attack on titans form

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<img src="http://vershingekinokyojin.com/wp-content/uploads/2014/04/Shingeki-no-Kyojin.png"width=381 /></img><div style="font-size: 40px; text-align:center; font-family:
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<br>Im Requesting...</div><div style="font-size: 20px; text-align:center; font-family:
Georgia; letter-spacing:-1px; color:4a1607;">
<br><b>Cover</b></div>
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<center><b>[ ] Manipulate [ ] Simple [ ] Minimalistic</b>
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<b>Title:</b> [TEXT HERE]<br>
 <b>Subtitle:</b> [TEXT HERE]
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<b>Author:</b> [TEXT HERE]
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<b>Summary:</b> [TEXT HERE]
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<b>Ideas/ Images:</b> [TEXT HERE]
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<b>Anything Else:</b> [TEXT HERE]</center>


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<div style="margin-top: 5px; letter-spacing: 3px; font-size: 9px; text-align: center; color:de702c; padding-bottom: 20px"> CODING BY JESSIECAE</div> </div> </div>