IOG Requesting Cover Form

<img src="http://i304.photobucket.com/albums/nn198/dancemomswaffles/inside%20out%20-%20requesting%202%20_zpsdfaqb3hp.png"><div style="font-family:copperplate;letter-spacing:1px;text-align:justify;color:6cffed;text-transform:uppercase;font-size:11px;"><div style="BACKGROUND:6cffed;color:#FFFFFF;text-align:center;font-size:13px;line-height:15px;margin-top:-8px;letter-spacing:4px;padding-top:1px;font-weight: bold">COVER</div><div style="border-right:#6cffed 3px solid;border-left:6cffed 3px solid;line-height:11px;padding:10px 5px 10px 5px">
minimalistic [ ] manipulated [ ] simple [ ]
<br>
title:
<br>
author:
<br>
subtitle:
<br>
summary:
<br>
color scheme: (colourlovers.com)
<br>
pictures: (links only)
<br>
ideas:
<br>
genre:
<br>
mood:
<br>
light/dark:
<br>
designer:
<br>
other:
</div>
<div style="background:6cffed;color:#fffFFF;text-align:center;letter-spacing:4px;font-size:8px;line-height:12px;">coded by pinkgrandes