@charset "utf-8";
/* CSS Document */

body {
	margin: 0px;
	margin-bottom:0;
	margin-top:0;
	margin-left:0;
	margin-right:0;
}

/* ***************************************************** */

div#image {
position:absolute;
top:0px;
left: 0px;
margin-bottom:0px;
margin-top:0px;
margin-left:0px;
margin-right:0px;
width: 785px;
height: 1016px;
margin-left:0px;
margin-top: 0px;
z-index:0;

}

div#form {
position:absolute;
top:0px;
left: 0px;
margin-bottom:0px;
margin-top:0px;
margin-left:0px;
margin-right:0px;
z-index:1;

}

/* ******************************************************* */
input {
	font-family: "Times New Roman", Times, serif;
	font-size: 14px;
	color: #000000;
    /*background-color:#0099CC;*/ 
	border-top-style: none;
	border-right-style: none;
	border-bottom-style: none;
	border-left-style: none;
	border-top-width: 0px;
	border-right-width: 0px;
	border-bottom-width: 0px;
	border-left-width: 0px;
	text-align: left;
	height: 15px;
}

/* ******************************************************* */
/* Form 1 - Text Field Positioning */

.c01 {
	position:absolute;
	top: 64px;
	left: 229px;
	
}

.c02 {
	position:absolute;
	top: 64px;
	left: 336px;
	
}

.c03 {
	position:absolute;
	top: 64px;
	left: 450px;
	
}

.f01 {
	position:absolute;
	top: 94px;
	left: 370px;
	width: 141px;
}

.f02 {
	position:absolute;
	top: 150px;
	left: 176px;
	width: 205px;
}

.f03 {
	position:absolute;
	top: 150px;
	left: 411px;
	width: 165px;
}

.f04 {
	position:absolute;
	top: 150px;
	left: 598px;
	width: 30px;
}

.c04 {
	position:absolute;
	top: 155px;
	left: 659px;
	
}

.c05 {
	position:absolute;
	top: 155px;
	left: 718px;
	
}

.f05 {
	position:absolute;
	top: 182px;
	left: 83px;
	width: 25px;
}

.f06 {
	position:absolute;
	top: 182px;
	left: 116px;
	width: 25px;
}

.f07 {
	position:absolute;
	top: 182px;
	left: 148px;
	width: 30px;
}

.c06 {
	position:absolute;
	top: 187px;
	left: 274px;
	
}

.c07 {
	position:absolute;
	top: 187px;
	left: 342px;
	
}

.c08 {
	position:absolute;
	top: 187px;
	left: 399px;
	
}

.f08 {
	position:absolute;
	top: 182px;
	left: 532px;
	width: 205px;
}

.f09 {
	position:absolute;
	top: 229px;
	left: 105px;
	width: 285px;
}

.f10 {
	position:absolute;
	top: 229px;
	left: 420px;
	width: 150px;
}

.f11 {
	position:absolute;
	top: 229px;
	left: 605px;
	width: 50px;
}

.f12 {
	position:absolute;
	top: 229px;
	left: 679px;
	width: 60px;
}

.f13 {
	position:absolute;
	top: 265px;
	left: 135px;
	width:155px;
}

.f14 {
	position:absolute;
	top: 265px;
	left: 330px;
	width:146px;
}

.f15 {
	position:absolute;
	top: 265px;
	left: 507px;
	width:42px;
}

.f16 {
	position:absolute;
	top: 265px;
	left: 578px;
	width:156px;
}

.f17 {
	position:absolute;
	top: 300px;
	left: 90px;
	width:236px;
}

.f18 {
	position:absolute;
	top: 300px;
	left: 454px;
	width:190px;
}

.f19 {
	position:absolute;
	top: 353px;
	left: 105px;
	width:235px;
}

.f20 {
	position:absolute;
	top: 353px;
	left: 420px;
	width:126px;
}

.f21 {
	position:absolute;
	top: 353px;
	left: 589px;
	width:150px;
}

.f22 {
	position:absolute;
	top: 388px;
	left: 286px;
	width:253px;
}

.f23 {
	position:absolute;
	top: 388px;
	left: 584px;
	width:153px;
}

.f24 {
	position:absolute;
	top: 424px;
	left: 286px;
	width:340px;
}

.f25 {
	position:absolute;
	top: 495px;
	left: 204px;
	width:280px;
}

.f26 {
	position:absolute;
	top: 495px;
	left: 564px;
	width:167px;
}

.f27 {
	position:absolute;
	top: 530px;
	left: 220px;
	width: 214px;
}

.f28 {
	position:absolute;
	top: 530px;
	left: 528px;
	width: 194px;
}

.f29 {
	position:absolute;
	top: 601px;
	left: 276px;
	width: 275px;
}

.c09 {
	position:absolute;
	top: 607px;
	left: 552px;
	
}

.c10 {
	position:absolute;
	top: 607px;
	left: 622px;
	
}

.c11 {
	position:absolute;
	top: 607px;
	left: 683px;
	
}

.f30 {
	position:absolute;
	top: 637px;
	left: 178px;
	width: 211px;
}

.f31 {
	position:absolute;
	top: 637px;
	left: 425px;
	width: 111px;
}

.f32 {
	position:absolute;
	top: 637px;
	left: 565px;
	width: 173px;
}

.f33 {
	position:absolute;
	top: 672px;
	left: 124px;
	width: 203px;
}

.f34 {
	position:absolute;
	top: 672px;
	left: 426px;
	width: 153px;
}

.c12 {
	position:absolute;
	top: 711px;
	left: 347px;
}

.c13 {
	position:absolute;
	top: 711px;
	left: 415px;
}

.c14 {
	position:absolute;
	top: 711px;
	left: 476px;
}

.f35 {
	position:absolute;
	top: 830px;
	left: 290px;
	width: 259px;
}

.c15 {
	position:absolute;
	top: 835px;
	left: 552px;
	
}

.c16 {
	position:absolute;
	top: 835px;
	left: 622px;
	
}

.c17 {
	position:absolute;
	top: 835px;
	left: 683px;
	
}

.f36 {
	position:absolute;
	top: 866px;
	left: 178px;
	width: 233px;
}

.f37 {
	position:absolute;
	top: 866px;
	left: 447px;
	width: 133px;
}

.f38 {
	position:absolute;
	top: 900px;
	left: 123px;
	width: 203px;
}

.f39 {
	position:absolute;
	top: 900px;
	left: 422px;
	width: 157px;
}

/* ******************************************************* */
/* Form 2 - Text Field Positioning */

.f40 {
	position:absolute;
	top: 1096px;
	left: 148px;
	width: 337px;
}

.f41 {
	position:absolute;
	top: 1522px;
	left: 116px;
	width: 257px;
}

.f42 {
	position:absolute;
	top: 1522px;
	left: 422px;
	width: 284px;
}

.cb01 {
	position:absolute;
	top: 1594px;
	left: 265px;
	width: 15px;
	height: 15px;
}

.cb02 {
	position:absolute;
	top: 1594px;
	left: 467px;
	width: 15px;
	height: 15px;
}

.cb03 {
	position:absolute;
	top: 1594px;
	left: 555px;
	width: 15px;
	height: 15px;
}

.cb04 {
	position:absolute;
	top: 1594px;
	left: 622px;
	width: 15px;
	height: 15px;
}

.f43 {
	position:absolute;
	top: 1963px;
	left: 170px;
	width: 384px;
}

.f44 {
	position:absolute;
	top: 1964px;
	left: 589px;
	width: 142px;
}

.f45 {
	position:absolute;
	top: 2074px;
	left: 144px;
	width: 356px;
}

.f46 {
	position:absolute;
	top: 2074px;
	left: 542px;
	width: 172px;
}

.f47 {
	position:absolute;
	top: 2105px;
	left: 193px;
	width: 522px;
}

.f48 {
	position:absolute;
	top: 2155px;
	left: 58px;
	width: 341px;
	height:14px;
}

.f49 {
	position:absolute;
	top: 2155px;
	left: 409px;
	width: 301px;
	height:14px;
}

.f50 {
	position:absolute;
	top: 2172px;
	left: 58px;
	width: 341px;
	height:14px;
}

.f51 {
	position:absolute;
	top: 2172px;
	left: 409px;
	width: 301px;
	height:14px;
}

.f52 {
	position:absolute;
	top: 2190px;
	left: 58px;
	width: 341px;
	height:14px;
}

.f53 {
	position:absolute;
	top: 2190px;
	left: 409px;
	width: 301px;
	height:14px;
}

.f54 {
	position:absolute;
	top: 2238px;
	left: 75px;
	width: 632px;
}

.f55 {
	position:absolute;
	top: 2258px;
	left: 75px;
	width: 632px;
}

.f56 {
	position:absolute;
	top: 2278px;
	left: 75px;
	width: 632px;
}

.f57 {
	position:absolute;
	top: 2359px;
	left: 60px;
	width: 78px;
}

.f58 {
	position:absolute;
	top: 2359px;
	left: 144px;
	width: 203px;
}

.f59 {
	position:absolute;
	top: 2359px;
	left: 353px;
	width: 147px;
}

.f60 {
	position:absolute;
	top: 2359px;
	left: 507px;
	width: 203px;
}

.f61 {
	position:absolute;
	top: 2381px;
	left: 60px;
	width: 78px;
}

.f62 {
	position:absolute;
	top: 2381px;
	left: 144px;
	width: 203px;
}

.f63 {
	position:absolute;
	top: 2381px;
	left: 353px;
	width: 147px;
}

.f64 {
	position:absolute;
	top: 2381px;
	left: 507px;
	width: 203px;
}

.f65 {
	position:absolute;
	top: 2403px;
	left: 60px;
	width: 78px;
}

.f66 {
	position:absolute;
	top: 2403px;
	left: 144px;
	width: 203px;
}

.f67 {
	position:absolute;
	top: 2403px;
	left: 353px;
	width: 147px;
}

.f68 {
	position:absolute;
	top: 2403px;
	left: 507px;
	width: 203px;
}

.cb05 {
	position:absolute;
	top: 2486px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb06 {
	position:absolute;
	top: 2486px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb07 {
	position:absolute;
	top: 2504px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb08 {
	position:absolute;
	top: 2504px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb09 {
	position:absolute;
	top: 2522px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb10 {
	position:absolute;
	top: 2522px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb11 {
	position:absolute;
	top: 2540px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb12 {
	position:absolute;
	top: 2540px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb13 {
	position:absolute;
	top: 2558px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb14 {
	position:absolute;
	top: 2558px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb15 {
	position:absolute;
	top: 2575px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb16 {
	position:absolute;
	top: 2575px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb17 {
	position:absolute;
	top: 2592px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb18 {
	position:absolute;
	top: 2592px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb19 {
	position:absolute;
	top: 2610px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb20 {
	position:absolute;
	top: 2610px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb21 {
	position:absolute;
	top: 2628px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb22 {
	position:absolute;
	top: 2628px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb23 {
	position:absolute;
	top: 2646px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb24 {
	position:absolute;
	top: 2646px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb25 {
	position:absolute;
	top: 2664px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb26 {
	position:absolute;
	top: 2664px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb27 {
	position:absolute;
	top: 2681px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb28 {
	position:absolute;
	top: 2681px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb29 {
	position:absolute;
	top: 2698px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb30 {
	position:absolute;
	top: 2698px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb31 {
	position:absolute;
	top: 2716px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb32 {
	position:absolute;
	top: 2716px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb33 {
	position:absolute;
	top: 2734px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb34 {
	position:absolute;
	top: 2734px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb35 {
	position:absolute;
	top: 2751px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb36 {
	position:absolute;
	top: 2751px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb37 {
	position:absolute;
	top: 2833px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb38 {
	position:absolute;
	top: 2833px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb39 {
	position:absolute;
	top: 2851px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb40 {
	position:absolute;
	top: 2851px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb41 {
	position:absolute;
	top: 2869px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb42 {
	position:absolute;
	top: 2869px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb43 {
	position:absolute;
	top: 2887px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb44 {
	position:absolute;
	top: 2887px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb45 {
	position:absolute;
	top: 2905px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb46 {
	position:absolute;
	top: 2905px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb47 {
	position:absolute;
	top: 2923px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb48 {
	position:absolute;
	top: 2923px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb49 {
	position:absolute;
	top: 2941px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb50 {
	position:absolute;
	top: 2941px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb51 {
	position:absolute;
	top: 2961px;
	left: 237px;
	width: 22px;
	height: 22px;
}

.cb52 {
	position:absolute;
	top: 2961px;
	left: 280px;
	width: 22px;
	height: 22px;
}

.cb53 {
	position:absolute;
	top: 2477px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb54 {
	position:absolute;
	top: 2477px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb55 {
	position:absolute;
	top: 2494px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb56 {
	position:absolute;
	top: 2494px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb57 {
	position:absolute;
	top: 2511px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb58 {
	position:absolute;
	top: 2511px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb59 {
	position:absolute;
	top: 2527px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb60 {
	position:absolute;
	top: 2527px;
	left: 682px;
	width: 20px;
	height: 20px;
}
.cb61 {
	position:absolute;
	top: 2543px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb62 {
	position:absolute;
	top: 2543px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb63 {
	position:absolute;
	top: 2558px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb64 {
	position:absolute;
	top: 2558px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb65 {
	position:absolute;
	top: 2574px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb66 {
	position:absolute;
	top: 2574px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb67 {
	position:absolute;
	top: 2590px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb68 {
	position:absolute;
	top: 2590px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb69 {
	position:absolute;
	top: 2606px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb70 {
	position:absolute;
	top: 2606px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb71 {
	position:absolute;
	top: 2622px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb72 {
	position:absolute;
	top: 2622px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb73 {
	position:absolute;
	top: 2638px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb74 {
	position:absolute;
	top: 2638px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb75 {
	position:absolute;
	top: 2654px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb76 {
	position:absolute;
	top: 2654px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb77 {
	position:absolute;
	top: 2672px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb78 {
	position:absolute;
	top: 2672px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb79 {
	position:absolute;
	top: 2688px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb80 {
	position:absolute;
	top: 2688px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb81 {
	position:absolute;
	top: 2704px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb82 {
	position:absolute;
	top: 2704px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb83 {
	position:absolute;
	top: 2720px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb84 {
	position:absolute;
	top: 2720px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb85 {
	position:absolute;
	top: 2736px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb86 {
	position:absolute;
	top: 2736px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb87 {
	position:absolute;
	top: 2752px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb88 {
	position:absolute;
	top: 2752px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.cb89 {
	position:absolute;
	top: 2768px;
	left: 634px;
	width: 20px;
	height: 20px;
}

.cb90 {
	position:absolute;
	top: 2768px;
	left: 682px;
	width: 20px;
	height: 20px;
}

.f69 {
	position:absolute;
	top: 2821px;
	left: 567px;
	width: 143px;
	text-align:right;
}

.f70 {
	position:absolute;
	top: 2843px;
	left: 567px;
	width: 143px;
	text-align:right;
}

.f71 {
	position:absolute;
	top: 2865px;
	left: 567px;
	width: 143px;
	text-align:right;
}

.f72 {
	position:absolute;
	top: 2887px;
	left: 480px;
	width: 230px;
	text-align:right;
}

.f73 {
	position:absolute;
	top: 2910px;
	left: 490px;
	width: 220px;
	text-align:right;
}

.f74 {
	position:absolute;
	top: 2932px;
	left: 480px;
	width: 230px;
	text-align:right;
}

.f75 {
	position:absolute;
	top: 2954px;
	left: 545px;
	width: 165px;
	text-align:right;
}

.f76 {
	position:absolute;
	top: 2976px;
	left: 645px;
	width: 65px;
	text-align:right;
}

.button {
	position:absolute;
	top: 3016px;
	left: 314px;
	width: 65px;
	height:25px;
	font-family:"Times New Roman", Times, serif;
	font-size:14px;
	color:#000000;
	text-align:center;
}