.formulaire-de-retractation .text input {
    background: url("http://www.moncoyote.com/css/img/req2.gif") no-repeat scroll left 2px transparent;
    border: 1px solid #ccc;
    border-radius: 2px;
    color: #999;
    display: block;
    font: 14px/18px Verdana,Arial,sans-serif;
    height: 18px;
    margin: 0 0 10px;
    padding: 0 17px 2px;
    text-align: left;
    width: 250px;
}

.formulaire-de-retractation select {
    background: none repeat scroll 0 0 #fff;
    border: 1px solid #ccc;
    border-radius: 2px;
    font: 14px/18px Verdana,Arial,sans-serif;
    height: 22px;
    margin: 0 0 10px;
    padding: 0 0 0 6px;
}

.formulaire-de-retractation textarea {
    background: none repeat scroll 0 0 #fff;
    border: 1px solid #ccc;
}

.formulaire-de-retractation .fb_invalid,
.error_message {
    color: red;
}