Order Form

I look forward to hearing from you!

  • Please fill out this form with as much information as possible
  • You may select up to 3 patterns per kippah
  • If you would like to create a pattern based on an image please email the image to KippahSruga@gmail.com.
  • If you need this Kippah for a special occasion please include the date.
  • I will email you an accurate price quote and a mock up of the pattern you would like.