.form__field--s2-ik4h0cc2u .form__checkbox {display: none;}
.form__field--s2-ik4h0cc2u .form__checkbox-styled {display: block;}
.image__img--s2-ijnc8nuxt {object-fit: contain;}
.image__img--s2-ik16jvx4t {object-fit: contain;}
.image__img--s2-i1jnehjzb {object-fit: contain;}
.image__img--s2-ilcv87620 {object-fit: contain;}
.image__img--s2-ia9tzycfy {object-fit: contain;}
.section--u-i9p4un29k {display: flex; flex-direction: column; margin-bottom: 0vw;}
.container--u-i8y1b1rpi {max-width: none; width: auto; margin-bottom: 3vw; margin-left: 1.67vw; margin-right: 1.67vw; display: flex;}
.div--u-itqdwg011 {background-size: auto; background-image: linear-gradient(rgba(255, 255, 255, 1) 0%, rgba(255, 255, 255, 1) 100%); background-repeat: no-repeat; background-position: left 0px top 0px; background-attachment: scroll; border-top-left-radius: 0.8vw; border-bottom-left-radius: 0.8vw; padding-top: 3.22vw; padding-bottom: 3.22vw; padding-left: 3.22vw; padding-right: 3.22vw; display: flex; flex-direction: column; row-gap: 3.33vw;}
.div--u-icdt3l13d {display: flex; justify-content: space-between; align-items: flex-start; flex-direction: column; row-gap: 3.33vw; height: 100%;}
.div--u-ig57eecj1 {display: flex; padding: 10px; width: auto; padding-left: 0px; padding-right: 0px; padding-top: 0px; padding-bottom: 0px; flex-direction: column; align-items: flex-start;}
.div--u-ihfv3cbgi {display: flex; flex-direction: column; align-items: flex-start; row-gap: 0.83vw;}
.div--u-i7t1vva7e {display: flex; align-items: center; column-gap: 0.83vw;}
.image--u-i3cpmft8z {width: 1.67vw; height: 1.67vw;}
.button--u-ioc06qwp2 {padding-left: 3.33vw; padding-right: 3.33vw; padding-top: 0.83vw; padding-bottom: 0.83vw; background-size: auto; background-image: linear-gradient(rgba(0, 76, 191, 1) 0%, rgba(0, 76, 191, 1) 100%); background-repeat: repeat; background-position: left 0px top 0px; background-attachment: scroll; border-top-left-radius: 0.42vw; border-top-right-radius: 0.42vw; border-bottom-left-radius: 0.42vw; border-bottom-right-radius: 0.42vw; margin-top: auto;}
.text-button--u-iiopmhwrm {color: rgba(255, 255, 255, 1); font-family: 'Roboto Condensed'; font-weight: 700; font-style: normal; font-size: 1.33vw;}
.div--u-isf8eq8o5 {border-top-right-radius: 0.83vw; border-bottom-right-radius: 0.83vw; background-size: auto; background-image: radial-gradient(circle at right top, rgba(0, 76, 191, 1) -57%, rgba(33, 41, 54, 1) 89%); background-repeat: no-repeat; background-position: left 0px top 0px; background-attachment: scroll; padding-top: 3.33vw; padding-bottom: 3.33vw; display: flex; justify-content: center; align-items: center; padding-left: 6.25vw; padding-right: 6.25vw;}
.div--u-is44nk7hb {width: auto; padding-left: 3.33vw; padding-right: 3.33vw; padding-top: 3.33vw; padding-bottom: 3.33vw; background-size: auto; background-image: linear-gradient(rgba(255, 255, 255, 1) 0%, rgba(255, 255, 255, 1) 100%); background-repeat: no-repeat; background-position: left 0px top 0px; background-attachment: scroll; border-top-left-radius: 0.83vw; border-top-right-radius: 0.83vw; border-bottom-left-radius: 0.83vw; border-bottom-right-radius: 0.83vw;}
.form--u-i0v9lg8f0 {padding-left: 0px; padding-right: 0px; padding-top: 0px; padding-bottom: 0px;}
.form__state-default--u-iwdfzmqx0 {display: flex; flex-direction: column; align-items: stretch;}
.text-title--u-iuv0s7pv2 {margin-bottom: 0px; text-align: center;}
.text--u-iigleeryp {text-align: center; padding-left: 1.67vw; padding-right: 1.67vw; color: rgba(57, 64, 80, 1); margin-top: 1.25vw; margin-bottom: 1.25vw;}
.form__field--u-i068au9h7 {margin-top: 0px; margin-bottom: 0.42vw;}
.form__field--u-i068au9h7.is-error .form__field-error--u-iyzg3fxtf {font-size: 0.83vw; font-family: 'Montserrat'; font-weight: 500; padding-top: 0.33vw; padding-bottom: 0.33vw;}
.form__input--u-i5vpiko1w {padding-left: 1.67vw; padding-right: 1.67vw; padding-top: 0.75vw; padding-bottom: 0.75vw; height: auto; border-top-left-radius: 0.42vw; border-top-right-radius: 0.42vw; border-bottom-left-radius: 0.42vw; border-bottom-right-radius: 0.42vw; background-image: linear-gradient(rgba(243, 244, 246, 1) 0%, rgba(243, 244, 246, 1) 100%); border-top-width: 0px; border-left-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-top-style: none; border-left-style: none; border-right-style: none; border-bottom-style: none; border-top-color: rgba(238, 238, 238, 0); border-left-color: rgba(238, 238, 238, 0); border-right-color: rgba(238, 238, 238, 0); border-bottom-color: rgba(238, 238, 238, 0); display: flex; align-items: center;}
.form__input--u-i5vpiko1w::placeholder {font-family: 'Montserrat'; font-size: 0.83vw; font-weight: 500; color: rgba(158, 162, 174, 1);}
.form__field--u-i95km7129 {margin-top: 0px; margin-bottom: 0.42vw; align-items: center;}
.form__field--u-i95km7129.is-error .form__field-error--u-ivm71rzjn {font-size: 0.83vw; font-family: 'Montserrat'; font-weight: 500; padding-top: 0.33vw; padding-bottom: 0.33vw;}
.form__input--u-ikg3bm30u {padding-left: 1.67vw; padding-right: 1.67vw; padding-top: 0.75vw; padding-bottom: 0.75vw; height: auto; border-top-left-radius: 0.42vw; border-top-right-radius: 0.42vw; border-bottom-left-radius: 0.42vw; border-bottom-right-radius: 0.42vw; background-image: linear-gradient(rgba(243, 244, 246, 1) 0%, rgba(243, 244, 246, 1) 100%); border-top-width: 0px; border-left-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-top-style: none; border-left-style: none; border-right-style: none; border-bottom-style: none; border-top-color: rgba(238, 238, 238, 0); border-left-color: rgba(238, 238, 238, 0); border-right-color: rgba(238, 238, 238, 0); border-bottom-color: rgba(238, 238, 238, 0); align-items: center; justify-content: flex-start; text-align: left; display: flex;}
.form__input--u-ikg3bm30u::placeholder {font-family: 'Montserrat'; font-size: 0.83vw; font-weight: 500; color: rgba(158, 162, 174, 1);}
.form__field--u-ixj6cizq5 {margin-top: 0px; margin-bottom: 0.42vw;}
.form__field--u-ixj6cizq5.is-error .form__field-error--u-ih5be642s {font-size: 0.83vw; font-family: 'Montserrat'; font-weight: 500; padding-top: 0.33vw; padding-bottom: 0.33vw;}
.form__input--u-ikeyso91x {padding-left: 1.67vw; padding-right: 1.67vw; padding-top: 0.75vw; padding-bottom: 0.75vw; height: auto; border-top-left-radius: 0.42vw; border-top-right-radius: 0.42vw; border-bottom-left-radius: 0.42vw; border-bottom-right-radius: 0.42vw; background-image: linear-gradient(rgba(243, 244, 246, 1) 0%, rgba(243, 244, 246, 1) 100%); border-top-width: 0px; border-left-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-top-style: none; border-left-style: none; border-right-style: none; border-bottom-style: none; border-top-color: rgba(238, 238, 238, 0); border-left-color: rgba(238, 238, 238, 0); border-right-color: rgba(238, 238, 238, 0); border-bottom-color: rgba(238, 238, 238, 0); align-items: center; display: flex;}
.form__input--u-ikeyso91x::placeholder {font-family: 'Montserrat'; font-size: 0.83vw; font-weight: 500; color: rgba(158, 162, 174, 1);}
.submit_button--u-ip8cayzx2 {margin-top: 1.25vw; background-image: linear-gradient(rgba(0, 76, 191, 1) 0%, rgba(0, 76, 191, 1) 100%); border-top-left-radius: 0.42vw; border-top-right-radius: 0.42vw; border-bottom-left-radius: 0.42vw; border-bottom-right-radius: 0.42vw; padding-top: 0.75vw; padding-bottom: 0.75vw; padding-left: 0px; padding-right: 0px;}
.form__field--u-ik4h0cc2u.is-error .form__field-error--u-ixnum76nr {padding-top: 0.42vw; padding-bottom: 0px; font-size: 0.83vw; font-family: 'Montserrat'; font-weight: 500;}
.form__field--u-ik4h0cc2u.is-error .form__widget-item--u-i3wo12mw1:has(:checked) .form__checkbox-styled--u-i6hz7aei3 {background-image: url("/g/s3/mosaic/images/widgets/checkbox.svg"), linear-gradient(rgba(0, 76, 191, 1) 0%, rgba(0, 76, 191, 1) 100%); border-top-color: rgba(0, 76, 191, 1); border-left-color: rgba(0, 76, 191, 1); border-right-color: rgba(0, 76, 191, 1); border-bottom-color: rgba(0, 76, 191, 1); border-top-width: 0.08vw; border-left-width: 0.08vw; border-right-width: 0.08vw; border-bottom-width: 0.08vw;}
.form__widget-group--u-io97rpbb0 {flex-direction: row; row-gap: 0px; column-gap: 1.25vw;}
.form__widget-item--u-i3wo12mw1 {column-gap: 1.25vw; font-size: 1.33vw;}
.form__widget-item--u-i3wo12mw1:has(:checked) .form__checkbox-styled--u-i6hz7aei3 {border-top-color: rgba(0, 76, 191, 1); border-left-color: rgba(0, 76, 191, 1); border-right-color: rgba(0, 76, 191, 1); border-bottom-color: rgba(0, 76, 191, 1); background-image: url("/g/s3/mosaic/images/widgets/checkbox.svg"), linear-gradient(rgba(0, 76, 191, 1) 0%, rgba(0, 76, 191, 1) 100%); border-top-left-radius: 0.25vw; border-top-right-radius: 0.25vw; border-bottom-left-radius: 0.25vw; border-bottom-right-radius: 0.25vw; font-size: 1.33vw; background-size: contain, auto; background-attachment: scroll, scroll;}
.form__checkbox-styled--u-i6hz7aei3 {width: 1.67vw; height: 1.67vw; border-top-color: rgba(158, 162, 174, 1); border-left-color: rgba(158, 162, 174, 1); border-right-color: rgba(158, 162, 174, 1); border-bottom-color: rgba(158, 162, 174, 1); border-top-width: 0.08vw; border-left-width: 0.08vw; border-right-width: 0.08vw; border-bottom-width: 0.08vw; border-top-left-radius: 0.25vw; border-top-right-radius: 0.25vw; border-bottom-left-radius: 0.25vw; border-bottom-right-radius: 0.25vw;}
.form__label-text--u-ix66efeuj {margin-left: 0px; color: rgba(57, 64, 80, 1); display: none;}
.text--u-izcpcqi5x {color: rgba(57, 64, 80, 1);}
.text--u-ioihf0wwx {width: 29.83vw;}
.div--u-ibj2nzq7e {display: flex; align-items: center; column-gap: 0.83vw;}
.image--u-idzhf6hrp {width: 1.67vw; height: 1.67vw;}
.text--u-ibcpc3haf {width: 29.83vw;}
.div--u-i8zbu90ax {display: flex; align-items: center; column-gap: 0.83vw;}
.image--u-iigovr9tg {width: 1.67vw; height: 1.67vw;}
.text--u-iee3p2nn8 {width: 29.83vw;}
.div--u-ih2nhc3ic {display: flex; align-items: center; column-gap: 0.83vw;}
.image--u-i19yonw19 {width: 1.67vw; height: 1.67vw;}
.text--u-it70ghlnc {width: 29.83vw;}
.div--u-ivndbh9q5 {display: flex; align-items: center; column-gap: 0.83vw;}
.image--u-i8d8427e1 {width: 1.67vw; height: 1.67vw;}
.text--u-ioem794j9 {width: 29.83vw;}
.div--u-i6nrix0nb {width: auto;}
.div--u-impxlewpi {width: auto;}
.div--u-iyluiweai {width: auto;}
.div--u-ivv476b3j {width: auto;}
.div--u-ik6nus6jz {width: auto;}
@media (max-width: 767px) {.container--u-i8y1b1rpi {margin-left: 10px; margin-right: 10px; margin-bottom: 50px; flex-direction: column;}}
@media (max-width: 767px) {.div--u-itqdwg011 {padding-left: 20px; padding-right: 20px; padding-top: 20px; padding-bottom: 20px; border-bottom-left-radius: 0vw; border-top-right-radius: 10px; border-top-left-radius: 10px;}}
@media (max-width: 767px) {.div--u-icdt3l13d {row-gap: 20px; align-items: stretch;}}
@media (max-width: 767px) {.div--u-ihfv3cbgi {row-gap: 10px;}}
@media (max-width: 767px) {.div--u-i7t1vva7e {column-gap: 10px; align-items: flex-start;}}
@media (max-width: 767px) {.image--u-i3cpmft8z {width: 20px; height: 20px;}}
@media (max-width: 767px) {.button--u-ioc06qwp2 {padding-top: 9px; padding-bottom: 9px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-left-radius: 5px; border-bottom-right-radius: 5px;}}
@media (max-width: 767px) {.text-button--u-iiopmhwrm {font-size: 14px;}}
@media (max-width: 767px) {.div--u-isf8eq8o5 {padding-top: 20px; padding-bottom: 20px; padding-left: 20px; padding-right: 20px; border-top-right-radius: 0vw; border-bottom-right-radius: 10px; border-bottom-left-radius: 10px;}}
@media (max-width: 767px) {.div--u-is44nk7hb {padding-left: 20px; padding-right: 20px; padding-top: 20px; padding-bottom: 20px; border-top-left-radius: 10px; border-top-right-radius: 10px; border-bottom-left-radius: 10px; border-bottom-right-radius: 10px;}}
@media (max-width: 767px) {.text--u-iigleeryp {margin-top: 20px; margin-bottom: 20px; padding-left: 0vw; padding-right: 0vw;}}
@media (max-width: 767px) {.form__field--u-i068au9h7 {margin-bottom: 5px;}}
@media (max-width: 767px) {.form__input--u-i5vpiko1w {border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-left-radius: 5px; border-bottom-right-radius: 5px; padding-left: 20px; padding-right: 20px; padding-top: 7px; padding-bottom: 7px;}}
@media (max-width: 767px) {.form__input--u-i5vpiko1w::placeholder {font-size: 10px;}}
@media (max-width: 767px) {.form__field--u-i95km7129 {margin-bottom: 5px;}}
@media (max-width: 767px) {.form__input--u-ikg3bm30u {padding-left: 20px; padding-right: 20px; padding-top: 7px; padding-bottom: 7px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-left-radius: 5px; border-bottom-right-radius: 5px;}}
@media (max-width: 767px) {.form__input--u-ikg3bm30u::placeholder {font-size: 10px; font-family: 'Montserrat'; font-weight: 500;}}
@media (max-width: 767px) {.form__field--u-ixj6cizq5 {margin-bottom: 5px;}}
@media (max-width: 767px) {.form__input--u-ikeyso91x {padding-left: 20px; padding-right: 20px; padding-top: 7px; padding-bottom: 7px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-left-radius: 5px; border-bottom-right-radius: 5px;}}
@media (max-width: 767px) {.form__input--u-ikeyso91x::placeholder {font-size: 10px;}}
@media (max-width: 767px) {.submit_button--u-ip8cayzx2 {padding-top: 9px; padding-bottom: 9px; margin-top: 10px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-left-radius: 5px; border-bottom-right-radius: 5px;}}
@media (max-width: 767px) {.form__field--u-ik4h0cc2u {margin-top: 20px; margin-bottom: 0px;}}
@media (max-width: 767px) {.form__widget-group--u-io97rpbb0 {align-items: flex-start; column-gap: 15px;}}
@media (max-width: 767px) {.form__widget-item--u-i3wo12mw1:has(:checked) .form__checkbox-styled--u-i6hz7aei3 {width: 20px; height: 20px;}}
@media (max-width: 767px) {.form__checkbox-styled--u-i6hz7aei3 {width: 20px; height: 20px;}}
@media (max-width: 767px) {.text--u-ioihf0wwx {width: auto;}}
@media (max-width: 767px) {.div--u-ibj2nzq7e {column-gap: 10px; align-items: flex-start;}}
@media (max-width: 767px) {.image--u-idzhf6hrp {width: 20px; height: 20px;}}
@media (max-width: 767px) {.text--u-ibcpc3haf {width: auto;}}
@media (max-width: 767px) {.div--u-i8zbu90ax {column-gap: 10px; align-items: flex-start;}}
@media (max-width: 767px) {.image--u-iigovr9tg {width: 20px; height: 20px;}}
@media (max-width: 767px) {.text--u-iee3p2nn8 {width: auto;}}
@media (max-width: 767px) {.div--u-ih2nhc3ic {column-gap: 10px; align-items: flex-start;}}
@media (max-width: 767px) {.image--u-i19yonw19 {width: 20px; height: 20px;}}
@media (max-width: 767px) {.text--u-it70ghlnc {width: auto;}}
@media (max-width: 767px) {.div--u-ivndbh9q5 {column-gap: 10px; align-items: flex-start;}}
@media (max-width: 767px) {.image--u-i8d8427e1 {width: 20px; height: 20px;}}
@media (max-width: 767px) {.text--u-ioem794j9 {width: auto;}}
@media (max-width: 767px) {.div--u-i6nrix0nb {width: auto;}}
@media (max-width: 767px) {.div--u-impxlewpi {width: auto;}}
@media (max-width: 479px) {.text--u-iigleeryp {width: auto; justify-content: center; margin-top: 4.69vw; margin-bottom: 4.69vw;}}
@media (max-width: 479px) {.container--u-i8y1b1rpi {margin-bottom: 15.63vw; margin-right: 3.13vw; margin-left: 3.13vw;}}
@media (max-width: 479px) {.div--u-itqdwg011 {padding-top: 6.25vw; padding-bottom: 6.25vw; padding-left: 6.25vw; padding-right: 6.25vw; row-gap: 3.44vw; border-bottom-left-radius: 0px; border-top-right-radius: 3.13vw; border-top-left-radius: 3.13vw;}}
@media (max-width: 479px) {.div--u-icdt3l13d {row-gap: 6.25vw;}}
@media (max-width: 479px) {.div--u-i7t1vva7e {column-gap: 3.13vw;}}
@media (max-width: 479px) {.div--u-i8zbu90ax {column-gap: 3.13vw;}}
@media (max-width: 479px) {.div--u-ivndbh9q5 {column-gap: 3.13vw;}}
@media (max-width: 479px) {.div--u-ih2nhc3ic {column-gap: 3.13vw;}}
@media (max-width: 479px) {.div--u-ibj2nzq7e {column-gap: 3.13vw;}}
@media (max-width: 479px) {.button--u-ioc06qwp2 {padding-top: 2.81vw; padding-bottom: 2.81vw; border-top-left-radius: 1.56vw; border-top-right-radius: 1.56vw; border-bottom-left-radius: 1.56vw; border-bottom-right-radius: 1.56vw;}}
@media (max-width: 479px) {.div--u-isf8eq8o5 {padding-left: 6.25vw; padding-right: 6.25vw; padding-top: 6.25vw; padding-bottom: 6.25vw; border-top-right-radius: 0px; border-bottom-right-radius: 3.13vw; border-bottom-left-radius: 3.13vw;}}
@media (max-width: 479px) {.div--u-is44nk7hb {padding-top: 6.25vw; padding-bottom: 6.25vw; padding-left: 6.25vw; padding-right: 6.25vw; border-top-left-radius: 3.13vw; border-top-right-radius: 3.13vw; border-bottom-left-radius: 3.13vw; border-bottom-right-radius: 3.13vw;}}
@media (max-width: 479px) {.form__input--u-i5vpiko1w {padding-top: 3.13vw; padding-bottom: 3.13vw; padding-left: 6.25vw; padding-right: 6.25vw; border-top-left-radius: 1.56vw; border-top-right-radius: 1.56vw; border-bottom-left-radius: 1.56vw; border-bottom-right-radius: 1.56vw;}}
@media (max-width: 479px) {.form__input--u-i5vpiko1w::placeholder {font-size: 3.13vw;}}
@media (max-width: 479px) {.form__input--u-ikg3bm30u {padding-top: 3.13vw; padding-bottom: 3.13vw; padding-left: 6.25vw; padding-right: 6.25vw; border-top-left-radius: 1.56vw; border-top-right-radius: 1.56vw; border-bottom-left-radius: 1.56vw; border-bottom-right-radius: 1.56vw;}}
@media (max-width: 479px) {.form__input--u-ikg3bm30u::placeholder {font-size: 3.13vw;}}
@media (max-width: 479px) {.form__input--u-ikeyso91x {padding-left: 6.25vw; padding-right: 6.25vw; padding-top: 3.13vw; padding-bottom: 3.13vw; border-top-left-radius: 1.56vw; border-top-right-radius: 1.56vw; border-bottom-left-radius: 1.56vw; border-bottom-right-radius: 1.56vw;}}
@media (max-width: 479px) {.form__input--u-ikeyso91x::placeholder {font-size: 3.13vw;}}
@media (max-width: 479px) {.submit_button--u-ip8cayzx2 {padding-top: 2.81vw; padding-bottom: 2.81vw; margin-top: 3.13vw; border-top-left-radius: 1.56vw; border-top-right-radius: 1.56vw; border-bottom-left-radius: 1.56vw; border-bottom-right-radius: 1.56vw;}}
@media (max-width: 479px) {.text-button--u-iiopmhwrm {font-size: 4.38vw;}}
@media (max-width: 479px) {.form__field--u-ixj6cizq5 {margin-bottom: 1.56vw;}}
@media (max-width: 479px) {.form__field--u-ixj6cizq5.is-error .form__field-error--u-ih5be642s {font-size: 3.13vw;}}
@media (max-width: 479px) {.form__field--u-i95km7129 {margin-bottom: 1.56vw;}}
@media (max-width: 479px) {.form__field--u-i95km7129.is-error .form__input--u-ikg3bm30u {font-size: 3.13vw;}}
@media (max-width: 479px) {.form__field--u-i95km7129.is-error .form__field-error--u-ivm71rzjn {font-size: 3.13vw;}}
@media (max-width: 479px) {.form__field--u-i068au9h7 {margin-bottom: 1.56vw;}}
@media (max-width: 479px) {.form__field--u-i068au9h7.is-error .form__field-error--u-iyzg3fxtf {font-size: 3.13vw;}}
@media (max-width: 479px) {.form__field--u-i068au9h7.is-error .form__input--u-i5vpiko1w {padding-top: 2.81vw; padding-bottom: 2.81vw;}}
@media (max-width: 479px) {.form__field--u-ik4h0cc2u {margin-top: 6.25vw;}}
@media (max-width: 479px) {.form__field--u-ik4h0cc2u.is-error .form__field-error--u-ixnum76nr {font-size: 3.13vw; padding-top: 1.56vw;}}
@media (max-width: 479px) {.form__widget-item--u-i3wo12mw1:has(:checked) .form__checkbox-styled--u-i6hz7aei3 {border-top-left-radius: 1.56vw; border-top-right-radius: 1.56vw; border-bottom-left-radius: 1.56vw; border-bottom-right-radius: 1.56vw;}}
@media (max-width: 479px) {.form__widget-item--u-i3wo12mw1:has(:checked) .form__checkbox-styled--u-i6hz7aei3:active {width: 6.25vw; height: 6.25vw; border-top-width: 0.31vw; border-left-width: 0.31vw; border-right-width: 0.31vw; border-bottom-width: 0.31vw; border-top-left-radius: 1.56vw; border-top-right-radius: 1.56vw; border-bottom-left-radius: 1.56vw; border-bottom-right-radius: 1.56vw;}}
@media (max-width: 479px) {.form__widget-group--u-io97rpbb0 {column-gap: 4.69vw;}}
@media (max-width: 479px) {.image--u-i3cpmft8z {width: 6.25vw; height: 6.25vw;}}
@media (max-width: 479px) {.image--u-iigovr9tg {width: 6.25vw; height: 6.25vw;}}
@media (max-width: 479px) {.image--u-i8d8427e1 {width: 6.25vw; height: 6.25vw;}}
@media (max-width: 479px) {.image--u-i19yonw19 {height: 6.25vw; width: 6.25vw;}}
@media (max-width: 479px) {.image--u-idzhf6hrp {width: 6.25vw; height: 6.25vw;}}
@media (max-width: 479px) {.text--u-ioihf0wwx {width: 67vw;}}
@media (max-width: 479px) {.text--u-it70ghlnc {width: 60vw;}}
@media (max-width: 479px) {.section--u-i9p4un29k {display: none;}}
@media (min-width: 1280px) {.text--u-iigleeryp {margin-top: 16px; margin-bottom: 16px; padding-left: 21px; padding-right: 21px;}}
@media (min-width: 1280px) {.form__field--u-i068au9h7 {margin-bottom: 5px;}}
@media (min-width: 1280px) {.form__field--u-i068au9h7:active .form__input--u-i5vpiko1w::placeholder {font-size: 10px;}}
@media (min-width: 1280px) {.form__field--u-i95km7129 {margin-bottom: 5px;}}
@media (min-width: 1280px) {.form__field--u-ixj6cizq5 {margin-bottom: 5px;}}
@media (min-width: 1280px) {.submit_button--u-ip8cayzx2 {margin-top: 16px; padding-top: 10px; padding-bottom: 10px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-left-radius: 5px; border-bottom-right-radius: 5px;}}
@media (min-width: 1280px) {.form__widget-group--u-io97rpbb0 {column-gap: 16px;}}
@media (min-width: 1280px) {.form__widget-item--u-i3wo12mw1:has(:checked) .form__checkbox-styled--u-i6hz7aei3:active {width: 21px; height: 21px;}}
@media (min-width: 1280px) {.form__checkbox-styled--u-i6hz7aei3 {width: 21px; height: 21px; font-size: 24px; border-top-left-radius: 3px; border-top-right-radius: 3px; border-bottom-left-radius: 3px; border-bottom-right-radius: 3px; border-top-width: 1px; border-left-width: 1px; border-right-width: 1px; border-bottom-width: 1px;}}
@media (min-width: 1280px) {.form__checkbox-styled--u-i6hz7aei3:active {width: 21px; height: 21px; border-top-left-radius: 3px; border-top-right-radius: 3px; border-bottom-left-radius: 3px; border-bottom-right-radius: 3px; font-size: 24px; border-top-width: 1px; border-left-width: 1px; border-right-width: 1px; border-bottom-width: 1px;}}
@media (min-width: 1280px) {.div--u-is44nk7hb {border-top-left-radius: 11px; border-top-right-radius: 11px; border-bottom-left-radius: 11px; border-bottom-right-radius: 11px; padding-left: 43px; padding-right: 43px; padding-top: 43px; padding-bottom: 43px;}}
@media (min-width: 1280px) {.form__input--u-ikg3bm30u {padding-top: 10px; padding-bottom: 10px; padding-left: 21px; padding-right: 21px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-left-radius: 5px; border-bottom-right-radius: 5px;}}
@media (min-width: 1280px) {.form__input--u-i5vpiko1w {padding-left: 21px; padding-right: 21px; padding-top: 10px; padding-bottom: 10px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-left-radius: 5px; border-bottom-right-radius: 5px;}}
@media (min-width: 1280px) {.form__input--u-ikeyso91x {padding-left: 21px; padding-right: 21px; padding-top: 10px; padding-bottom: 10px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-left-radius: 5px; border-bottom-right-radius: 5px;}}
@media (min-width: 1280px) {.div--u-isf8eq8o5 {padding-left: 80px; padding-right: 80px; padding-top: 43px; padding-bottom: 43px; border-top-right-radius: 11px; border-bottom-right-radius: 11px;}}
@media (min-width: 1280px) {.div--u-itqdwg011 {border-top-left-radius: 10px; border-bottom-left-radius: 10px; row-gap: 43px; padding-left: 41px; padding-right: 41px; padding-top: 41px; padding-bottom: 41px;}}
@media (min-width: 1280px) {.div--u-icdt3l13d {row-gap: 43px;}}
@media (min-width: 1280px) {.div--u-ihfv3cbgi {row-gap: 11px;}}
@media (min-width: 1280px) {.div--u-i7t1vva7e {column-gap: 11px;}}
@media (min-width: 1280px) {.div--u-i8zbu90ax {column-gap: 11px;}}
@media (min-width: 1280px) {.div--u-ivndbh9q5 {column-gap: 11px;}}
@media (min-width: 1280px) {.div--u-ih2nhc3ic {column-gap: 11px;}}
@media (min-width: 1280px) {.div--u-ibj2nzq7e {column-gap: 11px;}}
@media (min-width: 1280px) {.image--u-idzhf6hrp {height: 21px; width: 21px;}}
@media (min-width: 1280px) {.image--u-i19yonw19 {width: 21px; height: 21px;}}
@media (min-width: 1280px) {.image--u-i8d8427e1 {width: 21px; height: 21px;}}
@media (min-width: 1280px) {.image--u-iigovr9tg {width: 21px; height: 21px;}}
@media (min-width: 1280px) {.image--u-i3cpmft8z {width: 21px; height: 21px;}}
@media (min-width: 1280px) {.text--u-ioihf0wwx {width: 382px;}}
@media (min-width: 1280px) {.text--u-iee3p2nn8 {width: 382px;}}
@media (min-width: 1280px) {.text--u-ioem794j9 {width: 382px;}}
@media (min-width: 1280px) {.text--u-it70ghlnc {width: 382px;}}
@media (min-width: 1280px) {.text--u-ibcpc3haf {width: 382px;}}
@media (min-width: 1280px) {.button--u-ioc06qwp2 {padding-left: 43px; padding-right: 43px;}}
@media (min-width: 1280px) {.text-button--u-iiopmhwrm {font-size: 17px;}}
@media (min-width: 1280px) {.container--u-i8y1b1rpi {margin-left: 21px; margin-right: 21px; margin-bottom: 38px; width: 1238px;}}
@media (min-width: 1280px) {.section--u-i9p4un29k {align-items: center; display: none;}}