<h1>Request a splash/enter/404 sign form</h1>

Your Name/Nickname *
Your Email Address*
Size** *	Select OneDefault (500x400)640x400Other
Image(s)?*** *
Splash Sign or 404 Sign? *	Select OneSplash/Enter Sign404 Error Sign
Other Comments

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*If you don't have an email address, leave this field blank. You can pickup your request from the <a href="http://kasumi.netii.net/pickups.php">pickup station</a>. ^^ <p>

**If you pick the "Other" option on this, then please specify the size in the "Other Comments" box.</p><p>

***You can put the direct link to a specific image you want me to use for this graphic, or you can put the name of an anime/video game character or Pokemon name. </p>