You need to fill in the information as follow:
1.Lv 75 MT, 4 star elite +3];
2.Lv 75 Druld,5 star;
3.Lv 60 Shaman,4 star;
4.Lv 80 Lady,5 star elite +1.
In addition, please describe what were you doing when you lost the card. Providing as much details as possible will allow the customer service to help you faster.