for Weddings, Celebrations and the Jewish Home

Judaica Personalizing Form

PERSONALIZING FORM IS SUBMITTED SEPARATELY. WE WILL MATCH IT TO YOUR ORDER.

You may write Hebrew names in English letters and we will convert them into Hebrew.

1 - Submit this completed form electronically using the SUBMIT button below, or
.2 - Complete this form, print it and fax it or mail it to us, or
3 - To write in Hebrew characters, complete the English, print the form, then fill in the Hebrew

* Your Judaica will be personalized based on the information you provide on this form. Please check for accuracy since we cannot be held responsible for errors on your Judaica due to incorrect information we received. Tranliterations will be at artist's discretion unless Hebrew spelling is provided.

Please write legibly if completing by hand.

* Denotes Required

Person Placing Order

* Name

* Phone Day

* Phone Eve

Fax

* E-Mail

Judaica Selection

* Judaica Name

* Artist

Judaica ID Code

Text Choice or Custom Option (if applicable)

Baby Naming Certificate
If you cannot write in Hebrew letters, write names out in English. We will convert it into Hebrew. If someone does not have a Hebrew name, indicate "TR" and we will transliterate the name into Hebrew.

Baby's Name - as it should appear on the certificate

English Name ( first, middle, last )

Baby is a .... Boy ..... Girl

Hebrew Name

Date of Birth - Include Day of Week & Date

Time of Birth (include AM or PM)

Weight

Length

Place of Birth City

Place of Birth State

Baby's Parents

English: Father & Mother - First Names

Hebrew: Father & Mother - Names

Baby's Father is a: ..... Cohen ......... Levy. ......... Yisrael ......... N/A

Bar / Bat Mitzvah Certificate
If you cannot write in Hebrew letters, write names out in English. We will convert it into Hebrew. If someone does not have a Hebrew name, indicate "TR" and we will transliterate the name into Hebrew.

Bar or Bat Mitzvah Name - as it should appear on the certificate

English Name ( first, middle, last )

Hebrew Name

Child is a .. Boy .. Girl

Hebrew Spelling of Family Name

English Date - Include Day of Week & Date

Hebrew Date - (we can calculate this)

Name of Synagogue

Torah Portion

Parents' Information

English: Father & Mother - First Names

Hebrew: Father & Mother - Names

Child's Father is a: ..... Cohen ......... Levy ......... Yisrael ......... N/A

Name Art
If you cannot write in Hebrew letters, write names out in English. We will convert it into Hebrew. If someone does not have a Hebrew name, indicate "TR" and we will transliterate the name into Hebrew.

Enter English and / or Hebrew Name - as it should appear on the artwork

English Name

Hebrew Name

Approval of Personalized Information Signature

* Type name if submitting electronically

Additional Comments or Instructions

To transmit this from directly to us click on the submit button here ... ....