form {
   background: #f4f5f7;
   padding: 20px;
}
form .left, form .right {
   display: inline-block;
   vertical-align: top;
   width: 458px;
}
form .right {
   padding-left: 20px;
}
label {
   display: block;
   font-size: 18px;
   text-align: center;
   margin: 10px 0px 0px 0px;
}
input, textarea {
   border: 1px solid #82858D;
   padding: 10px;
   font-size: 16px;
   width: 436px;
}
textarea {
   height: 98px;
   margin-bottom: 32px;
}
input[type="submit"] {
   width: 200px;
   float: right;
   border: none;
   background: #595B5F;
   color: #fff;
   text-transform: uppercase;
}