iron bound form

<div style="margin:10px 30px -5px;font-size:10px;text-align:justify;"><Div style="background:1ED3FF;font-size:9px;text-transform:uppercase;margin:2px 242px 0 0;padding:0 5px;letter-spacing:1px;color:333">form</div>
<div style="color:02BCEB;font-size:19px;margin:-16px 0 0 122px">◢<div style="color:FFF;margin:-15px 0 0 4px;">◢</div></div
<div style="padding:5px;line-height:10px">
<b>title</b>
<br><b>subtitle</b>
<br>etc.
</div