contemporary // form

<div style="background:eee;"><div style="padding:31px 110px 0;"><div style="border-top:AABCCC solid 25px;background:FFF;padding:15px;"><div style="color:fff;font-size:10px;letter-spacing:1px;margin:-30px 0 0">FORM</div><div style="font-size:9px;text-transform:lowercase;line-height:11px;padding-top:10px;text-align:justify"><i>accepted by (fill in designer)</i><br><b>title</b>
<br><b>subtitle</b>
<br><b>color palette</b>
<br><b>amount of links</b>
<br><b>amount of columns</b>
<br><b>inspiration&ideas</b>
<br><b>matching form?</b> [ ] yes [ ] no
<br><b>anything else</b></div
<div style="padding:10px 0 0;margin:0 0 -10px;text-transform:uppercase;letter-spacing:1px"><center>
<div style="height:11px;font-size:8px;border:solid 1px AABCCC;line-height:10px">credit</a>