Goldfinearts.com: Ketubbah Information Sheet

Ketubbah Information
goldfinearts.com
C/O Marsha Goldfine
11808 Appaloosa Way
North Potomac, MD 20878
Voice: 301-251-9304
Fax: 301-251-4107

Instructions: Please complete the following form (if you have any questions please feel free to e-mail us at: judaica@goldfinearts.com). Then print it out and fax or mail it to us. Once received we will contact you to confirm receipt of your order and to go over any other details.
Customer's Name -
Customer's Address -

City -		State -		Zip Code -
Phone Number -			E-mail -

Rabbi's Name -
Rabbi's Address -

City -		State -		Zip Code -
Phone Number -
Fax Number -			E-mail -
Wedding Date/Time -
Location of Wedding -
Border Specifications -

Bride's Full English Name -
Bride's Full Hebrew Name -
Bride Converted To Judaism?	Yes No
Father's Full English Name -
Mother's Full English Name -
Father's Full Hebrew Name -
Is Father Living?	Yes No
	Cohen Levy Israelite
Mother's Full Hebrew Name -
Is Mother Living?	Yes No

Groom's Full English Name -
Groom's Full Hebrew Name -
Groom Converted To Judaism?	Yes No
Father's Full English Name -
Mother's Full English Name -
Father's Full Hebrew Name -
Is Father Living?	Yes No
	Cohen Levy Israelite
Mother's Full Hebrew Name -
Is Mother Living?	Yes No

Additional Information -
Please print this form and mail or fax it to us. All orders must have a deposit of $250.00 in US currency by check or money order made payable to: Marsha Goldfine. If you have any questions or concerns please contact us at: judaica@goldfinearts.com or call us at: 301-251-9304 or fax us at: 301-251-4107