Lightbox form styled with an image

[jendaytwo]

I have this lightbox form started in codepen:

https://codepen.io/daytwo-nutrition/pen/poeRdow

There are 2 things I need here:

1. I need this lightbox to be styled like this:

2. I need smartforms to work with the lightbox 

I tried to destyle the form using this code but it did not work:

https://codepen.io/figureone/pen/MbPOdj