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||Pocky Productions||

Applying for a Xanga Skin

General Info
Name:
Email:
Requested Theme:
Color Scheme: (seperate hexcodes or colors with commas)
Background Color:
Xanga Title:
Xanga Website:
Which modules do you want displayed:
Main Module (where it says you name and subscriptions)
ChatterBox

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Internet Contact Info
If you do not use any of the following Instant Messaging Programs please leave the following section blank

Instant Messaging Program most frequently used:
Most frequently used Screen Name:
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If you have any requested Background Images, please email them to dat1shyflipchick@pinoynetmail.com with the subject "Xanga Skin Request: (your name)"