outfit form

<br>
<center>
<img src= "http://3.bp.blogspot.com/-37JH2QzCGNQ/U5HeGuqLawI/AAAAAAAAC2I/p6xgKLmtVS0/s1600/tumblr_m1gidwI9bu1qku61so4_250.gif" width="350">
<br><br>
<font size=10> i am requesting an outfit </font>
<br><br>
<font size=1>
text*:
<br>
male [] female []
<br>
occasion (party, casual etc):
<br>
ideas:
<br>
accessories:
<br>
anything else: