Santa Tell Me Cover Form

Copy everything below the dotted line. Everything with (*) means optional. Remember, if you want a simple cover, you must provide an image.

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<img src="http://i.imgur.com/TX0wedv.png" width="450"> <br>
<div style="margin-left:10px; text-align:right;">  <br>
<div style="color:#DC002B;text-transform:uppercase;text-align:left;font-size:14px; line-height:10px; padding-left: 20px; padding-right: 60px;"><B>COVER</b>

<div style="color:#398BBD;text-transform:uppercase;text-align:left;font-size:10px; line-height:10px; padding-left: 20px; padding-right: 60px;"><br>
[] Fake [] Real
<br>[]Simple []Manipulated
<br>Title:
<br>*Subtitle:
<br>Author (no usernames):
<br>Ideas:
<br>*Images:
<br>Mood:
<br>Color Scheme:
<br>Genre:
<br>Link to story:
<br>Anything Else: