<style type="text/css">
.myform{
  width:370px;
  margin:0 auto;
  padding:15px;
  font-family:tahoma;
  font-size: 16px;
}

.myform h3{
  padding:5px 0;
  margin:0;
  font-family: "Times New Roman", Times, serif;
  color: #000060;
  font-weight: normal;
  font-size: 2em;
  letter-spacing:.05em;
  text-align:center
}

.myform h5{
  padding:0 0 10px 0;
  margin:0;
  font-family: "Times New Roman", Times, serif;
  color: #606060;
  font-weight: normal;
  font-size: .8em;
  text-transform: uppercase;
  letter-spacing:.05em;
  text-align: center;
}

.myform form{
  background: #F2F8FC;
  padding: 20px 10px 10px 10px;
  margin: 0;
}

.myform h4{
  padding:5px 10px 0 10px;
  margin:-10px 0 0 10px;
  background: #C8E0F4;
  color: #000;
  font-weight: normal;
  font-size: .9em;
  float: left;
  border-style: solid;
  border-color: #F2F8FC;
  border-width: 1px 1px 0 1px;
  border-top-right-radius: 5px;
  -moz-border-radius-topright: 5px;
  -webkit-border-top-right-radius: 5px;
  border-top-left-radius: 5px;
  -moz-border-radius-topleft: 5px;
  -webkit-border-top-left-radius: 5px;
}

.myform .contact-field{
  clear: both;
  background-image: url(blubg2.png); background-repeat: repeat; 
  border:none;
  margin:0;
  padding:10px 10px 20px 10px;
}

.myform label{
  width: 100px;
  display: block;
  float: left;
  color: #3C3C3C;
  font-size: .85em;
}

.myform p{
  padding:0;
  margin:5px 0;
}

.myform h6{
  background: #C8E0F4;
  padding: 15px;
  margin: 5px;
  color: #3C3C3C;
  font-weight: normal;
  font-size: .9em;
  -moz-border-radius: 10px;
  -webkit-border-radius: 10px;
  border-radius: 10px;
}

.myform span{
  font-weight: bold;
  color: #000;
  font-size: .95em;
}
</style>