HSM GT PNG Cut 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> PNG Cut</blockquote><img src="http://i.imgur.com/293qZ98.gif"height="200px"><blockquote style="background-color:FFF;padding:2px;margin:2px;border:double;color:BE8704;font-family:High School;font-size:15px;"><br>+Username:<i>HERE!</i><br>+Image You Want Cut (Must Have A Solid Background):<i>HERE!</i><br>+Anything Else/ Password:<i>HERE!</i></blockquote></div></b></center>