Bar/Bat Mitzvah Celebration
Please complete information appropriate for your exclusive Magical Moment Memoir
Contact
Contact's Name
Contact's address
Contact's phone numbers
Home
Work
Cell
Contact's e-mail
Parents
Father's name
Father's phone numbers
Home
Work
Cell
Father's e-mail
Mother's name
Mother's phone numbers
Home
Work
Cell
Mother's e-mail
Event Details
Date of event
Date to receive MMMs
Name of event venue
Address of event venue
Phone number of event venue
Contact's name at event venue
Ship-to address (if different)
Card 1: Called to the Torah
Celebrant's full name: Hebrew
Celebrant's full name: English
Meaning of name (translation of celebrant's name)
Date of ceremony
Venue for ceremony (name)
Location of venue (City/State)
Rabbi
Card 2: Candle Lighting Ceremony: Indicate names of honorees for each candle
Candle 1
Candle 2
Candle 3
Candle 4
Candle 5
Candle 6
Candle 7
Candle 8
Candle 9
Candle 10
Candle 11
Candle 12
Candle 13
Candle 14
Card 3: Blessing
Please write 200 word blessing for the celebrant
Word Counter:
Card 4: Celebrant's hopes for the future:
Please write a 200 word message from the celebrant.
For example: My hopes for the future are... I am thankful for my family because... I will live a life of... My responsibilities to my family/friends/community include... Becoming a man/woman means...

Word Counter:
Card 5: Theme Card
Please write a 200 word description of the theme of the bar/bat mitzvah; explain why the theme was selected; and/or explain special meaning the theme has to the child/family

Word Counter:
Card 6: Photo*
Please upload a photo of the celebrant
Date of photo
Caption for photo
Special Instructions
Order Details
Quantity MMMs ordered
   
View ribbons and paper    
Ribbon color selected (Insert color number)
Paper selected (Insert "pearl" or "ivory")

 
Referral
If you were referred to Memoir Shoppe, please complete the following:
Referrer's Name
Referrer's business
Referrer's address
Referrer's phone
Referrer's e-mail
* The image can be black and white or color. It must be taken at a 300 dpi resolution (the highest camera resolution setting), supplied in focus, color corrected, cropped, and uploaded in a .JPG format no smaller than 8x8 inches. Please note: Because of the viscosity of the paper, image color variation can occur and some sharpness may be lost.
Verify
Please enter the code to continue.