form fieldset {border:0;

	padding:0 15px 10px 15px;

	text-align:left;

	}

form fieldset legend {font-size:18px;

	font-weight:bold;

	padding-bottom:10px;

	color:#183884;

	

	}



form label {display:block;

	padding:3px 0;

	

}



form label span { display:block;

	color: #183884;

	font-size:13px;

	font-weight:bold;

	

	}

form label input {

	font-weight:bold;

	padding:3px 0;

	width:392px;

	background:#183884;

	color: #FFF;

}

form input.btn { display:block;

	width:150px;

	padding:5px 0;

	margin:10px 0 0 120px;

	border:0;

	background:#183884;

	color:#FFF;

	cursor:pointer;

	text-align:center;



}

form label textarea {color:#FFF;

	font-weight:bold;

	padding:5px 0;

	width:392px;

	background:#183884;

	font-size:15px;

	}