body { background-color:#fff;color:#000;font-family:Times serif; }

div.form {
  background-color:#99f;
  color:#000;
}
input {
  background-color:#eef
}
div.form {border-style:groove;
  margin:1em 5em }
div.inform {padding:.4em 1em}
div.inform input { position:static;
  margin:0 0 0 40%;
  font-family:inherit;
}
h1 { text-align:center; }
span.label { width:38%;
  position:relative;
  text-align:right;
  display:block;
  top:1.55em;
}