thread form

<div style="border-left: solid 2px #A60F1E; border-right: solid 2px #A60F1E;letter-spacing: 2px; color:#A60F1E; text-align: center; font-size: 15px;padding: 5px"><b>requesting a thread!</b></div>
<div style="letter-spacing: 2px; color:#A60F1E; text-align: center; font-size: 10px;padding: 5px">
<br>
<br>
Layout, html or pure image?:
<br>
Title:
<br>
Subtitle*:
<br>
Color scheme or pattern (from colourlovers):
<br>
Ideas:
<br>
Any links?:
<br>
Images/gifs*:
<br>
Anything else?: