- "Name Below On Front" is a required field.
- "Date Below On Front" is a required field.
- "Degree Below On Front" is a required field.
- "Message Line 1 On Reverse" is a required field.
- "Message Line 2 On Reverse" is a required field.
- "Message Line 3 On Reverse" is a required field.
- "Message 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.