<style type="text/css">

.contact-form-widget{margin-left:auto;margin-right:auto;width:600px;max-
width:100%;padding:40px 0}.contactf-name,.contactf-
email{float:left;width:48.25%}.contactf-name{margin-right:3.5%}.contact-form-
name,.contact-form-email,.contact-form-email-message,.contact-form-
name:hover,.contact-form-name:focus,.contact-form-email:hover,.contact-form-
email:focus,.contact-form-email-message:hover,.contact-form-email-
message:focus{width:100%;max-width:100%;margin:0 0 20px;padding:10px 15px;font-
size:12px;letter-spacing:1px;color:#444;background:#F3F3F3;border:medium none;-
webkit-box-shadow:none;-moz-box-shadow:none;box-shadow:none}.contact-form-
name,.contact-form-email{height:37px}.contact-form-email-
message{height:170px}.contact-form-button-submit,.contact-form-button-
submit:hover{width:13%;height:30px;font:normal 12px Arial;letter-
spacing:1px;color:#444;display:block;outline:none;margin-bottom:20px;text-
align:center;background:#E6E6E6;border:0;cursor:pointer}.contact-form-button-
submit:active{outline:none;-webkit-box-shadow:none;box-shadow:none}.contact-form-
cross{border:medium none!important;box-shadow:none!important;padding:0!
important;height:11px !important;width:11px !important;}
</style>

<div class="widget ContactForm" id="ContactForm22"><div class="contact-form-

widget"><div class="form"><form name="contact-form"><div class="contactf-
name"><input class="contact-form-name" id="ContactForm1_contact-form-name"
name="name" size="30" type="text" value="NAME" onblur='if (this.value == "")
{this.value = "NAME";}' onfocus='if (this.value == "NAME") {this.value = "";}'
/></div><div class="contactf-email"><input class="contact-form-email"
id="ContactForm1_contact-form-email" name="email" size="30" type="text"
value="EMAIL" onblur='if (this.value == "") {this.value = "EMAIL";}' onfocus='if
(this.value == "EMAIL") {this.value = "";}' /></div><div
style="clear:both"></div><div class="contactf-message"><textarea class="contact-
form-email-message" cols="25" id="ContactForm1_contact-form-email-message"
name="email-message" rows="5" value="MESSAGE" onblur='if (this.value == "")
{this.value = "MESSAGE";}' onfocus='if (this.value == "MESSAGE") {this.value =
"";}' ></textarea></div><input class="contact-form-button contact-form-button-
submit" id="ContactForm1_contact-form-submit" type="button" value="SEND" /><div
class="contact-form-error-message"
id="ContactForm1_contact-form-error-message"></div><div class="contact-form-
success-message"
id="ContactForm1_contact-form-success-message"></div></form></div></div></div>