what would you do different

hi this is a screen shot of one of my forms
i would really appreciate any input based on the screen shot
and i LOVE constructive critism
please help out thank you
http://24.112.141.149/test/shot.gif

thank you

I like it. What did you use to create the effects?

photoshop - artist's nirvana
haha

It's great.
I don't understand how you did that...
explaine...