- "Line 1 on Front" is a required field.
- "Line 1 on reverse" is a required field.
- "Line 2 on reverse" is a required field.
- "Line 3 on reverse" is a required field.
- "Line 4 on reverse" is a required field.
- "Message Line 1 at the top (A)" is a required field.
- "Message Line 2 at the top (A)" is a required field.
- "Line 3 at the bottom (B)" is a required field.