#referral { margin:0;padding:0; }
#referral .form-left {
  float:left;
  width:160px;
  margin-left:20px;
  padding-top:5px;
  }
#referral .form-left:first-child { margin-left:40px; }
#referral div {
  padding-left:10px;
	padding-bottom:10px;
  }
#referral input[type="text"] { width:240px; }
#referral input[type="radio"] { margin-top:10px; }
#submit { margin-left:190px; }
.clear { clear:both; }