Request Form:

Username:
Pen Name:
Color Scheme:
Image/Character: (Character name or link to image you want to use.)
Theme: (Fantasy, Cute, Dark, Romantic, etc)
Mood: (Fun, Happy, Sad, Depressing, etc)
Quote/Saying: (Optional)

Payment for Header:

-10 votes on any of my stories
-Credit me or tag me
-Honest and detailed critique about the header

Examples:

Comment your header request in this chapter.