Cover form

<p>
<center><DIV STYLE="FONT-FAMILY:times;FONT-SIZE:30PX"><b><i>Requesting A Cover</i></b></div>
<br>
<b>Title:</b> text here
<p>
<b>Subtitle*:</b> text here
<p>
<b>Author:</b> text here
<p>
<b>Ideas:</b> text here
<p>
<b>Mood:</b> text here
<p>
<b>Genre:</b> text here
<p>
<b>Short summary:</b> text here
<p>
<b>Color scheme:</b> text here
<p>
<b>Anything else:</b> text here

</DIV>