HEA GT Bookmark Form (Belle 1)

<center><div style="background-color:D1B516;width:440px;margin:2px;padding:2px;"><img src="https://media.giphy.com/media/ZaWCoRqir095S/giphy.gif"height="150px"><blockquote style="background:transparent;font-family:Georgia Belle;font-size:20px;color:FFF;">Requesting A:<br> Bookmark</blockquote><blockquote style="background-color:000;border:double;color:FFF;font-family:Georgia Belle;font-size:12.5px;color:FFF;">+Username: <i>HERE!</i><br>+Size of Book Mark: <i><br>( ) 45x100cm <br>( ) 50x150cm <br>( ) 55x165cm</i><br>+Image you would like (preferably a PNG): <i>HERE!</i><br>+Any Text you would like added: <i>HERE!</i><br>+Anything Else/Password: <i>HERE!</i></blockquote></div></center>