body.submenu-agency div#mainTitle {
  background-image: url(/assets/images/information-title.png);
}

.submenu-agency div.form .c1 label {
  width: 70px;
  float: rigth;
  text-align: right;
}
div.form #send_action:hover input.unselected,
div.form #send_action input.selected {
  display: none;
}
div.form #send_action input.unselected, 
div.form #send_action:hover input.selected {
  display: inherit;
}
div.form textarea, 
div.form input[type=text] {
  width: 333px;
}