单人 Individual

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名字 Name of Dedicator

祖先4个姓氏 Please state the 4 surnames of your ancestors.

For 单身 singles：（1.祖父姓氏 Paternal Grandfather，2.祖母姓氏 Paternal Grandmother，3.外祖父姓氏 Maternal Grandfather ，4.外祖母姓氏 Maternal Grandmother）

For 夫妻 couples: （1.男方父亲氏 Husband's father，2. 男方母姓氏 Husband's mother，3.女方父姓氏 Wife's father， 4.女方母姓氏 Wife's mother）

四姓祖先 4 surnames of your ancestors

地址(会将贴在蜡烛上) Address (To be placed on candle)：

红牌 Red tablet

名字 To be Dedicated to:

1)个人消灾祈福红牌、四姓祖先及冤亲债主超度黄牌
Individual Blessing Red, Ancestral & Karmic Creditor Yellow Tablets
2) 一份九盏灯 1 set of 9-Lamp Offering
3) 团供食物、药品和金银纸 Food, Medicine & Joss Papers