BODY {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-SIZE: 76%; PADDING-BOTTOM: 0px; MARGIN: 0px; PADDING-TOP: 0px
}
FORM#two {
	BORDER-RIGHT: #eee 1px solid; PADDING-RIGHT: 10px; BORDER-TOP: #eee 1px solid; PADDING-LEFT: 10px; FONT-SIZE: 1em; BACKGROUND: #4f718a; PADDING-BOTTOM: 10px; MARGIN: 5px auto; BORDER-LEFT: #eee 1px solid; WIDTH: 470px; PADDING-TOP: 10px; BORDER-BOTTOM: #eee 1px solid; FONT-FAMILY: verdana, arial, helvetica, sans-serif
}
FORM#two P {
	PADDING-RIGHT: 5px; PADDING-LEFT: 0px; FONT-SIZE: 0.9em; PADDING-BOTTOM: 5px; MARGIN: 0px; COLOR: #fff; PADDING-TOP: 15px; TEXT-ALIGN: left
}
FORM#two FIELDSET#current P {
	PADDING-RIGHT: 4px; PADDING-LEFT: 4px; PADDING-BOTTOM: 4px; MARGIN: 0px; PADDING-TOP: 4px
}
FORM#two FIELDSET {
	BORDER-RIGHT: #fff 1px dotted; PADDING-RIGHT: 5px; BORDER-TOP: #fff 1px dotted; DISPLAY: block; PADDING-LEFT: 10px; FONT-SIZE: 1em; MARGIN-BOTTOM: 0.5em; PADDING-BOTTOM: 5px; BORDER-LEFT: #fff 1px dotted; WIDTH: 450px; LINE-HEIGHT: 1.5em; PADDING-TOP: 5px; BORDER-BOTTOM: #fff 1px dotted; FONT-FAMILY: verdana, sans-serif
}
FORM#two FIELDSET:hover {
	BORDER-RIGHT: #fff 1px solid; BORDER-TOP: #fff 1px solid; BORDER-LEFT: #fff 1px solid; BORDER-BOTTOM: #fff 1px solid
}
FORM#two FIELDSET#opt:hover {
	BORDER-RIGHT: #b80b38 1px solid; BORDER-TOP: #b80b38 1px solid; BORDER-LEFT: #b80b38 1px solid; BORDER-BOTTOM: #b80b38 1px solid
}
FORM#two LEGEND {
	PADDING-RIGHT: 6px; PADDING-LEFT: 6px; FONT-WEIGHT: bold; FONT-SIZE: 1.1em; BACKGROUND: none transparent scroll repeat 0% 0%; MARGIN-BOTTOM: 15px; PADDING-BOTTOM: 6px; COLOR: #fff; PADDING-TOP: 6px; BORDER-BOTTOM: #fff 2px solid
}
 HTML FORM#two LEGEND {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; PADDING-BOTTOM: 30px; MARGIN: 5px 0px 0px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none
}
FORM#two LABEL {
	CLEAR: left; PADDING-RIGHT: 10px; DISPLAY: block; FLOAT: left; MARGIN-BOTTOM: 0.5em; WIDTH: 100px; COLOR: #fff; TEXT-ALIGN: left
}
FORM#two INPUT {
	BORDER-RIGHT: #414d59 1px solid; BORDER-TOP: #414d59 1px solid; PADDING-LEFT: 0.5em; BACKGROUND: #c5d3e0; MARGIN-BOTTOM: 0.6em; BORDER-LEFT: #414d59 1px solid; WIDTH: 280px; BORDER-BOTTOM: #414d59 1px solid
}
FORM#two INPUT:hover {
	BORDER-RIGHT: #fff 1px solid; BORDER-TOP: #fff 1px solid; BACKGROUND: #b80b38; BORDER-LEFT: #fff 1px solid; COLOR: #fff; BORDER-BOTTOM: #fff 1px solid
}
FORM#two INPUT:unknown {
	BORDER-RIGHT: #b80b38 1px solid; BORDER-TOP: #b80b38 1px solid; BACKGROUND: #fff; BORDER-LEFT: #b80b38 1px solid; COLOR: #b80b38; BORDER-BOTTOM: #b80b38 1px solid
}
FORM#two FIELDSET#medical INPUT {
	WIDTH: 45px
}
FORM#two FIELDSET#current INPUT {
	WIDTH: 45px
}
FORM#two SELECT {
	MARGIN: 0px 0px 1em 0.5em
}
FORM#two TEXTAREA {
	BORDER-RIGHT: #fff 1px solid; PADDING-RIGHT: 0.5em; BORDER-TOP: #fff 1px solid; PADDING-LEFT: 0.5em; BACKGROUND: #c5d3e0; PADDING-BOTTOM: 0.5em; OVERFLOW: auto; BORDER-LEFT: #fff 1px solid; WIDTH: 410px; PADDING-TOP: 0.5em; BORDER-BOTTOM: #fff 1px solid; HEIGHT: 15em
}
FORM#two TEXTAREA:hover {
	BORDER-RIGHT: #fff 1px solid; BORDER-TOP: #fff 1px solid; BACKGROUND: #b80b38; BORDER-LEFT: #fff 1px solid; COLOR: #fff; BORDER-BOTTOM: #fff 1px solid
}
FORM#two TEXTAREA:unknown {
	BORDER-RIGHT: #b80b38 1px solid; BORDER-TOP: #b80b38 1px solid; BACKGROUND: #fff; BORDER-LEFT: #b80b38 1px solid; COLOR: #b80b38; BORDER-BOTTOM: #b80b38 1px solid
}
FORM#two OPTION {
	BACKGROUND: #fff; COLOR: #b80b38
}
FORM#two OPTGROUP {
	BACKGROUND: #fff; COLOR: #000; FONT-STYLE: normal
}
FORM#two OPTGROUP OPTION {
	BACKGROUND: #fff; COLOR: #b80b38
}
FORM#two #button1 {
	BORDER-RIGHT: #5f051c 1px solid; PADDING-RIGHT: 0.5em; BORDER-TOP: #f11f54 1px solid; BACKGROUND: #b80b38; MARGIN-LEFT: 8px; BORDER-LEFT: #f11f54 1px solid; WIDTH: 205px; CURSOR: pointer; COLOR: #fff; BORDER-BOTTOM: #5f051c 1px solid
}
FORM#two #button2 {
	BORDER-RIGHT: #5f051c 1px solid; PADDING-RIGHT: 0.5em; BORDER-TOP: #f11f54 1px solid; BACKGROUND: #b80b38; MARGIN-LEFT: 8px; BORDER-LEFT: #f11f54 1px solid; WIDTH: 205px; CURSOR: pointer; COLOR: #fff; BORDER-BOTTOM: #5f051c 1px solid
}
FORM#two #button1:hover {
	BORDER-RIGHT: #003 1px solid; BORDER-TOP: #4f718a 1px solid; BACKGROUND: #414d59; BORDER-LEFT: #4f718a 1px solid; COLOR: #fff; BORDER-BOTTOM: #003 1px solid
}
FORM#two #button2:hover {
	BORDER-RIGHT: #003 1px solid; BORDER-TOP: #4f718a 1px solid; BACKGROUND: #414d59; BORDER-LEFT: #4f718a 1px solid; COLOR: #fff; BORDER-BOTTOM: #003 1px solid
}