Customized Facebook Cover Form

CUSTOMIZED FACEBOOK COVER FORM

Make sure you have paid through paypal for a personalized facebook timeline cover or customized facebook fan page cover before filling out the form below. Remember, you must have upgraded to facebook timeline on facebook(free upgrade) to use a timeline cover.

If you haven't paid yet, pay through the button below and then return to this form. We will not begin designing your cover without completed payment.

Regular Price: $29.99
Special Price: $19.99

Name: (required)
E-mail Address: (required)	This must be a valid email address so that we can contact you about your customized facebook cover design and match you with your payment.

Link to an image you want incorporated into your facebook cover design: (optional)	Include links to any images you want in your facebook cover design or you can put a link to a design on our website that you would like incorporated into your cover. If you have an image on your computer you want us to use, just e-mail it to contact@profilerehab.com and include your name so we can match the image with your payment and form.
Please specify the type of design: girl-style, guy-style or business-style, etc.?
Further describe which style of design you would like:	Let us know what style of design you would like: goth, punk, vintage, abstract, creepy, grunge, flowery, hearts, stripes, polkadots, fantasy, emo, scenic, a specific season or holiday, etc.
Which colors do you prefer for your design?
What(if any) text would you like in your design? (optional)
Is there anything else you want us to consider when making your facebook cover?