input, textarea { 
	padding: 9px;
	border: solid 1px #E5E5E5;
	outline: 0;
	font: normal 12px/100% Verdana, Tahoma, sans-serif;
	width: 100px;
	background: #FFFFFF url('http://www.agencyinfo.net/__ivwp/quick-quote-form/bg_form.png') left top repeat-x;
	background: -webkit-gradient(linear, left top, left 25, from(#FFFFFF), color-stop(4%, #EEEEEE), to(#FFFFFF));
	background: -moz-linear-gradient(top, #FFFFFF, #EEEEEE 1px, #FFFFFF 25px);
	box-shadow: rgba(0,0,0, 0.1) 0px 0px 8px;
	-moz-box-shadow: rgba(0,0,0, 0.1) 0px 0px 8px;
	-webkit-box-shadow: rgba(0,0,0, 0.1) 0px 0px 8px;
	}

textarea { 
	width: 400px;
	max-width: 400px;
	height: 150px;
	line-height: 150%;
	}

input:hover, textarea:hover,
input:focus, textarea:focus { 
	border-color: #C9C9C9; 
	-webkit-box-shadow: rgba(0, 0, 0, 0.15) 0px 0px 8px;
	}

.form label { 
	margin-left: 10px; 
	color: #999999; 
	}

.submit input {
	width: 130px;
	height: 65px;
	background: url('http://www.agencyinfo.net/__ivwp/quick-quote-form/submit-button.png') no-repeat;
	border: 0px none;
	font-size: 12px;
	font-weight: 900;
	color: #FFFFFF;
	-moz-border-radius: 50px;
	-webkit-border-radius: 50px;
	cursor: pointer; padding-left:13px; padding-right:13px; padding-top:6px; padding-bottom:6px
	}