<form action="#" method="post">
    Name <input type="text" placeholder="First name"/>
    <input type="text" placeholder="Last name"/>
    Email <input type="text"/>
    Message <input type="textarea"/>
    <input type="submit" value="Send"/>
</form>

input[type=text] {
    padding:5px; 
    border:2px solid #ccc; 
    -webkit-border-radius: 5px;
    border-radius: 5px;
}

input[type=text]:focus {
    border-color:#333;
}

input[type=submit] {
    padding:5px 15px; 
    background:#ccc; 
    border:0 none;
    cursor:pointer;
    -webkit-border-radius: 5px;
    border-radius: 5px; 
}

#submit {
 color: #fff;
 font-size: 0;
 width: 135px;
 height: 60px;
 border: none;
 margin: 0;
 padding: 0;
 background: #0c0 url(image) 0 0 no-repeat; 
}