HSM GT Picspam Form Coding

<center><b><div style="background-color:DF0101;border:double;color:FFF;padding:2px;margin:2px;"><blockquote style="background-color:FFF;padding:2px;margin:2px;border:double;color:BE8704;font-family:High School;font-size:25px;">Requesting For A :<br> Picspam</blockquote><img src="http://i.imgur.com/TyDt0Ti.gif"height="200px"><blockquote style="background-color:FFF;padding:2px;margin:2px;border:double;color:BE8704;font-family:High School;font-size:15px;"><br>+Number of Picspams:<i><br>[] Four<br>[] Six<br>[] Eight</i><br>+Pictures:<i>HERE!</i><br>+Text:<i>HERE!</i><br>+Anything Else/ Password:<i>HERE!</i></blockquote></div></b></center>