Paper Hearts Request Form

Copy everything below the dotted line and fill out everything completely. * means optional

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<img src="http://i.imgur.com/OKrmn7d.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>TRAILER</b><div style="color:#27828C;text-align:left;font-size:10px; line-height:10px; padding-left: 20px; padding-right: 60px;"><br>
<p>Title:
<br>Author (no usernames):
<br>Detailed Summary:
<br>Cast:
<br>Music (at least two songs):
<br>Clips:
<br>Ideas:
<br>Color Scheme:
<br>Black & White or Color?:
<br>Genre:
<br>Rating:
<br>Mood:
<br>Link To Story:
<br>Anything Else: