Name?:
E-mail Addy?: (e.g.: you@aol.com)

Do you Want the Banner Uploaded?
Enter password:(only if you want me to upload)
And User Name:(only if you want me to upload)
Do You Usually have problems with Image makers etc?   Yes, I do   No, I don't
Are You asking to have an image?   Made   Redone   Uploaded
What color/hight/style/text would you like to be on it?

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Instructions