- "Line 1 (On Front)" is a required field.
- "Line 2 (On Front)" is a required field.
- "Line 3 (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 Above Photo" is a required field.
- "Message Line 2 Below Photo" is a required field.