"Names" in Chinese is limited to 5 characters only
*Name 消災延壽 to be placed on the Tablet
Name 2 消災延壽
Name 3 消災延壽
Name 4 消災延壽
Name 5 消災延壽
Name 6 消災延壽
* Your Name 姓名
* Your Address 1 地址 9 characters maximum
* Your Address 2 地址 9 characters maximum
* Your Email 电邮
* Your Phone 电话号码
* Indicates required field