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body {background: url('http://img709.imageshack.us/img709/8306/batikpatternyogya.jpg');background-attachment: fixed;}
td font {font-weight:bold;text-align:right;float:right;}
table {background: url('http://img709.imageshack.us/img709/1561/kayu.jpg');padding:15px;border:1px solid #993300;margin:0 auto;}
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Form Order Booth/Shoes Custom





Isi form dengan teliti! tanda bintang wajib di isi!


Nama Kamu* *
Email Address* *
No KTP/SIM* *
No HP (Contact Person)* *
Alamat Rumah (sesuai KTP)* *
Kota dan Propinsi (sesuai KTP)* *
Kewarganegaraan (sesuai KTP)* *
Alamat Pengiriman Barang* *
Kota dan Propinsi* *
Kode POS* *
Jenis sepatu yang di pesan?* *
Ukuran (normal)* *
Ukuran (dalam centimeter)
Bahan sepatu (untuk Bootish)
Upload Gambar (Custom Sepatu)
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<div align="center" style="background: url('http://img709.imageshack.us/img709/1561/kayu.jpg');font:normal 15px Georgia;padding:5px;border:1px solid #993300;width:500px;color:#FFCC99;margin:0 auto;">
Form For:
<a href="http://anime7shop.multiply.com/" rel="follow" target="_blank" title="Anime7 Shop" style="color:#FFCC00;"><b>Anime7 Shop Order Booth/Shoes Custom</b></a>
</div>