Order Submission Form - Pixel Covers

-- Step 3 --

Once you have entered the below information you will be sent to our payment page.

Please Enter All Information

Name *

Email *

Your PayPal email is preferred so we can match up the order.

Please Choose You Design *

Category and Name of Cover *

Preferred Background Color (outside color) Transparent is default *

Website URL *

Instructions

If you have a certain graphic you would like us to include please upload it here. PNG | JPG | GIF

File Upload *

Comments and Additional Information *

Use this area to give us details of the words on the cover. I.E. Author Name, Tag Lines, etc.