.form-all {
  font-family: "Helvetica", sans-serif;
}
.form-all {
  width: 400px;
}
.form-label-left,
.form-label-right {
  width: 130px;
}
.form-label {
  white-space: normal;
}
.form-label.form-label-auto {
  display: inline-block;
  float: left;
  text-align: left;
  width: 130px;
}
.form-label-left {
  display: inline-block;
  white-space: normal;
  float: left;
  text-align: left;
}
.form-label-right {
  display: inline-block;
  white-space: normal;
  float: left;
  text-align: right;
}
.form-label-top {
  white-space: normal;
  display: block;
  float: none;
  text-align: left;
}
.form-all {
  font-size: 14px;
}
.form-label {
  font-weight: bold;
}
.form-checkbox-item label,
.form-radio-item label {
  font-weight: normal;
}
.supernova {
  background-color: none;
  background-color: #ffffff;
}
.supernova body {
  background-color: transparent;
}
/*
@width30: (unit(@formWidth, px) + 60px);
@width60: (unit(@formWidth, px)+ 120px);
@width90: (unit(@formWidth, px)+ 180px);
*/
/* | */
/* | */
/* | */
@media screen and (max-width: 480px) {
  .jotform-form {
    padding: 10px 0;
  }
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 768px) {
  .jotform-form {
    padding: 30px 0;
  }
}
/* | */
/* | */
@media screen and (min-width: 768px) and (max-width: 1024px) {
  .jotform-form {
    padding: 60px 0;
  }
}
/* | */
/* | */
@media screen and (min-width: 1024px) {
  .jotform-form {
    padding: 90px 0;
  }
}
/* | */
.supernova .form-all,
.form-all {
  background-color: none;
  border: 1px solid transparent;
}
.form-all {
  color: #222222;
}
.form-header-group .form-header {
  color: #222222;
}
.form-header-group .form-subHeader {
  color: #3c3c3c;
}
.form-sub-label {
  color: #3c3c3c;
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html {
  color: #222222;
}
.form-checkbox-item label,
.form-radio-item label {
  color: #3c3c3c;
}
.form-line.form-line-active {
  -webkit-transition-property: all;
  -moz-transition-property: all;
  -ms-transition-property: all;
  -o-transition-property: all;
  transition-property: all;
  -webkit-transition-duration: 0.3s;
  -moz-transition-duration: 0.3s;
  -ms-transition-duration: 0.3s;
  -o-transition-duration: 0.3s;
  transition-duration: 0.3s;
  -webkit-transition-timing-function: ease;
  -moz-transition-timing-function: ease;
  -ms-transition-timing-function: ease;
  -o-transition-timing-function: ease;
  transition-timing-function: ease;
  background-color: #ffffe0;
}
/* ömer */
.form-radio-item,
.form-checkbox-item {
  padding-bottom: 5px !important;
}
.form-radio-item:last-child,
.form-checkbox-item:last-child {
  padding-bottom: 0;
}
/* ömer */
[data-type="control_radio"] .form-input,
[data-type="control_checkbox"] .form-input,
[data-type="control_radio"] .form-input-wide,
[data-type="control_checkbox"] .form-input-wide {
  width: 100%;
  max-width: 162px;
}
.form-radio-item,
.form-checkbox-item {
  width: 100%;
  max-width: 162px;
  -moz-box-sizing: border-box;
  -webkit-box-sizing: border-box;
  box-sizing: border-box;
}
.form-textbox.form-radio-other-input,
.form-textbox.form-checkbox-other-input {
  width: 80%;
  margin-left: 3%;
  -moz-box-sizing: border-box;
  -webkit-box-sizing: border-box;
  box-sizing: border-box;
}
.form-multiple-column {
  width: 100%;
}
.form-multiple-column .form-radio-item,
.form-multiple-column .form-checkbox-item {
  width: 10%;
}
.form-multiple-column[data-columncount="1"] .form-radio-item,
.form-multiple-column[data-columncount="1"] .form-checkbox-item {
  width: 100%;
}
.form-multiple-column[data-columncount="2"] .form-radio-item,
.form-multiple-column[data-columncount="2"] .form-checkbox-item {
  width: 50%;
}
.form-multiple-column[data-columncount="3"] .form-radio-item,
.form-multiple-column[data-columncount="3"] .form-checkbox-item {
  width: 33.33333333%;
}
.form-multiple-column[data-columncount="4"] .form-radio-item,
.form-multiple-column[data-columncount="4"] .form-checkbox-item {
  width: 25%;
}
.form-multiple-column[data-columncount="5"] .form-radio-item,
.form-multiple-column[data-columncount="5"] .form-checkbox-item {
  width: 20%;
}
.form-multiple-column[data-columncount="6"] .form-radio-item,
.form-multiple-column[data-columncount="6"] .form-checkbox-item {
  width: 16.66666667%;
}
.form-multiple-column[data-columncount="7"] .form-radio-item,
.form-multiple-column[data-columncount="7"] .form-checkbox-item {
  width: 14.28571429%;
}
.form-multiple-column[data-columncount="8"] .form-radio-item,
.form-multiple-column[data-columncount="8"] .form-checkbox-item {
  width: 12.5%;
}
.form-multiple-column[data-columncount="9"] .form-radio-item,
.form-multiple-column[data-columncount="9"] .form-checkbox-item {
  width: 11.11111111%;
}
.form-single-column .form-checkbox-item,
.form-single-column .form-radio-item {
  width: 100%;
}
.form-radio-item:not(#foo) {
  margin-bottom: 0;
  position: relative;
}
.form-radio-item:not(#foo) input[type="checkbox"],
.form-radio-item:not(#foo) input[type="radio"] {
  display: none;
}
.form-radio-item:not(#foo) .form-radio-other,
.form-radio-item:not(#foo) .form-checkbox-other {
  display: inline-block !important;
  margin-left: 7px;
  margin-right: 3px;
  margin-top: 5px;
}
.form-radio-item:not(#foo) .form-checkbox-other-input,
.form-radio-item:not(#foo) .form-radio-other-input {
  margin: 0;
}
.form-radio-item:not(#foo) label {
  line-height: 18px;
  margin-left: 0;
  float: left;
  text-indent: 27px;
}
.form-radio-item:not(#foo) label:before {
  content: '';
  position: absolute;
  display: inline-block;
  vertical-align: baseline;
  margin-right: 4px;
  -moz-box-sizing: border-box;
  -webkit-box-sizing: border-box;
  box-sizing: border-box;
  -webkit-border-radius: 50%;
  -moz-border-radius: 50%;
  border-radius: 50%;
  left: 4px;
  width: 18px;
  height: 18px;
  cursor: pointer;
}
.form-radio-item:not(#foo) label:after {
  content: '';
  position: absolute;
  z-index: 10;
  display: inline-block;
  opacity: 0;
  top: 5px;
  left: 9px;
  width: 8px;
  height: 8px;
}
.form-radio-item:not(#foo) input:checked + label:after {
  opacity: 1;
}
.form-radio-item:not(#foo) label:before {
  border: 2px solid #b1d42f;
}
.form-radio-item:not(#foo) label:after {
  background-color: #b1d42f;
  -webkit-border-radius: 50%;
  -moz-border-radius: 50%;
  border-radius: 50%;
  cursor: pointer;
}
.form-checkbox-item:not(#foo) {
  margin-bottom: 0;
  position: relative;
}
.form-checkbox-item:not(#foo) input[type="checkbox"],
.form-checkbox-item:not(#foo) input[type="radio"] {
  display: none;
}
.form-checkbox-item:not(#foo) .form-radio-other,
.form-checkbox-item:not(#foo) .form-checkbox-other {
  display: inline-block !important;
  margin-left: 7px;
  margin-right: 3px;
  margin-top: 5px;
}
.form-checkbox-item:not(#foo) .form-checkbox-other-input,
.form-checkbox-item:not(#foo) .form-radio-other-input {
  margin: 0;
}
.form-checkbox-item:not(#foo) label {
  line-height: 18px;
  margin-left: 0;
  float: left;
  text-indent: 27px;
}
.form-checkbox-item:not(#foo) label:before {
  content: '';
  position: absolute;
  display: inline-block;
  vertical-align: baseline;
  margin-right: 4px;
  -moz-box-sizing: border-box;
  -webkit-box-sizing: border-box;
  box-sizing: border-box;
  -webkit-border-radius: 50%;
  -moz-border-radius: 50%;
  border-radius: 50%;
  left: 4px;
  width: 18px;
  height: 18px;
  cursor: pointer;
}
.form-checkbox-item:not(#foo) label:after {
  content: '';
  position: absolute;
  z-index: 10;
  display: inline-block;
  opacity: 0;
  top: 8px;
  left: 9px;
  width: 3px;
  height: 3px;
}
.form-checkbox-item:not(#foo) input:checked + label:after {
  opacity: 1;
}
.form-checkbox-item:not(#foo) label:before {
  border: 2px solid #b1d42f;
}
.form-checkbox-item:not(#foo) label:after {
  background-color: #b1d42f;
  box-shadow: 0 2px 0 0 #b1d42f, 2px 2px 0 0 #b1d42f, 4px 2px 0 0 #b1d42f, 6px 2px 0 0 #b1d42f;
  -moz-transform: rotate(-45deg);
  -webkit-transform: rotate(-45deg);
  -o-transform: rotate(-45deg);
  -ms-transform: rotate(-45deg);
  transform: rotate(-45deg);
}
.supernova {
  height: 100%;
  background-repeat: no-repeat;
  background-attachment: scroll;
  background-position: center top;
  background-attachment: fixed;
  background-size: auto;
  background-size: cover;
}
.supernova {
  background-image: none;
  background-image: url("/jf/www.jotform.com/uploads/Syed/form_files/office-5.1.jpg");
}
#stage {
  background-image: none;
  background-image: url("/jf/www.jotform.com/uploads/Syed/form_files/office-5.1.jpg");
}
/* | */
.form-all {
  background-repeat: no-repeat;
  background-attachment: scroll;
  background-position: center top;
}
.form-header-group {
  background-repeat: no-repeat;
  background-attachment: scroll;
  background-position: center top;
}
.form-line {
  margin-top: 0px;
  margin-bottom: 0px;
}
.form-line {
  padding: 12px 36px;
}
.form-all {
  -webkit-border-radius: 0px;
  -moz-border-radius: 0px;
  border-radius: 0px;
}
.form-section:first-child {
  -webkit-border-radius: 0px 0px 0 0;
  -moz-border-radius: 0px 0px 0 0;
  border-radius: 0px 0px 0 0;
}
.form-section:last-child {
  -webkit-border-radius: 0 0 0px 0px;
  -moz-border-radius: 0 0 0px 0px;
  border-radius: 0 0 0px 0px;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
  font-size: 1em;
  padding: 9px 15px;
  font-family: "Helvetica", sans-serif;
  font-size: 14px;
  font-weight: normal;
}
.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next {
  font-size: 1em;
  padding: 9px 15px;
  font-family: "Helvetica", sans-serif;
  font-size: 14px;
  font-weight: normal;
}
/*
& when ( @buttonFontType = google ) {
	@import (css) "@{buttonFontLink}";
}
*/
h2.form-header {
  line-height: 1.618em;
  font-size: 1.714em;
}
h2 ~ .form-subHeader {
  line-height: 1.5em;
  font-size: 1.071em;
}
.form-header-group {
  text-align: left;
}
/*.form-dropdown,
.form-radio-item,
.form-checkbox-item,
.form-radio-other-input,
.form-checkbox-other-input,*/
.form-captcha input,
.form-spinner input,
.form-error-message {
  padding: 4px 3px 2px 3px;
}
.form-header-group {
  font-family: "Trebuchet MS", sans-serif;
}
.form-section {
  padding: 0px 0px 0px 0px;
}
.form-header-group {
  margin: 12px 36px 12px 36px;
}
.form-header-group {
  padding: 24px 0px 24px 0px;
}
.form-header-group .form-header,
.form-header-group .form-subHeader {
  color: #b1d42f;
}
.form-textbox,
.form-textarea {
  padding: 4px 3px 2px 3px;
}
.form-textbox,
.form-textarea,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
  background-color: #f9f9f9;
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
  width: 150px;
}
.form-label {
  font-family: "Helvetica", sans-serif;
}
li[data-type="control_image"] div {
  text-align: left;
}
li[data-type="control_image"] img {
  border: none;
  border-width: 0px !important;
  border-style: solid !important;
  border-color: false !important;
}
.form-line-column {
  width: auto;
}
.form-line-error {
  overflow: hidden;
  -webkit-transition-property: none;
  -moz-transition-property: none;
  -ms-transition-property: none;
  -o-transition-property: none;
  transition-property: none;
  -webkit-transition-duration: 0.3s;
  -moz-transition-duration: 0.3s;
  -ms-transition-duration: 0.3s;
  -o-transition-duration: 0.3s;
  transition-duration: 0.3s;
  -webkit-transition-timing-function: ease;
  -moz-transition-timing-function: ease;
  -ms-transition-timing-function: ease;
  -o-transition-timing-function: ease;
  transition-timing-function: ease;
  background-color: #fff4f4;
}
.form-line-error .form-error-message {
  background-color: #ff3200;
  clear: both;
  float: none;
}
.form-line-error .form-error-message .form-error-arrow {
  border-bottom-color: #ff3200;
}
.form-line-error input:not(#coupon-input),
.form-line-error textarea,
.form-line-error .form-validation-error {
  border: 1px solid #ff3200;
  -webkit-box-shadow: 0 0 3px #ff3200;
  -moz-box-shadow: 0 0 3px #ff3200;
  box-shadow: 0 0 3px #ff3200;
}
.ie-8 .form-all {
  margin-top: auto;
  margin-top: initial;
}
.ie-8 .form-all:before {
  display: none;
}
/* | */
@media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) {
  .jotform-form {
    padding: 0;
  }
  .form-all {
    border: 0;
    width: 100%;
    max-width: initial;
  }
  .form-sub-label-container {
    width: 100%;
    margin: 0;
  }
  .form-input {
    width: 100%;
  }
  .form-label {
    width: 100%!important;
  }
  .form-line {
    padding: 2% 5%;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  input[type=text],
  input[type=email],
  input[type=tel],
  textarea {
    width: 100%;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
    max-width: initial !important;
  }
  .form-input,
  .form-input-wide,
  .form-textarea,
  .form-textbox,
  .form-dropdown {
    max-width: initial !important;
  }
  div.form-header-group {
    padding: 24px 0px !important;
    margin: 0 12px 2% !important;
    margin-left: 5% !important;
    margin-right: 5% !important;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  [data-type="control_button"] {
    margin-bottom: 0 !important;
  }
  .form-buttons-wrapper {
    margin: 0!important;
  }
  .form-buttons-wrapper button {
    width: 100%;
  }
  table {
    width: 100%!important;
    max-width: initial !important;
  }
  table td + td {
    padding-left: 3%;
  }
  .form-checkbox-item input,
  .form-radio-item input {
    width: auto;
  }
  .form-collapse-table {
    margin: 0 5%;
  }
}
/* | */

/*__INSPECT_SEPERATOR__*/
.form-all {
    background-repeat : no-repeat;
    background-attachment : scroll;
    background-position : center top;
    background : rgba(255,255,255, 0.85);
    width : 410px;
    padding : 0px;
    box-shadow : 0px 0px 3px #AAA;
}

input,textarea,select,option,label {
    cursor : pointer;
}

input[type="text"], input[type="email"], textarea {
    box-shadow : 0px 0px 0px transparent !important;
    width : 178px !important;
    background : #FFFFFF !important;
    border : 0px !important;
    border : 1px solid #B1D42F !important;
    padding : 5px;
    color : #222222;
}

input[type="text"]:focus, select:focus, input[type="email"]:focus, textarea:focus, input[type="tel"]:focus, input[type="number"]:focus {
    background : #EEEEEE !important;
    transition : all 500ms ease 0s;
    border : 1px solid #EEEEEE !important;
}

select {
    border : 0px;
    border : 1px solid #B1D42F !important;
    background : #FFFFFF;
    color : #222222;
    width : 190px !important;
    padding : 5px !important;
}

input[type="tel"], input[type="number"] {
    box-shadow : 0px 0px 0px transparent !important;
    background : none repeat scroll 0% 0% #FFF !important;
    border : 1px solid #B1D42F !important;
    padding : 5px;
    color : #222222;
}

#input_14_phone {
    width : 102px !important;
}

.form-matrix-row-headers, .form-matrix-column-headers {
    color : #FFFFFF !important;
}

.form-matrix-row-headers, .form-matrix-column-headers {
    border : 1px solid #95B024 !important;
    background : #B1D42F;
}

.form-matrix-values {
    border : 1px solid #95B024 !important;
    background : #FFFFFF !important;
}

.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
    font-size : 1em;
    padding : 9px 30px;
    font-family : 'Open Sans', sans-serif;
    font-size : 14px;
    font-weight : normal;
    background : #B1D42F none repeat scroll 0% 0%;
    border-radius : 0px;
    color : #FFF;
    text-shadow : none;
    text-transform : uppercase;
    border : 2px solid #B1D42F;
    box-shadow : 0px 0px 0px;
}

.form-all .qq-upload-button:hover, .input[type="file"]:active,
.form-all .form-submit-button:hover,
.form-all .form-submit-reset:hover,
.form-all .form-submit-print:hover {
    background : #95B024 !important;
    transition : all 500ms ease 0s;
    border : 2px solid #95B024;
}

.form-all .qq-upload-button:active, .input[type="file"]:active,
.form-all .form-submit-button:active,
.form-all .form-submit-reset:active,
.form-all .form-submit-print:active {
    background : #95B024 !important;
    position : relative;
    top : 1px;
}

.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next {
    background-image : -webkit-gradient(linear,left top,left bottom,color-stop(0, #40B3FF),color-stop(1, #0483D8));
    background-image : -o-linear-gradient(bottom, #40B3FF 0%, #0483D8 100%);
    background-image : -moz-linear-gradient(bottom, #40B3FF 0%, #0483D8 100%);
    background-image : -webkit-linear-gradient(bottom, #40B3FF 0%, #0483D8 100%);
    background-image : -ms-linear-gradient(bottom, #40B3FF 0%, #0483D8 100%);
    background-image : linear-gradient(to bottom, #40B3FF 0%, #0483D8 100%);
    color : #FFF;
    text-shadow : none;
    text-transform : uppercase;
    border : 0px;
    box-shadow : 0px 0px 0px;
}

.form-spinner-down {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33279_down_arrow.png') !important;
    width : 9px !important;
    height : 10px !important;
    background-repeat : no-repeat !important;
    background-position : 3px 0px !important;
    cursor : pointer !important;
    border : 1px solid #B1D42F !important;
}

.form-spinner-up {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33280_up_arrow.png') !important;
    width : 8px !important;
    height : 10px !important;
    background-repeat : no-repeat !important;
    background-position : 3px 0px !important;
    cursor : pointer !important;
    border : 1px solid #B1D42F !important;
}

.form-spinner-down img, .form-spinner-up img {
    display : none !important;
}

.form-spinner {
    border : 1px solid #B1D42F !important;
}

input[type="number"] {
    background : #FFFFFF !important;
}

.form-star-rating {
    cursor : pointer !important;
}

.form-captcha input {
    width : 130px !important;
    margin : 5px 0px;
}

li[data-type="control_fullname"] div {
    display : block !important;
    width : 331px !important;
    text-align : right !important;
}

.form-sub-label {
    text-align : left;
}

.form-label.form-label-left {
    text-align : left !important;
    margin-bottom : 1px;
}

.form-textbox.form-address-state {
    position : relative;
    left : 1px;
}

.form-dropdown.form-address-country {
    width : 131px !important;
    position : relative;
    left : 1px;
}

#input_20_phone {
    width : 106px !important;
}

.time-dropdown.form-dropdown {
    width : 55px !important;
}

li[data-type="control_time"] div {
    width : 200px !important;
}

input[type="tel"]:nth-child(2) {
    width : 105px !important;
}

#input_24_phone {
    width : 115px !important;
}

#input_24_area {
    width : 65px !important;
}

li[data-type="control_datetime"] div {
    display : block;
    width : 370px;
}

li[data-type="control_datetime"] label:first-child {
    width : 105px !important;
}

.custom-field-frame.custom-field-frame-rendered.frame-ready {
    width : 340px !important;
}

.sigNav a {
    position : relative !important;
    float : right !important;
    margin : 5px !important;
}

@media (min-width:300px) and (max-width:550px){
    .form-all {
        margin-right : 0px !important;
    }

    input[type="text"], input[type="email"], select, textarea {
        width : 100% !important;
    }

    [data-type="control_dropdown"] .form-input, [data-type="control_dropdown"] .form-input-wide {
        width : 100% !important;
    }

    .form-input, .form-input-wide, .form-textarea, .form-textbox, .form-dropdown {
        width : 100% !important;
    }

    li[data-type="control_fullname"] div {
        width : 100% !important;
    }

    .form-textbox.form-address-line {
        width : 100% !important;
    }

    .form-textbox.form-address-state {
        width : 100% !important;
    }

    .form-dropdown.form-address-country {
        width : 100% !important;
    }

    #input_24_area {
        width : 100% !important;
    }

    #input_24_phone {
        width : 100% !important;
    }

    li[data-type="control_time"] div {
        width : 100% !important;
    }

    .time-dropdown.form-dropdown {
        width : 100% !important;
    }

    input[type="number"] {
        width : 30% !important;
    }

    .form-dropdown, .form-list {
        box-shadow : 0px 0px 3px #AAA !important;
        border : 0px solid transparent !important;
    }

    .form-spinner-up img, .form-spinner-down img {
        display : block !important;
    }

    .form-spinner-up {
        background : none !important;
    }

    .form-spinner-down {
        background : none !important;
    }

}

*:focus {
    outline : 0;
}

.rated {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33281_stars2.png') no-repeat !important;
}

input[name="q1_name"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33283_first_name.png') #FFF no-repeat left !important;
    background-position : -1px !important;
    width : 150px !important;
    padding : 5px;
    padding-left : 32px;
}

input[name="q1_name"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33283_first_name.png') #EEE no-repeat left !important;
    background-position : -1px !important;
    width : 150px !important;
    padding : 5px;
    padding-left : 32px;
    border : 1px solid #B1D42F !important;
}

input[type="email"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33284_email.png') #FFF no-repeat left !important;
    width : 150px !important;
    padding : 5px;
    background-position : -1px !important;
    padding-left : 32px;
}

input[type="email"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33284_email.png') #EEE no-repeat left !important;
    background-position : -1px !important;
    width : 150px !important;
    padding : 5px;
    padding-left : 32px;
    border : 1px solid #B1D42F !important;
}

select[name="q4_country4"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33285_country.png') #FFF no-repeat left !important;
    width : 190px !important;
    padding : 5px;
    background-position : -1px !important;
    padding-left : 28px !important;
}

select[name="q4_country4"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33285_country.png') #EEE no-repeat left !important;
    background-position : -1px !important;
    width : 190px !important;
    padding : 5px;
    padding-left : 28px !important;
    border : 1px solid #B1D42F !important;
}

textarea[name="q9_myMessage"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33287_message.png') #FFF no-repeat left !important;
    width : 295px !important;
    padding : 5px;
    background-position : -1px 0px !important;
    padding-left : 28px !important;
}

textarea[name="q9_myMessage"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33287_message.png') #EEE no-repeat left !important;
    background-position : -1px 0px !important;
    padding : 5px;
    padding-left : 28px !important;
    border : 1px solid #B1D42F !important;
}

input[name="q15_fullName15[first]"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33288_first_name_f.fw.png') #FFF no-repeat left !important;
    width : 150px !important;
    padding : 5px;
    background-position : -1px 0px !important;
    padding-left : 32px !important;
}

input[name="q15_fullName15[first]"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33288_first_name_f.fw.png') #EEE no-repeat left !important;
    background-position : -1px 0px !important;
    padding : 5px;
    padding-left : 32px !important;
    border : 1px solid #B1D42F !important;
}

input[name="q15_fullName15[last]"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33289_last_name_l.fw.png') #FFF no-repeat left !important;
    width : 150px !important;
    padding : 5px;
    background-position : -1px 0px !important;
    padding-left : 32px !important;
}

input[name="q15_fullName15[last]"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33289_last_name_l.fw.png') #EEE no-repeat left !important;
    background-position : -1px 0px !important;
    padding : 5px;
    padding-left : 32px !important;
    border : 1px solid #B1D42F !important;
}

input[name="q19_address19[addr_line1]"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33290_street.png') #FFF no-repeat left !important;
    width : 292px !important;
    padding : 5px;
    background-position : -1px 0px !important;
    padding-left : 28px !important;
}

input[name="q19_address19[addr_line1]"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33290_street.png') #EEE no-repeat left !important;
    background-position : -1px 0px !important;
    padding : 5px;
    padding-left : 28px !important;
    border : 1px solid #B1D42F !important;
}

input[name="q19_address19[addr_line2]"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33291_S.fw.png') #FFF no-repeat left !important;
    width : 292px !important;
    padding : 5px;
    background-position : -1px 0px !important;
    padding-left : 28px !important;
}

input[name="q19_address19[addr_line2]"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33291_S.fw.png') #EEE no-repeat left !important;
    background-position : -1px 0px !important;
    padding : 5px;
    padding-left : 28px !important;
    border : 1px solid #B1D42F !important;
}

input[name="q19_address19[city]"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33292_city.png') #FFF no-repeat left !important;
    width : 155px !important;
    padding : 5px;
    background-position : -1px 0px !important;
    padding-left : 28px !important;
}

input[name="q19_address19[city]"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33292_city.png') #EEE no-repeat left !important;
    background-position : -1px 0px !important;
    padding : 5px;
    padding-left : 28px !important;
    border : 1px solid #B1D42F !important;
}

input[name="q19_address19[state]"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33293_state.png') #FFF no-repeat left !important;
    width : 96px !important;
    padding : 5px;
    background-position : -1px 0px !important;
    padding-left : 28px !important;
}

input[name="q19_address19[state]"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33293_state.png') #EEE no-repeat left !important;
    background-position : -1px 0px !important;
    padding : 5px;
    padding-left : 28px !important;
    border : 1px solid #B1D42F !important;
}

input[name="q19_address19[postal]"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33294_zip.png') #FFF no-repeat left !important;
    width : 155px !important;
    padding : 5px;
    background-position : -1px 0px !important;
    padding-left : 28px !important;
}

input[name="q19_address19[postal]"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33294_zip.png') #EEE no-repeat left !important;
    background-position : -1px 0px !important;
    padding : 5px;
    padding-left : 28px !important;
    border : 1px solid #B1D42F !important;
}

select[name="q19_address19[country]"] {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33285_country.png') #FFF no-repeat left !important;
    width : 96px !important;
    padding : 5px;
    background-position : -1px 0px !important;
    padding-left : 28px !important;
}

select[name="q19_address19[country]"]:focus {
    background : url('http://us-cms.jotservers.com/uploads/image_upload/image_upload/Syed/33285_country.png') #EEE no-repeat left !important;
    background-position : -1px 0px !important;
    padding : 5px;
    padding-left : 28px !important;
    border : 1px solid #B1D42F !important;
}