@charset "utf-8";

/* CSS Document */



form#two {

	background:#f7eee1;

	width:100%;

	padding:10px;

	border:1px solid #eee;

	font-size:1em;

	font-family:verdana, arial, helvetica, sans-serif;

	margin-right: auto;

	margin-left: auto;

}

form#two p {font-size:.9em; color:#000000; text-align:left; padding:15px 5px 5px 0; margin:0;}

form#two fieldset#current p {padding:4px; margin:0;}



form#two fieldset {width:95%; display:block; border:1px dotted #89aac3; padding:5px 5px 5px 10px; font-family:verdana, sans-serif; margin-bottom:0.5em; line-height:1.5em; font-size:12px; }



form#two legend {font-size:1.1em; font-weight:bold; margin-bottom:15px; padding:6px; background:none; color:#666666;}

* html form#two legend { padding:0 0 30px 0; margin:5px 0 0 0; border:none;}



form#two label {clear:left; display:block; float:left; width:100px; text-align:left; padding-right:10px; color:#000; margin-bottom:0.5em;}



form#two input {border:1px solid #414d59; padding-left:0.5em; margin-bottom:0.6em; width:280px; background:#c5d3e0;}



form#two input:focus {background:#fff; border:1px solid #b80b38; color:#b80b38;}

form#two fieldset#medical input, form#two fieldset#current input {width:45px;}



form#two select {margin:0 0 1em 0.5em;}

form#two textarea {width:750px; height:15em; border:1px solid #fff; padding:0.5em; overflow:auto; background:#ffffff; margin-bottom:20px;}



form#two textarea:focus {background:#fff; border:1px solid #b80b38; color:#b80b38;}



form#two option {background:#fff; color:#b80b38;}

form#two optgroup {background:#fff; color:#000; font-style:normal;}

form#two optgroup option {background:#fff; color:#b80b38;}



form#two #button1, form#two #button2 {color:#fff; padding-right:0.5em; cursor:pointer; width:205px; margin-left:8px; background:#b80b38; border:1px solid; border-color:#f11f54 #5f051c #5f051c #f11f54;}

form#two #button3 {

	color:#fff;

	padding-right:0.5em;

	cursor:pointer;

	width:75px;

	margin-left:8px;

	background:#b80b38;

	border:1px solid;

	border-color:#f11f54 #5f051c #5f051c #f11f54;

}



form#two #button1:hover, form#two #button2:hover {color:#fff; background:#414d59; border:1px solid; border-color:#4f718a #003 #003 #4f718a; }

.cformtxt {

	width:250px;

	border:1px #600 solid;

		

}

#form_wrapper{

	width:850px;

	height:auto;

	margin:0px auto;

}

.row{

	width:830px;

	float:left;

	padding:10px 10px 0px 10px;

	font-family:arial;

	color:#000;

	font-size:12px;

}

#text{

	width:150px;

	float:left;

	padding-right:20px;

	font-family:arial;

	color:#000;

	font-size:12px;

}

#box{

	width:410px;

	float:left;

}

h1{font-family:Arial;

	font-size:14px;

	color:#333}

</style>