<div class="main">

<div class="my_form">
	<form>
		<div class="section"><span>1</span>Name &amp; Email</div>
		<div class="inner-wrap">
			<label>First Name <input type="text" name="f_name" /></label>
			<label>Last Name <input type="text" name="l_name" /></label>
			<label>Email Address <input type="email" name="email" /></label>
		</div>
	
		<div class="section"><span>2</span>Contact</div>
		<div class="inner-wrap">
			<label>Phone Number <input type="text" name="phone" /></label>
			<label>Address <textarea name="address" rows="6"></textarea></label>
		</div>
	
		<div class="section"><span>3</span>Passwords</div>
			<div class="inner-wrap">
			<label>Password <input type="password" name="field5" /></label>
			<label>Confirm Password <input type="password" name="field6" /></label>
		</div>
		<div class="button-section">
		 <input type="submit" name="Sign_up" value="SUBMIT" />
		</div>
	</form>
</div>

</div>

 /******************************         
 http://www.freetimelearning.com  
 http://www.freetimelearn.com          
 *******************************/
.main{ margin:40px auto 20px !important; width:450px;}
.my_form{
    width:450px;
    padding:30px;
    margin:40px auto;
    background: #FFF;
    border-radius: 4px;
    -webkit-border-radius:4px;
    -moz-border-radius: 4px;
    box-shadow: 0px 0px 10px rgba(0, 0, 0, 0.2);
    -moz-box-shadow: 0px 0px 10px rgba(0, 0, 0, 0.2);
    -webkit-box-shadow: 0px 0px 10px rgba(0, 0, 0, 0.2);
}
.my_form .inner-wrap{
    padding: 30px;
    background: #F2F2F2;
    border-radius: 2px;
    margin-bottom: 15px;
}
.my_form h1{
    background: #2A88AD;
    padding: 20px 30px 15px 30px;
    margin: -30px -30px 30px -30px;
    border-radius: 10px 10px 0 0;
    -webkit-border-radius: 10px 10px 0 0;
    -moz-border-radius: 10px 10px 0 0;
    color: #fff;
    text-shadow: 1px 1px 3px rgba(0, 0, 0, 0.12);
    font: normal 30px 'Bitter', serif;
    -moz-box-shadow: inset 0px 2px 2px 0px rgba(255, 255, 255, 0.17);
    -webkit-box-shadow: inset 0px 2px 2px 0px rgba(255, 255, 255, 0.17);
    box-shadow: inset 0px 2px 2px 0px rgba(255, 255, 255, 0.17);
    border: 1px solid #257C9E;
}
.my_form h1 > span{
    display: block;
    margin-top: 2px;
    font: 13px Arial, Helvetica, sans-serif;
}
.my_form label{
    display: block;
    font: 13px Arial, Helvetica, sans-serif;
    color: #000;
    margin-bottom: 15px;
}
.my_form input[type="text"],
.my_form input[type="date"],
.my_form input[type="datetime"],
.my_form input[type="email"],
.my_form input[type="number"],
.my_form input[type="search"],
.my_form input[type="time"],
.my_form input[type="url"],
.my_form input[type="password"],
.my_form textarea,
.my_form select {
    display: block;
    box-sizing: border-box;
    -webkit-box-sizing: border-box;
    -moz-box-sizing: border-box;
    width: 100%;
    padding: 8px;
	margin:5px auto;
    border-radius: 2px;
    -webkit-border-radius:2px;
    -moz-border-radius:2px;
    border: 1px solid #CEF;
}

.my_form .section{
    font: normal 20px 'Bitter', serif;
    color: #2A88AD;
    margin-bottom: 5px;
}
.my_form .section span {
    background: #2A88AD;
    padding: 5px 10px 5px 10px;
    position: absolute;
    border-radius: 50%;
    -webkit-border-radius: 50%;
    -moz-border-radius: 50%;
    border: 4px solid #fff;
    font-size: 14px;
    margin-left: -45px;
    color: #fff;
    margin-top: -3px;
}
.my_form input[type="button"], 
.my_form input[type="submit"]{
    background: #2A88AD;
    padding: 8px 30px;
    border-radius: 2px;
	cursor:pointer;
    -webkit-border-radius: 2px;
    -moz-border-radius: 2px;
    color: #fff;
    text-shadow: 1px 1px 3px rgba(0, 0, 0, 0.12);
    font: normal 30px 'Bitter', serif;
    -moz-box-shadow: inset 0px 2px 2px 0px rgba(255, 255, 255, 0.17);
    -webkit-box-shadow: inset 0px 2px 2px 0px rgba(255, 255, 255, 0.17);
    box-shadow: inset 0px 2px 2px 0px rgba(255, 255, 255, 0.17);
    border: 1px solid #257C9E;
    font-size: 15px;
}
.my_form input[type="button"]:hover, 
.my_form input[type="submit"]:hover{
    background: #2A6881;
    -moz-box-shadow: inset 0px 2px 2px 0px rgba(255, 255, 255, 0.28);
    -webkit-box-shadow: inset 0px 2px 2px 0px rgba(255, 255, 255, 0.28);
    box-shadow: inset 0px 2px 2px 0px rgba(255, 255, 255, 0.28);
}