TG Accept/Deny Form

<img src="http://i.imgur.com/jVwVlWz.png"> <br> <p> <div style="font-family:cambria;letter-spacing:0px;text-align:justify;color:#868982;text-transform:uppercase;font-size:10px"> <div style="BACKGROUND:#868982;color:#FFFFFF;text-align:center;font-size:13px;line-height:15px;margin-top:-3px;margin-top:-0.2cm;letter-spacing:4px;padding-top:1px; padding-bottom:1px">
<p>
NAME
<p>
Accepted [ ] Denied [ ]
<p>
</div> <div style="background:#868982;color:#fffFFF;text-align:center;letter-spacing:7px;font-size:8px;line-height:11px"> <i> CODING BY INDECISIVE- </i>