IOG Requesting Picspam Form

<img src="http://i304.photobucket.com/albums/nn198/dancemomswaffles/inside%20out%20-%20requesting%202%20_zpsdfaqb3hp.png"><div style="font-family:copperplate;letter-spacing:1px;text-align:justify;color:6cffed;text-transform:uppercase;font-size:11px;"><div style="BACKGROUND:6cffed;color:#FFFFFF;text-align:center;font-size:13px;line-height:15px;margin-top:-8px;letter-spacing:4px;padding-top:1px;font-weight: bold">PICSPAM</div><div style="border-right:#6cffed 3px solid;border-left:6cffed 3px solid;line-height:11px;padding:10px 5px 10px 5px">
text:
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text:
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# of pictures:
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ideas:
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pictures:
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mood:
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cast:
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designer:
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other:
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<div style="background:6cffed;color:#fffFFF;text-align:center;letter-spacing:4px;font-size:8px;line-height:12px;">coded by pinkgrandes