form.fbqs {
  width: 400px;
  margin: 40px auto;
  padding: 40px;
  background: #f5f5f5; }
  form.fbqs .field {
    margin-bottom: 5px;
    display: block; }
    form.fbqs .field:after {
      visibility: hidden;
      display: block;
      font-size: 0;
      content: " ";
      clear: both;
      height: 0; }
    form.fbqs .field label {
      line-height: 30px;
      display: inline-block; }
    form.fbqs .field input[type=text],
    form.fbqs .field select {
      height: 30px;
      line-height: 30px;
      border: 1px solid #ddd; }
    form.fbqs .field.dates select {
      width: 30%;
      margin-right: 4%;
      text-indent: 5px; }
      form.fbqs .field.dates select:last-child {
        float: right;
        margin-right: 0; }
  form.fbqs .field:not(.dates) label {
    padding-right: 10px; }
  form.fbqs .field:not(.dates) label,
  form.fbqs .field:not(.dates) select,
  form.fbqs .field:not(.dates) input[type=text] {
    width: 50%;
    float: left; }
  form.fbqs .field:not(.dates) select,
  form.fbqs .field:not(.dates) input[type=text] {
    text-align: right;
    padding-right: 20px; }
  form.fbqs input.submit {
    display: inline-block;
    background: #091e3b;
    color: #fff;
    border: none;
    margin-top: 10px;
    padding: 10px 20px;
    cursor: pointer;
    display: block;
    margin-bottom: 10px;
    width: 100%; }
  form.fbqs a.cancel {
    text-align: center;
    display: block; }

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