.form-fields {
	width: 188px;
	float: left;
	margin: 0 15px;
	position: relative;
}
.form-fields input {
	width: 183px;
	height: 23px;
	border: 1px solid #d1d3d4;
	margin: 0 0 3px 0;
	color: #a9acac;
}
.get-now{
	background: url(images/get-estimate.gif) no-repeat;
	width: 251px !important;
	height: 67px !important;
	display: block;
	text-indent: -9000px;
	border: 0 !important;
	position: absolute;
	top: 12px;
	left: 203px;
}


For HTML ------------------------------------

 <!--bottom content -->
      <div class="bottom-content">
        <div class="contact-form-box">
          <h4>Instantly get sent Your Calculation. Assumtions &amp; Formulas. </h4>
          <div class="sent-now">Get it sent now</div>
          <div class="form-fields">
            <input name="name" type="text" value="Name" />
            <input name="company" type="text" value="Company" />
            <input name="email" type="text" value="Email" />
            <input name="get-it-now" type="submit" class="get-now" />
          </div>
          
        </div>
        <span class="text-center">We promise not to share your email address with anyone else. G.C. Refuelling hates spam too. </span> </div>
    </div>
    <!--bottom content -->