*, :before, :after {
  box-sizing: border-box;
  margin: 0;
}

html {
}

body {
  background: #183954;
  overflow: hidden;
  color: #FFF;
  font-family: Roboto;
}

.modal {
  height: 400px;
  width: 650px;
  margin: auto;
  box-shadow: 0 15px 35px rgba(0, 0, 0, 0.5);
  position: absolute;
  top: 0;
  bottom: 0;
  left: 0;
  right: 0;
  font-size: 0;
}

.side {
  background: linear-gradient(-45deg, #001F60, #009DE0);
  height: 100%;
  width: 100%;
  position: relative;
}
.side .skew {
  background: #a7b6c2;  height: 110%;
  width: 45%;
  padding: 20px;
  box-shadow: 0 8px 16px rgba(0, 0, 0, 0.25);
  position: absolute;
  top: -5%;
  z-index: 5;
  transform: skew(8deg);
}
.side .skew * {
  transform: skew(-8deg);
}
.side .skew h3 {
  color: #474747;
  font: 25px Roboto;
  text-align: center;
}

.side .skew .btn {
   background: linear-gradient(to bottom, #0099cc 0%, #000066 100%);  width: 180px;
  margin: 70px auto;
  padding: 10px 18px;
  font-size: 16px;
  text-align: center;
  border-radius: 3px;
  box-shadow: 0px 3px 10px rgba(0, 0, 0, 0.25);
  cursor: default;
}

.header {
  width: 60%;
  position: absolute;
  top: 0;
  right: 0;
}
.header h1 {
  background: linear-gradient(-45deg, #2ed6bc, #01BCE6);
  padding: 10px 25px;
  font: 25px Roboto;
}

.form {
  width: 350px;
  height: 100%;
  position: absolute;
  top: 56px;
  right: 0;
}

input, select, fieldset, button {
  border: none;
  outline: none;
  font: 16px Roboto;
}

fieldset {
  display: block;
}

label {
  display: block;
  color: #01BCE6;
  font: 500 13px Roboto;
}

input, select {
  background: rgba(255, 255, 255, 0.18);
  padding: 8px 12px;
  margin: 5px 5px 5px 0;
  border-radius: 3px;
  color: #FFF;
}
input:nth-last-of-type(1), select:nth-last-of-type(1) {
  margin-right: 0;
}

option {
  background: #474747;
}

.number input {
  width: calc(25% - 7px);
}

.name input {
  width: 100%;
}

.exp, .ccv {
  display: inline-block;
}

.exp {
  width: 60%;
}
.exp select {
  width: calc(50% - 5px);
}

.ccv {
  width: 40%;
}
.ccv input {
  width: 100%;
}

button {
  display: block;
  background: linear-gradient(-45deg, #2ed6bc, #01BCE6);
  width: 200px;
  color: white;
  padding: 10px 18px;
  margin: 40px auto;
  font-size: 18px;
  border-radius: 22px;
  box-shadow: 0 5px 10px rgba(0, 0, 0, 0.2);
  cursor: pointer;
}