br{
clear: left;
}
label{
float: left;
width: 140px;
font-weight: bold;
}

input, textarea{
background-color: #da7e17;
height: 22px;
border: 1px solid #804a0e;
line-height:22px;
font-family:Verdana, Arial, Helvetica, sans-serif;
font-size:12px;
color:#000000;
margin-bottom: 4px;
}


.submit{
background-color: #da7e17;
height: 31px;
width: 65px;
border: 0px;
}

textarea{
width: 224px;
height: 74px;
background-color: #da7e17;
border: 1px solid #804a0e;
font-family:Verdana, Arial, Helvetica, sans-serif;
font-size:12px;
color:#000000;
}

.checkbox{
	width: 13px;
	height: 13px;
	padding-left:160px;
}



br{
clear: left;
}


.input_txt {
	background-color: #da7e17;
	height: 22px;
	width:226px;
	border: 1px solid #804a0e;
	line-height:22px;
	font-family:Verdana, Arial, Helvetica, sans-serif;
	font-size:12px;
	color:#000000;
	margin-bottom:4px;
}
.input_txt1 {
	background-color: #da7e17;
	height: 22px;
	border: 1px solid #804a0e;
	line-height:22px;
	font-family:Verdana, Arial, Helvetica, sans-serif;
	font-size:12px;
	color:#000000;
	margin-bottom:5px;
}
.date {
	background-color: #da7e17;
	height: 22px;
	border: 1px solid #804a0e;
	line-height:22px;
	font-family:Verdana, Arial, Helvetica, sans-serif;
	font-size:12px;
	color:#000000;
	width:75px;
}

.form{
margin:0px;
padding:0px;}


.message {
	font-family: Verdana, Arial, Helvetica, sans-serif;
	font-size: 12px;
	font-weight: bold;
	text-align: center;
}