Premade form

Copy everything below and paste it on the thread,then fill up.

<a href="http://imgur.com/uQ8GGmk"><img src="http://i.imgur.com/uQ8GGmk.jpg" title="source: imgur.com" /></a>
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<b><u><I>I Am Requesting A Premade</I></b></u>
 <br>
 <br><b>title/number- </b> text here
 <br><b>designer- </b> text here
 <br><b>changes-  </b> text here
 <br><b> will u give a free bump after this?- </b> text here
 <br><b> anything else?- </b> text here

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