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Hey Jamie,
I like your design. it’s something else. Very white but not boring.
The colours you use are (in my opinion) a bit to sharp (if that’s the right word), I would make them just a little bit softer. Not that they are so bad, but … I would do that.
And I would layout the form-elements in a grid (it just looks a bit messy at the moment) and make the form-border a little bit smaller, it’s really giant you now.
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