.form-box {
	margin-top: 35px;
}

.form-top {
	overflow: hidden;
	padding: 0 25px 15px 25px;
	background: #fff;
	-moz-border-radius: 4px 4px 0 0; -webkit-border-radius: 4px 4px 0 0; border-radius: 4px 4px 0 0;
	text-align: left;
}

.form-top-left {
	float: left;
	width: 75%;
	padding-top: 25px;
}

.form-top-left h3 { margin-top: 0; }

.form-top-right {
	float: left;
	width: 25%;
	padding-top: 5px;
	font-size: 66px;
	color: #ddd;
	line-height: 100px;
	text-align: right;
}

.form-bottom {
	padding: 25px 25px 30px 25px;
	background: #eee;
	-moz-border-radius: 0 0 4px 4px; -webkit-border-radius: 0 0 4px 4px; border-radius: 0 0 4px 4px;
	text-align: left;
}

.form-bottom form textarea {
	height: 100px;
}

.form-bottom form button.btn {
	width: 100%;
}

.form-bottom form .input-error {
	border-color: #de995e;
}