<h1>Request a desktop wallpaper form</h1>

Your Name/Nickname *
Your Email Address*
Size of Wallpaper** *
Specify Image?*** *
Other Comments
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*If you don't have an email address, that's ok.^^ Just leave this field blank. You can pickup your request from the <a href="http://kasumi.netii.net/pickups.php">pickup station</a> as soon as it is finished.<p>

**If you choose the 'Other' option, please specify the exact size you want in the 'Other Comments' box.</p><p>

***You can specify an image you'd like on your wallpaper here. Just put the direct link in the box, or put the name of an anime/video game character/Pokemon name here.</p>