#privacy-policy-form div { clear:both; }
#privacy-policy-form label { display:block; width:200px; float:left; }
#privacy-policy-form input { margin-bottom:5px; }

#signature { width:300px; float:left; }
#date { width:200px; float:left; }

.text input { width:200px; margin-right:5px; float:left; }
#city { width:141px; }
#state { width:50px; }

.checkbox ul { margin:0; padding:0; display:block; float:left; width:250px; }
.checkbox li { list-style:none; margin:0; padding:5px 0; }

#attest { clear:both; padding-top:10px; }