th,td,input{font:12px sans-serif}
body{margin:0;padding:0;text-align:center;background:#fff}
form{padding:0;margin:200px auto 0;text-align:left;width:300px;border:1px solid #006;background:#f0f0f0}
em{margin:0 auto;display:block}
table{width:100%}
th[colspan=2]{font-size:2em}
td{vertical-align:top}
