construction - form

<div style="background:EFEFEF;color:333;padding:100px 180px;margin-top:10px"style="coded by rome">
<div style="border-top:solid 1px;margin:0 -82px 5px"/><div style="font-size:9px;margin:0 -80px;text-align:justify;line-height:12px;padding:5px;">
<b>screenshot:</b> (provide a link to or an image of your entry)
<br><b>codes:</b> (provide a link to the codes of your entry)
<br><b>how do you feel about your entry?</b> (leave your thoughts here)
</div</div>