saturn applying form

<div style="background-image:url(http://i.imgur.com/VWHcX82.png);padding:80px 30px 20px"><div style="color:fdfdfd;font-size:11px;text-align:center;text-transform:uppercase">
<b>name:</b> TEXT HERE
<br><b>applying for</b> manip [ ] minimalist [ ]
<br><b>applying for</b> beginner [ ] advanced [ ]
<br><b>examples (if applying for advanced):</b> LINK HERE
<br><b>experience:</b> TEXT HERE