/* Order Form */
html {overflow:hidden;}
body {
	background: #ffffff;
	color: #111111;
	font: 12px/1.5 "Trebuchet MS", Trebuchet, Arial, Helvetica, san-serif;
}
iframe.fancybox-iframe {
    overflow:hidden;
}

.form_wrapper {
	background: linear-gradient(top, #efefef 0%, #bbbbbb 100%);  
	background: -moz-linear-gradient(top, #efefef 0%, #bbbbbb 100%); 
	background: -webkit-linear-gradient(top, #efefef 0%,#bbbbbb 100%); 
	width: 420px;
	height:380px;
	margin:0 auto;
	position:relative;
	font-family: Arial, Helvetica, sans-serif;
}

.form_panel_left { 
padding:15px 10px 0 10px;
position:absolute;
top:0px;
left:0px;
float:left;
}
.form_panel_right { 
padding:15px 10px 0 10px;
position:absolute;
top:0px;
right:0px;
float:left;
}
.form_panel_contact {padding:0px 8px 8px 8px;}
h4.contact {
background: url(../images/menu_main_bg.gif) 0 0 repeat-x;
color: #fff;
font-weight: bold;
font-size: 18px;
text-align: center;
vertical-align: middle;
padding: 5px;}
.form-header {
color:#004f81;
	text-align:center;
	font-size:18px;
	font-weight:bold;

}
  .form-row {
    margin: 10px 0;
  }
    .form-row-contact {
    margin: 10px 0;
  }
  .form-field {
    width: 190px;
	height:32px;
	background-color: #ffff;
	border:1px solid #000;
	text-align:center;
  }
  .form-field-s {
 width: 195px;
	height:32px;
	background-color: #ffff;
	border:1px solid #000;
	padding-left:30px;
  }
.form-field-s  select{
    width: 195px;
	height:32px;
	background-color: #ffff;
	border:1px solid #000;
	padding-left:30px;
  }	
  .form-button-row {
	position:relative;
	top:240px;
	left:80px;
  }
   .disclosure {
   width:400px;
   padding:2px;
	position:relative;
	top:250px;
	margin:0 auto;
	font-size:8px;
	text-align:justify;
  } 
  .contact_wrapper {
	background: linear-gradient(top, #efefef 0%, #bbbbbb 100%);  
	background: -moz-linear-gradient(top, #efefef 0%, #bbbbbb 100%); 
	background: -webkit-linear-gradient(top, #efefef 0%,#bbbbbb 100%); 
	width: 420px;
	height:420px;
	margin:0 auto;
	position:relative;
	font-family: Arial, Helvetica, sans-serif;
	text-align:justify;
}

.text_area {
width: 400px;
	height:200px;
	background-color: #ffff; 
	border:1px solid #000;
	margin:0 auto;
	}
	.form-button-row-contact {
margin: 0 auto;
position: relative;
left: 70px;
}
.claim_wrapper {
	background: linear-gradient(top, #efefef 0%, #bbbbbb 100%);  
	background: -moz-linear-gradient(top, #efefef 0%, #bbbbbb 100%); 
	background: -webkit-linear-gradient(top, #efefef 0%,#bbbbbb 100%); 
	width: 660px;
	height:500px;
	margin:0 auto;
	position:relative;
	font-family: Arial, Helvetica, sans-serif;
	text-align:justify;
}
h4.claims {background: url(../images/menu_main_bg.gif) 0 0 repeat-x; color:#fff; font-weight:bold; font-size:18px; text-align:center; vertical-align:middle; padding:2px 5px 2px 5px; margin:0 auto 2px auto;}
p.claims {font-size:14px; text-align:justify; padding:2px 5px 2px 5px; font-weight:bold; margin: 0px auto;}

span.claim_number {color:#680501; font-size:16px; font-weight:bold;}
.claims_header {position:relative;
display:inline-block;
width:630px;
height:71px;
margin:2px auto;
padding:0 15px;
}
h4.claims_header { width:300px; background:none; color:#680501; font-weight:bold; font-size:18px; text-align:right; position:absolute; left:260px; top:20px;}
.claims_logo {position:absolute;
left:0px; 
top:0px;
padding:0 15px;
}