The Anime Boutique Forms

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<center> <a href="http://pastebin.com/8tNQvVU4"style=color:#e6c3aa;>Forms | </a>
<a href="link here"style=color:#e6c3aa;>Examples </a>
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<div style="padding:5px;text-align:center"> Requesting A Cover! </div> </div></div></div>
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[ ] Simple [ ] Manip [ ] Minimal [x] Anime

Title:

Subtitle (optional):

Author/Username:

Ideas/Pictures:

Colors/Mood/Theme:

Anything else?:

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<div style="background-image:url(http://i.imgur.com/HMDxeth.jpg);">
<div style="padding:75px 0px 0px 230px;">
<div style="padding:10px;">
<div style="font-family: tahoma;letter-spacing:1px; font-size:8px; text-align:justify;color:#e6c3aa;text-transform:uppercase">
<div style="padding: 0px 10px;">
<br>
<div style="border-left:1px e6c3aa solid;">
<div style="border-right:1px e6c3aa solid;">
<center> <a href="http://pastebin.com/8tNQvVU4"style=color:#e6c3aa;>Forms | </a>
<a href="link here"style=color:#e6c3aa;>Examples </a>
<br>
<div style="padding:5px;text-align:center"> Requesting An Icon! </div> </div></div></div>
<div style="float:right;width:50px;">
<div style="background-color:#e6c3aa;height:1px;">  </div> </div>
<div style="float:left;width:50px;">
<div style="background-color:#e6c3aa;height:1px;">  </div> </div>
[ ] Simple [ ] Manip [x] Anime

Author/Username:

Ideas/Pictures:

Colors/Mood/Theme:

Anything else?:

---

<div style="background-image:url(http://i.imgur.com/HMDxeth.jpg);">
<div style="padding:75px 0px 0px 230px;">
<div style="padding:10px;">
<div style="font-family: tahoma;letter-spacing:1px; font-size:8px; text-align:justify;color:#e6c3aa;text-transform:uppercase">
<div style="padding: 0px 10px;">
<br>
<div style="border-left:1px e6c3aa solid;">
<div style="border-right:1px e6c3aa solid;">
<center> <a href="http://pastebin.com/8tNQvVU4"style=color:#e6c3aa;>Forms | </a>
<a href="link here"style=color:#e6c3aa;>Examples </a>
<br>
<div style="padding:5px;text-align:center"> Requesting A Banner! </div> </div></div></div>
<div style="float:right;width:50px;">
<div style="background-color:#e6c3aa;height:1px;">  </div> </div>
<div style="float:left;width:50px;">
<div style="background-color:#e6c3aa;height:1px;">  </div> </div>
[ ] Simple [ ] Manip [x] Anime

Title (optional):

Subtitle (optional):

Author/Username:

Ideas/Pictures:

Colors/Mood/Theme:

Anything else?: