Year God Talisman form
 
If you wish to obtain a Year God Talisman from Master Wong, or have your name added to the Year God Shrine, please type your details into the form below, print a copy, and post it, together with a donation (the amount is up to you) by cheque/postal order (UK only) or International Money Order (outside UK) payable to Jen Wai Tong, to: Suite 7, 87 Great Eastern St, London EC2A 3HY, UK.
   
Please add my name to the Year God Shrine*
Please send me the Year God Talisman blessed by Master Wong
First Name:
Last Name:
Title:
Address:
City/Town:
County/State/Province:
Postal/Zip Code:
Country:
Daytime Phone:
Evening Phone:
Mobile Phone:
E-Mail 1:
E-Mail 2:
   
*Type any additional names to be put on the Year God Shrine here:

   
Date: Signed:
   
   
Print name:  
   
 

(Mac users must select File> Print)