typo form

<br><center><b> I'm Requesting A Typography!! </b>
<br><b> Quote: </b> [text here]
<br><b> Who said the quote?: [ text here ]
<bR><b> Color Scheme </b> [text here]
<br><b> Shape/Image: </b> [text here]
<br><b> Ideas: </b> [must provide more than 3, can include other's typo pics]
<br><b>Anything Else? </b>