#background {
	display:none;
	position:fixed;
	top:0;
	right:0;
	bottom:0;
	left:0;
	background-color:rgba(0,0,0,0.5);
}

#background  .form{
	position:absolute;
	top:50%;
	left:50%;
	width:900px;
	height:270px;
	margin-top:-145px;
	margin-left:-465px;
	padding:10px 15px;
	background-color: #e1e1e1;
}

#background  .form .inner{
	display:table;
	width:100%;
	margin:20px 0;
}

#background  .form .inner .fields{
	display:table-cell;
	width:50%;
	border-right: 1px solid #707070;
	padding-right:30px;
	box-sizing:border-box;
	vertical-align:top;
}

#background  .form .inner .fields .row{
	display:table;
	width:100%;
	height:24px;
	margin-bottom:10px;
	font-size:18px;
}

#background  .form .inner .fields .row:last-child{
	margin-bottom:0;
}

#background  .form .inner .fields .row label{
	display:table-cell;
	text-align:right;
	width:40%;
	vertical-align:middle;
}

#background  .form .inner .fields .row label:after{
	margin:0 10px;
	content:":";
}

#background  .form .inner .fields .row .field{
	display:table-cell;
	vertical-align:middle;
}

#background  .form .inner .fields .row .field input{
	width:100%;
	height:26px;
	line-height:18px;
	box-sizing:border-box;
	padding:3px 10px;
	border:1px solid #959595;
	box-shadow:inset 1px 2px 5px 1px rgba(0,0,0,0.2);
}

#background  .form .inner .area{
	display:table-cell;
	padding:0 20px;
	box-sizing:border-box;
	vertical-align:top;
}

#background  .form .inner .area textarea{
	width:100%;
	height:148px;
	padding:10px;
	box-sizing:border-box;
	font-size:14px;
	line-height:16px;
	border:1px solid #959595;
	box-shadow:inset 1px 2px 5px 1px rgba(0,0,0,0.2);
}

#background .form .submit {
    margin: 5px 0;
    text-align: right;
}

#background .form .submit .message{
    float:left;
	line-height:40px;
	font-size:18px;
}

#background .form .submit .message.error{
	color:#9d0d15;
}

#background .form .submit input[type="submit"]{
	display: inline-block;
	border: 1px solid #510103;
	padding: 10px 15px;
    line-height: 18px;
	border-radius: 10px;
    background: linear-gradient(to top, #9d0a0e, #ff0000);
    font-size: 18px;
    font-style: normal;
	color: #fff;
    text-decoration: none;
    text-shadow: 1px 1px 2px rgba(0, 0, 0, 1);
    box-shadow: inset -2px -2px 12px 0 rgba(110, 0, 3, 0.75), inset 0 0 6px 0 rgba(225, 79, 86, 0.75);
}

#background .form .submit input[type="submit"]:disabled{
    background: #aaa;
	border-color: #aaa;
	opacity:0.5;
	box-shadow:none;
}