:root {
	--color-iqzx34lpi: 0, 0, 0;
	--color-isw9auo86: 255, 255, 255;
	--color-ir8wyz0j6: 238, 238, 238;
	--color-i9nwnbde8: 19, 60, 85;
	--color-iythd4uin: 231, 235, 238;
	--color-iukz0aqam: 231, 235, 238;
	--color-iikqongir: 231, 235, 238;
	--color-isn0w724v: 231, 235, 238;
	--color-ixsqop0zc: 255, 255, 255;
	--color-ijrc26ld1: 19, 60, 85;
	--color-i0dw8yftq: 217, 217, 217;
	--color-ihymr3zn6: 231, 235, 238;
	--color-ialp1z7wq: 231, 235, 238;
	--color-inqngsgv2: 231, 235, 238;
	--color-iskd4f61n: 231, 235, 238;
	--color-ituytgbqz: 255, 255, 255;
	--color-iodnp1c3j: 231, 235, 238;
	--color-iri173snn: 231, 235, 238;
	--color-imjhkxqd5: 231, 235, 238;
	--color-i0trwehzi: 231, 235, 238;
	--color-iv5vu6mpg: 255, 255, 255;
	--color-i4o6xuhl6: 231, 235, 238;
	--color-i0g01seyb: 231, 235, 238;
	--color-irq6c1jgk: 231, 235, 238;
	--color-irv9wwzi2: 231, 235, 238;
	--color-iszb1e2x3: 255, 255, 255;
	--color-i4w3i1fpn: 231, 235, 238;
	--color-iwhuoeyaf: 231, 235, 238;
	--color-ikt1oyxyo: 231, 235, 238;
	--color-iz7yvxrez: 231, 235, 238;
	--color-igq9wsckq: 247, 247, 247;
	--color-ifiab8ngm: 231, 235, 238;
	--color-isfkiy26z: 231, 235, 238;
	--color-iphdn67ji: 231, 235, 238;
	--color-icsfq29td: 231, 235, 238;
	--color-ij1ec5bmh: 247, 247, 247;
	--color-ifsc2ore7: 231, 235, 238;
	--color-idphj9eyq: 255, 77, 128;
	--color-in08hsn26: 255, 0, 0;
	--color-iatyd4bmz: 128, 128, 128;
	--color-ioi1jyhnj: 128, 128, 128;
	--color-ifomdmsws: 128, 128, 128;
	--color-i4xdnno7n: 128, 128, 128;
	--color-il0tsuhod: 128, 128, 128;
	--color-itjoforjc: 0, 0, 0;
	--color-img2wnkm0: 0, 0, 0;
	--color-iwaonike7: 128, 128, 128;
	--color-iqo169gnr: 128, 128, 128;
	--color-ihvuokfte: 128, 128, 128;
	--color-id83ugloe: 128, 128, 128;
	--color-irwd3ormj: 0, 0, 0;
	--color-i5d4q95j3: 0, 0, 0;
	--color-iv1l0g8le: 255, 77, 128;
	--color-ij3shv1j3: 255, 255, 255;
	--color-icfdgbkth: 255, 77, 128;
	--color-ibqfvimdt: 255, 77, 128;
	--color-ivj3gzibv: 255, 77, 128;
	--color-iblzicx9v: 255, 77, 128;
	--color-in1rh2zgn: 197, 197, 197;
	--color-iawglyd43: 197, 197, 197;
	--color-ia6ks5zc5: 197, 197, 197;
	--color-i8nsesmms: 197, 197, 197;
	--color-id1pr88ac: 197, 197, 197;
	--color-ic2nd6h5k: 255, 0, 0;
	--color-ipdqpl9dp: 85, 85, 85;
	--color-i8lmek0od: 0, 0, 255;
	--color-iqvi6gzml: 0, 0, 255;
	--color-iy52g1v2j: 19, 60, 85;
	--color-iidgafpas: 19, 60, 85;
	--color-it7bs21ix: 231, 235, 238;
	--color-iocalf0l6: 231, 235, 238;
	--color-iaz8iyp32: 231, 235, 238;
	--color-i2ykwzg5y: 231, 235, 238;
	--color-iicuw5xzk: 231, 235, 238;
	--color-igzhr5cit: 19, 60, 85;
	--color-imx8bttyr: 255, 77, 128;
	--color-iubizbahz: 255, 77, 128;
	--color-i40fnhd0u: 255, 77, 128;
	--color-iqdga4x0j: 255, 77, 128;
	--color-i9wrqqc1r: 255, 77, 128;
	--color-iznwb8948: 255, 77, 128;
	--color-idm0d38b9: 19, 60, 85;
	--color-iqziked6y: 19, 60, 85;
	--color-icxm0spch: 19, 60, 85;
}

.mosaic-popup--u-i2pp5bn0g { position: fixed; top: 0px; left: 0px; z-index: 11 }
.mosaic-popup__inner-bg--u-if88zi3pb { position: fixed; top: 0px; right: 0px; left: 0px; bottom: 0px; background-color: rgba(var(--color-iqzx34lpi), 0.5); display: none; justify-content: center; -webkit-box-align: start; -ms-flex-align: start; align-items: flex-start; opacity: 0; transition-duration: 500ms; transition-timing-function: ease; transition-delay: 0ms; transition-property: all; overflow-y: auto; padding-top: 20px; padding-bottom: 20px }
.mosaic-popup__inner-data--u-izfwz57zf { position: relative; width: auto; min-height: 0px; max-width: 100vw; background-color: rgba(var(--color-isw9auo86), 1); margin-top: auto; margin-right: auto; margin-bottom: auto; margin-left: auto }
.mosaic-popup__close--u-ikuhqtj4k { cursor: pointer; position: absolute; right: 0px; top: 0px; min-width: 55px; min-height: 55px; text-align: center; background-color: rgba(var(--color-ir8wyz0j6), 0); z-index: 1; display: -webkit-box; display: -ms-flexbox; display: flex;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; justify-content: center }
.svg_image--u-i2d88oc24 { position: relative; display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; vertical-align: top; justify-content: center;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; width: 20px; height: 20px; overflow-x: hidden; overflow-y: hidden }
.svg_image--u-i2d88oc24 .path-iez7who03 { fill: rgba(var(--color-idm0d38b9), 1) }
.mosaic-form--u-ijcf1ytjw { width: 500px; padding-left: 45px; padding-bottom: 45px; padding-right: 45px; padding-top: 45px; display: block }
.mosaic-form--u-ijcf1ytjw * { outline-style: none }
.mosaic-form--u-ijcf1ytjw .mosaic-form__title--u-i8vq75clb { line-height: normal; margin-bottom: 10px; font-size: 24px; font-weight: 900; color: rgba(var(--color-i9nwnbde8), 1); text-transform: uppercase }
.mosaic-form--u-ijcf1ytjw .mosaic-form__header { display: -webkit-box; display: -ms-flexbox; display: flex; margin-bottom: 10px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__body { display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-align: start; -ms-flex-align: start; align-items: flex-start }
.mosaic-form--u-ijcf1ytjw .mosaic-form__field { margin-bottom: 12px; display: block; font-size: 15px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__name { font-weight: 400; font-size: 15px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__text { width: 100%; display: block; height: auto; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-iythd4uin), 1); border-right-color: rgba(var(--color-iukz0aqam), 1); border-bottom-color: rgba(var(--color-iikqongir), 1); border-left-color: rgba(var(--color-isn0w724v), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 20px; padding-right: 15px; background-color: rgba(var(--color-ixsqop0zc), 1); flex-shrink: 1; border-top-left-radius: 2px; border-top-right-radius: 2px; border-bottom-right-radius: 2px; border-bottom-left-radius: 2px; min-height: 50px; color: rgba(var(--color-ijrc26ld1), 1) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__icon { width: auto; height: auto; margin-top: 0px; margin-right: 10px; margin-bottom: 0px; margin-left: 0px; background-color: rgba(var(--color-i0dw8yftq), 1); padding-left: 5px; padding-right: 5px; padding-top: 5px; padding-bottom: 5px; border-top-left-radius: 2px; border-top-right-radius: 2px; border-bottom-right-radius: 2px; border-bottom-left-radius: 2px; display: none }
.mosaic-form--u-ijcf1ytjw .svg_image { position: relative; display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; vertical-align: top; justify-content: center;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; height: 25px; width: 25px; overflow-x: hidden; overflow-y: hidden }
.mosaic-form--u-ijcf1ytjw .svg_image_checkbox { position: relative; display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; vertical-align: top; justify-content: center;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; height: 13px; width: 13px; overflow-x: hidden; overflow-y: hidden }
.mosaic-form--u-ijcf1ytjw .svg_image_radio { position: relative; display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; vertical-align: top; justify-content: center;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; height: 13px; width: 13px; overflow-x: hidden; overflow-y: hidden }
.mosaic-form--u-ijcf1ytjw .mosaic-form__date { -webkit-box-flex: 1; -ms-flex-positive: 1; flex-grow: 1; height: auto; width: 100%; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-ihymr3zn6), 1); border-right-color: rgba(var(--color-ialp1z7wq), 1); border-bottom-color: rgba(var(--color-inqngsgv2), 1); border-left-color: rgba(var(--color-iskd4f61n), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 15px; padding-right: 15px; background-color: rgba(var(--color-ituytgbqz), 1); cursor: pointer; border-top-left-radius: 2px; border-top-right-radius: 2px; border-bottom-right-radius: 2px; border-bottom-left-radius: 2px; min-height: 45px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__date-interval { -webkit-box-flex: 1; -ms-flex-positive: 1; flex-grow: 1; height: auto; width: 100%; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-iodnp1c3j), 1); border-right-color: rgba(var(--color-iri173snn), 1); border-bottom-color: rgba(var(--color-imjhkxqd5), 1); border-left-color: rgba(var(--color-i0trwehzi), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 15px; padding-right: 15px; background-color: rgba(var(--color-iv5vu6mpg), 1); cursor: pointer; border-top-left-radius: 2px; border-top-right-radius: 2px; border-bottom-right-radius: 2px; border-bottom-left-radius: 2px; min-height: 45px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__textarea { width: 100%; display: block; height: auto; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-i4o6xuhl6), 1); border-right-color: rgba(var(--color-i0g01seyb), 1); border-bottom-color: rgba(var(--color-irq6c1jgk), 1); border-left-color: rgba(var(--color-irv9wwzi2), 1); padding-bottom: 20px; padding-top: 20px; padding-left: 20px; padding-right: 20px; background-color: rgba(var(--color-iszb1e2x3), 1); flex-shrink: 1; border-top-left-radius: 2px; border-top-right-radius: 2px; border-bottom-right-radius: 2px; border-bottom-left-radius: 2px; min-height: 120px; font-size: 15px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__select { width: 100%; display: block; height: auto; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-i4w3i1fpn), 1); border-right-color: rgba(var(--color-iwhuoeyaf), 1); border-bottom-color: rgba(var(--color-ikt1oyxyo), 1); border-left-color: rgba(var(--color-iz7yvxrez), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-igq9wsckq), 1); min-height: 45px; border-top-left-radius: 2px; border-top-right-radius: 2px; border-bottom-right-radius: 2px; border-bottom-left-radius: 2px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__select-multiple { width: 100%; display: block; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-ifiab8ngm), 1); border-right-color: rgba(var(--color-isfkiy26z), 1); border-bottom-color: rgba(var(--color-iphdn67ji), 1); border-left-color: rgba(var(--color-icsfq29td), 1); padding-bottom: 15px; padding-top: 15px; padding-left: 15px; padding-right: 15px; background-color: rgba(var(--color-ij1ec5bmh), 1) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__date-interval-container { display: -webkit-box; display: -ms-flexbox; display: flex;  -webkit-box-align: center; -ms-flex-align: center; align-items: center }
.mosaic-form--u-ijcf1ytjw .mosaic-form__date-interval-delimiter { width: 15px; height: 2px; flex-shrink: 0; background-color: rgba(var(--color-ifsc2ore7), 1); margin-right: 5px; margin-left: 5px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__error { color: rgba(var(--color-idphj9eyq), 1); margin-bottom: 5px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__required { color: rgba(var(--color-in08hsn26), 1) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__note { color: rgba(var(--color-iatyd4bmz), 1) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__radio-icon { display: none; width: 14px; height: 14px; flex-shrink: 0; border-top-left-radius: 50%; border-top-right-radius: 50%; border-bottom-right-radius: 50%; border-bottom-left-radius: 50%; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-ioi1jyhnj), 1); border-right-color: rgba(var(--color-ifomdmsws), 1); border-bottom-color: rgba(var(--color-i4xdnno7n), 1); border-left-color: rgba(var(--color-il0tsuhod), 1); background-color: rgba(var(--color-itjoforjc), 0.2) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__checkbox-icon { display: none; width: 15px; height: 15px; flex-shrink: 0; border-top-left-radius: 2px; border-bottom-left-radius: 2px; border-bottom-right-radius: 2px; border-top-right-radius: 2px; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-iwaonike7), 1); border-right-color: rgba(var(--color-iqo169gnr), 1); border-bottom-color: rgba(var(--color-ihvuokfte), 1); border-left-color: rgba(var(--color-id83ugloe), 1); background-color: rgba(var(--color-irwd3ormj), 0.2) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__value { margin-left: 5px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__label { display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; -webkit-box-align: start; -ms-flex-align: start; align-items: flex-start; margin-top: 5px; margin-bottom: 5px; -webkit-box-orient: horizontal; -webkit-box-direction: normal; -ms-flex-direction: row; flex-direction: row }
.mosaic-form--u-ijcf1ytjw .mosaic-form__button { display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; cursor: pointer; vertical-align: top; padding-top: 17px; padding-right: 30px; padding-bottom: 17px; padding-left: 30px; line-height: normal; background-color: rgba(var(--color-iv1l0g8le), 1); color: rgba(var(--color-ij3shv1j3), 1); border-bottom-width: 2px; border-left-width: 2px; border-right-width: 2px; border-top-width: 2px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; position: relative; font-weight: 700; border-top-left-radius: 0px; border-top-right-radius: 0px; border-bottom-right-radius: 0px; border-bottom-left-radius: 0px; border-top-color: rgba(var(--color-icfdgbkth), 1); border-right-color: rgba(var(--color-ibqfvimdt), 1); border-bottom-color: rgba(var(--color-ivj3gzibv), 1); border-left-color: rgba(var(--color-iblzicx9v), 1); transition-property: all; transition-duration: 300ms; transition-delay: 0ms; transition-timing-function: ease }
.mosaic-form--u-ijcf1ytjw .mosaic-form__upload-progress { border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-in1rh2zgn), 1); border-right-color: rgba(var(--color-iawglyd43), 1); border-bottom-color: rgba(var(--color-ia6ks5zc5), 1); border-left-color: rgba(var(--color-i8nsesmms), 1); margin-bottom: 10px; padding-top: 10px; padding-bottom: 10px; padding-left: 10px; padding-right: 10px; right: 10px }
.mosaic-form--u-ijcf1ytjw .progressWrapper { padding-top: 8px; padding-right: 0px; padding-bottom: 5px; padding-left: 0px; border-top-width: 1px; border-top-style: solid; border-top-color: rgba(var(--color-id1pr88ac), 1) }
.mosaic-form--u-ijcf1ytjw .progressContainer { position: relative }
.mosaic-form--u-ijcf1ytjw .progressCancel { font-size: 0px; display: block; height: 14px; width: 14px; position: absolute; right: 0px; top: 0px; text-align: center; background-color: rgba(var(--color-ic2nd6h5k), 1) }
.mosaic-form--u-ijcf1ytjw .progressName { font-weight: 700; color: rgba(var(--color-ipdqpl9dp), 1); width: 323px; text-align: left; overflow-x: hidden; overflow-y: hidden }
.mosaic-form--u-ijcf1ytjw .progressBarStatus { margin-top: 2px; width: 337px; text-align: left }
.mosaic-form--u-ijcf1ytjw .progressBarInProgress { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-i8lmek0od), 1); margin-top: 2px }
.mosaic-form--u-ijcf1ytjw .progressBarComplete { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-iqvi6gzml), 1); margin-top: 2px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__upload-count-container { display: -webkit-box; display: -ms-flexbox; display: flex; padding-top: 7px }
.mosaic-form--u-ijcf1ytjw .text--u-i4lejqq1p { margin-bottom: 20px; font-size: 15px; color: rgba(var(--color-iy52g1v2j), 1); line-height: 20px }
.mosaic-form--u-ijcf1ytjw .svg_image--u-i6163ypgg { width: 20px; height: 20px }
.mosaic-form--u-ijcf1ytjw .svg_image--u-iuzc6u833 { width: 20px; height: 20px }
.mosaic-form--u-ijcf1ytjw .svg_image--u-i0cq4prxe { width: 20px; height: 20px }
.mosaic-form--u-ijcf1ytjw .svg_image--u-iwjip6t0i { width: 20px; height: 20px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__file-button-placeholder { padding-left: 22px; padding-right: 22px; padding-top: 13px; padding-bottom: 13px; border-top-color: rgba(var(--color-it7bs21ix), 1); border-right-color: rgba(var(--color-iocalf0l6), 1); border-bottom-color: rgba(var(--color-iaz8iyp32), 1); border-left-color: rgba(var(--color-i2ykwzg5y), 1); border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-left-radius: 2px; border-top-right-radius: 2px; border-bottom-right-radius: 2px; border-bottom-left-radius: 2px; background-color: rgba(var(--color-iicuw5xzk), 1) }
.mosaic-form--u-ijcf1ytjw .button__text { font-size: 13px; font-weight: 400; text-transform: uppercase }
.mosaic-form--u-ijcf1ytjw .mosaic-form__success__text--u-it1x1och5 { font-size: 20px; font-weight: 800; text-transform: uppercase; color: rgba(var(--color-icxm0spch), 1) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__radio-icon:hover, .mosaic-form--u-ijcf1ytjw .mosaic-form__radio-icon.is-hover { background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-ijcf1ytjw .mosaic-form__checkbox-icon:hover, .mosaic-form--u-ijcf1ytjw .mosaic-form__checkbox-icon.is-hover { background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-ijcf1ytjw .progressWrapper:first-child { padding-top: 0px; border-top-width: 0px }
.mosaic-form--u-ijcf1ytjw .progressWrapper:last-child { padding-bottom: 0px }
.mosaic-form--u-ijcf1ytjw .mosaic-form__textarea::placeholder { color: rgba(var(--color-igzhr5cit), 1) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__button:hover, .mosaic-form--u-ijcf1ytjw .mosaic-form__button.is-hover { background-color: rgba(var(--color-imx8bttyr), 0); color: rgba(var(--color-iubizbahz), 1) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__button:active, .mosaic-form--u-ijcf1ytjw .mosaic-form__button.is-active { color: rgba(var(--color-i40fnhd0u), 1); background-color: rgba(var(--color-iqdga4x0j), 0) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__button:focus, .mosaic-form--u-ijcf1ytjw .mosaic-form__button.is-focus { color: rgba(var(--color-i9wrqqc1r), 1); background-color: rgba(var(--color-iznwb8948), 0) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__text::placeholder { color: rgba(var(--color-iqziked6y), 1) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__checkbox ~ .mosaic-form__value { font-size: 14px; line-height: 20px; color: rgba(var(--color-iidgafpas), 1) }
.mosaic-form--u-ijcf1ytjw .mosaic-form__field--u-ilbnsvp8j .mosaic-form__header { display: none }
.mosaic-form--u-ijcf1ytjw .mosaic-form__field--u-iomdc3wda .mosaic-form__header { display: none }
.mosaic-form--u-ijcf1ytjw .mosaic-form__field--u-i3wbq3wgu .mosaic-form__header { display: none }
.mosaic-form--u-ijcf1ytjw .mosaic-form__field--u-izla30437 .mosaic-form__header { display: none }
.mosaic-form--u-ijcf1ytjw .mosaic-form__field--u-ihxnz1kve .mosaic-form__header { display: none }
.mosaic-form--u-ijcf1ytjw .mosaic-form__radio:checked ~ .mosaic-form__radio-icon, .mosaic-form--u-ijcf1ytjw .mosaic-form__radio.is-checked ~ .mosaic-form__radio-icon { background-color: rgba(var(--color-img2wnkm0), 0.2); background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-ijcf1ytjw .mosaic-form__checkbox:checked ~ .mosaic-form__checkbox-icon, .mosaic-form--u-ijcf1ytjw .mosaic-form__checkbox.is-checked ~ .mosaic-form__checkbox-icon { background-color: rgba(var(--color-i5d4q95j3), 0.2); background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.text--u-i4lejqq1p { display: -webkit-box; display: -ms-flexbox; display: flex; vertical-align: top; position: relative }
.mosaic-form__field--u-iomdc3wda { display: block }
.mosaic-form__field--u-ilbnsvp8j { display: block }
.mosaic-form__field--u-ihxnz1kve { display: block }
.mosaic-form__field--u-i3wbq3wgu { display: block }
.mosaic-form__field--u-izla30437 { display: block }
.mosaic-form__field--u-ixmsk8lua { display: block }

@media (max-width: 991px) {
	.mosaic-form--u-ijcf1ytjw .mosaic-form__title--u-i8vq75clb { font-size: 20px }
	.mosaic-form--u-ijcf1ytjw .mosaic-form__success__text--u-it1x1och5 { text-align: center }
}

@media (max-width: 767px) {
	.mosaic-form--u-ijcf1ytjw { width: 390px; padding-left: 35px; padding-right: 35px; padding-bottom: 35px; padding-top: 35px }
	.mosaic-form--u-ijcf1ytjw .mosaic-form__title--u-i8vq75clb { font-size: 20px }
}

@media (max-width: 479px) {
	.mosaic-form--u-ijcf1ytjw { width: 300px; padding-left: 40px; padding-bottom: 30px; padding-right: 40px; padding-top: 30px }
	.mosaic-form--u-ijcf1ytjw .mosaic-form__title--u-i8vq75clb { font-size: 20px }
	.mosaic-form--u-ijcf1ytjw .mosaic-form__checkbox ~ .mosaic-form__value { font-size: 12px }
}