make a wish form (thread)

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<div style="font-family:times new roman; font-size:60px;text-align:center;letter-spacing:-3px;color:F3A277">makeawish</div>
<div style="font-family:times new roman; font-size:60px;text-align:center;letter-spacing:-3px;color:D7516B;margin-left:5px;margin-top:-15px">make<font color=F5DB7A>a<font color=642B51>wish</div>
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<a href="" style=color:D7516B;font-size:160px;>•</a><br>
<a href="" style=color:F5DB7A;font-size:160px;>•</a><br>
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<div style="background-color:A5D764;margin:-260px 10px 0px 35px;padding:2px;text-align:center;font-size:8px;color:fff;">I AM REQUESTING <b>A THREAD</div>
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<b>TYPE OF THREAD:</b> LAYOUT: [] PURE: []
<br><b>KIND OF THREAD:</b> GRAPHIC: [] COMPETITION: []
<br><b>TITLE OF THREAD:</b>
<br><b>SUBTITLE*:</b>
<br><b>COLOUR SCHEME (from colourlover.com):</b>
<br><b>IDEAS:</b>
<br><b>PICTURES/GIFS*:</b>
<br><b>ANYTHING ELSE:</b></div>
<div style="font-size:8px;letter-spacing:5px;text-align:center;margin-left:20px;color:642B51;margin-top:10px;">CODED BY: VENUSTATE_</div>