@font-face { font-family: "Open Sans Condensed"; font-weight: 300; font-style: normal; font-display: swap; src: url("/g/fonts/open_sans_condensed/open_sans_condensed-l.woff2") format("woff2"), url("/g/fonts/open_sans_condensed/open_sans_condensed-l.woff") format("woff");}
@font-face { font-family: "Open Sans Condensed"; font-weight: 300; font-style: italic; font-display: swap; src: url("/g/fonts/open_sans_condensed/open_sans_condensed-l-i.woff2") format("woff2"), url("/g/fonts/open_sans_condensed/open_sans_condensed-l-i.woff") format("woff");}
@font-face { font-family: "Open Sans Condensed"; font-weight: 700; font-style: normal; font-display: swap; src: url("/g/fonts/open_sans_condensed/open_sans_condensed-b.woff2") format("woff2"), url("/g/fonts/open_sans_condensed/open_sans_condensed-b.woff") format("woff");}
@font-face { font-family: "Ubuntu"; font-weight: 300; font-style: normal; font-display: swap; src: url("/g/fonts/ubuntu/ubuntu-l.woff2") format("woff2"), url("/g/fonts/ubuntu/ubuntu-l.woff") format("woff");}
@font-face { font-family: "Ubuntu"; font-weight: 300; font-style: italic; font-display: swap; src: url("/g/fonts/ubuntu/ubuntu-l-i.woff2") format("woff2"), url("/g/fonts/ubuntu/ubuntu-l-i.woff") format("woff");}
@font-face { font-family: "Ubuntu"; font-weight: 400; font-style: normal; font-display: swap; src: url("/g/fonts/ubuntu/ubuntu-r.woff2") format("woff2"), url("/g/fonts/ubuntu/ubuntu-r.woff") format("woff");}
@font-face { font-family: "Ubuntu"; font-weight: 400; font-style: italic; font-display: swap; src: url("/g/fonts/ubuntu/ubuntu-r-i.woff2") format("woff2"), url("/g/fonts/ubuntu/ubuntu-r-i.woff") format("woff");}
@font-face { font-family: "Ubuntu"; font-weight: 500; font-style: normal; font-display: swap; src: url("/g/fonts/ubuntu/ubuntu-m.woff2") format("woff2"), url("/g/fonts/ubuntu/ubuntu-m.woff") format("woff");}
@font-face { font-family: "Ubuntu"; font-weight: 500; font-style: italic; font-display: swap; src: url("/g/fonts/ubuntu/ubuntu-m-i.woff2") format("woff2"), url("/g/fonts/ubuntu/ubuntu-m-i.woff") format("woff");}
@font-face { font-family: "Ubuntu"; font-weight: 700; font-style: normal; font-display: swap; src: url("/g/fonts/ubuntu/ubuntu-b.woff2") format("woff2"), url("/g/fonts/ubuntu/ubuntu-b.woff") format("woff");}
@font-face { font-family: "Ubuntu"; font-weight: 700; font-style: italic; font-display: swap; src: url("/g/fonts/ubuntu/ubuntu-b-i.woff2") format("woff2"), url("/g/fonts/ubuntu/ubuntu-b-i.woff") format("woff");}
:root {
	--color-ik8hah1aj: 255, 255, 255;
	--color-idk1xmodx: 255, 255, 255;
	--color-il6i2nyiq: 255, 255, 255;
	--color-i4e3shmlc: 255, 255, 255;
	--color-ipl9z3qu3: 255, 255, 255;
	--color-i1fyav6rb: 255, 255, 255;
	--color-ifozx1aek: 255, 255, 255;
	--color-irjspd8u3: 255, 255, 255;
	--color-i60fdf3fs: 217, 217, 217;
	--color-ig5cd7jtw: 169, 169, 169;
	--color-ibnk63aue: 169, 169, 169;
	--color-ii14v6mx5: 169, 169, 169;
	--color-idurbzkw0: 169, 169, 169;
	--color-ivydnccj3: 255, 255, 255;
	--color-ikh43h0pe: 169, 169, 169;
	--color-izickpkv1: 169, 169, 169;
	--color-iq4jbz4t3: 169, 169, 169;
	--color-i48jqut8e: 169, 169, 169;
	--color-iufrd7box: 255, 255, 255;
	--color-ig5m8pi6c: 255, 255, 255;
	--color-iildeodl8: 255, 255, 255;
	--color-imjv8sq5j: 255, 255, 255;
	--color-id7iorw2e: 255, 255, 255;
	--color-ixs9w2o73: 255, 255, 255;
	--color-iqxpk6iv8: 255, 255, 255;
	--color-iz8nr3r1b: 169, 169, 169;
	--color-ighf9xax3: 169, 169, 169;
	--color-ilf7xxm7u: 169, 169, 169;
	--color-ija6pe1qq: 169, 169, 169;
	--color-i6yb5id4h: 248, 248, 248;
	--color-ik5hnpo9a: 169, 169, 169;
	--color-iinh0r8mq: 169, 169, 169;
	--color-i8ahqr501: 169, 169, 169;
	--color-iqdym6ut3: 169, 169, 169;
	--color-iebnawxnn: 248, 248, 248;
	--color-i0fsb1qik: 51, 51, 51;
	--color-imh7k1fh5: 0, 0, 0;
	--color-ih8vmqhsc: 0, 0, 0;
	--color-iib8das6f: 255, 255, 255;
	--color-i47p64ee6: 128, 128, 128;
	--color-iqcz0rowc: 128, 128, 128;
	--color-i78xuqnlc: 128, 128, 128;
	--color-ilkbwljjn: 128, 128, 128;
	--color-ikd1gcnd9: 0, 0, 0;
	--color-iwrkgl0vk: 0, 0, 0;
	--color-izj1figs4: 128, 128, 128;
	--color-ir00kznsy: 128, 128, 128;
	--color-iwzs2s1l2: 128, 128, 128;
	--color-i8xizeh4m: 128, 128, 128;
	--color-isk2edlhp: 0, 0, 0;
	--color-iporumb0h: 0, 0, 0;
	--color-i50zotigs: 0, 0, 0;
	--color-i0vaaic50: 255, 255, 255;
	--color-i67bxnoim: 238, 65, 46;
	--color-is9xwj592: 238, 65, 46;
	--color-isl9ic9n5: 238, 65, 46;
	--color-i70f3lx5l: 238, 65, 46;
	--color-iahdhcu5n: 197, 197, 197;
	--color-i1dkwk9op: 197, 197, 197;
	--color-ikn4u0vc4: 197, 197, 197;
	--color-ikap4hnzm: 197, 197, 197;
	--color-iubvoljwj: 197, 197, 197;
	--color-ihphp3229: 255, 0, 0;
	--color-io85c1qtc: 85, 85, 85;
	--color-ieggsx9x5: 0, 0, 255;
	--color-i68clx3n0: 0, 0, 255;
	--color-iwi0wsm0q: 69, 71, 74;
	--color-i4fy52xzg: 0, 0, 0;
	--color-i90fcj5jg: 255, 255, 255;
	--color-iusw26z2q: 255, 255, 255;
	--color-il7361daz: 255, 255, 255;
	--color-i2sqtxp23: 255, 255, 255;
	--color-iidya9y52: 0, 0, 0;
	--color-ivxvfa5el: 0, 0, 0;
	--color-i066n893i: 0, 0, 0;
	--color-iwe6a17i6: 255, 255, 255;
	--color-iq0nsm8iv: 255, 255, 255;
}

.mosaic-form--u-ieia3pfld { display: block; margin-top: 30px; color: rgba(var(--color-iwi0wsm0q), 1); cursor: auto; font-family: Ubuntu, sans-serif; font-size: 17px; font-style: normal; font-weight: 400; letter-spacing: normal; line-height: normal; overflow-wrap: break-word; text-align: left; text-indent: 0px; text-shadow: none; text-transform: none }
.mosaic-form--u-ieia3pfld * { outline-style: none }
.mosaic-form--u-ieia3pfld .mosaic-form__title--u-i4h8tije1 { line-height: normal; margin-bottom: 10px; font-size: 36px; font-weight: 300; color: rgba(var(--color-ik8hah1aj), 0.69); margin-top: 0px }
.mosaic-form--u-ieia3pfld .mosaic-form__header { display: -webkit-box; display: -ms-flexbox; display: flex; margin-bottom: 5px }
.mosaic-form--u-ieia3pfld .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-ieia3pfld .mosaic-form__field { margin-bottom: 10px; margin-top: 30px }
.mosaic-form--u-ieia3pfld .mosaic-form__name { font-weight: 400; color: rgba(var(--color-idk1xmodx), 1); font-size: 16px; padding-right: 5px }
.mosaic-form--u-ieia3pfld .mosaic-form__text { width: 100%; display: block; height: 50px; 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-il6i2nyiq), 0.45); border-right-color: rgba(var(--color-i4e3shmlc), 0.45); border-bottom-color: rgba(var(--color-ipl9z3qu3), 0.45); border-left-color: rgba(var(--color-i1fyav6rb), 0.45); padding-bottom: 10px; padding-top: 10px; padding-left: 40px; padding-right: 40px; background-color: rgba(var(--color-ifozx1aek), 0); flex-shrink: 1; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-right-radius: 5px; border-bottom-left-radius: 5px; color: rgba(var(--color-irjspd8u3), 1) }
.mosaic-form--u-ieia3pfld .mosaic-form__icon { width: 25px; height: 25px; margin-top: 0px; margin-right: 10px; margin-bottom: 0px; margin-left: 0px; background-color: rgba(var(--color-i60fdf3fs), 1); display: none }
.mosaic-form--u-ieia3pfld .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-ieia3pfld .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-ieia3pfld .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-ieia3pfld .mosaic-form__date { -webkit-box-flex: 1; -ms-flex-positive: 1; flex-grow: 1; height: 35px; 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-ig5cd7jtw), 1); border-right-color: rgba(var(--color-ibnk63aue), 1); border-bottom-color: rgba(var(--color-ii14v6mx5), 1); border-left-color: rgba(var(--color-idurbzkw0), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-ivydnccj3), 1); cursor: pointer }
.mosaic-form--u-ieia3pfld .mosaic-form__date-interval { -webkit-box-flex: 1; -ms-flex-positive: 1; flex-grow: 1; height: 35px; 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-ikh43h0pe), 1); border-right-color: rgba(var(--color-izickpkv1), 1); border-bottom-color: rgba(var(--color-iq4jbz4t3), 1); border-left-color: rgba(var(--color-i48jqut8e), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-iufrd7box), 1); cursor: pointer }
.mosaic-form--u-ieia3pfld .mosaic-form__textarea { width: 100%; display: block; height: 70px; 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-ig5m8pi6c), 0.45); border-right-color: rgba(var(--color-iildeodl8), 0.45); border-bottom-color: rgba(var(--color-imjv8sq5j), 0.45); border-left-color: rgba(var(--color-id7iorw2e), 0.45); padding-bottom: 20px; padding-top: 20px; padding-left: 40px; padding-right: 40px; background-color: rgba(var(--color-ixs9w2o73), 0); flex-shrink: 1; border-top-left-radius: 3px; border-top-right-radius: 3px; border-bottom-right-radius: 3px; border-bottom-left-radius: 3px; color: rgba(var(--color-iqxpk6iv8), 1) }
.mosaic-form--u-ieia3pfld .mosaic-form__select { width: 100%; display: block; height: 35px; 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-iz8nr3r1b), 1); border-right-color: rgba(var(--color-ighf9xax3), 1); border-bottom-color: rgba(var(--color-ilf7xxm7u), 1); border-left-color: rgba(var(--color-ija6pe1qq), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-i6yb5id4h), 1) }
.mosaic-form--u-ieia3pfld .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-ik5hnpo9a), 1); border-right-color: rgba(var(--color-iinh0r8mq), 1); border-bottom-color: rgba(var(--color-i8ahqr501), 1); border-left-color: rgba(var(--color-iqdym6ut3), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-iebnawxnn), 1) }
.mosaic-form--u-ieia3pfld .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-ieia3pfld .mosaic-form__date-interval-delimiter { width: 15px; height: 2px; flex-shrink: 0; background-color: rgba(var(--color-i0fsb1qik), 1); margin-right: 5px; margin-left: 5px }
.mosaic-form--u-ieia3pfld .mosaic-form__error { color: rgba(var(--color-imh7k1fh5), 0.81) }
.mosaic-form--u-ieia3pfld .mosaic-form__required { color: rgba(var(--color-ih8vmqhsc), 0.81); font-size: 25px }
.mosaic-form--u-ieia3pfld .mosaic-form__note { color: rgba(var(--color-iib8das6f), 1); font-size: 12px }
.mosaic-form--u-ieia3pfld .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-i47p64ee6), 1); border-right-color: rgba(var(--color-iqcz0rowc), 1); border-bottom-color: rgba(var(--color-i78xuqnlc), 1); border-left-color: rgba(var(--color-ilkbwljjn), 1); background-color: rgba(var(--color-ikd1gcnd9), 0.2) }
.mosaic-form--u-ieia3pfld .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-izj1figs4), 1); border-right-color: rgba(var(--color-ir00kznsy), 1); border-bottom-color: rgba(var(--color-iwzs2s1l2), 1); border-left-color: rgba(var(--color-i8xizeh4m), 1); background-color: rgba(var(--color-isk2edlhp), 0.2) }
.mosaic-form--u-ieia3pfld .mosaic-form__value { margin-left: 5px }
.mosaic-form--u-ieia3pfld .mosaic-form__label { display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; margin-top: 5px; margin-bottom: 5px; -webkit-box-orient: horizontal; -webkit-box-direction: normal; -ms-flex-direction: row; flex-direction: row }
.mosaic-form--u-ieia3pfld .mosaic-form__button { display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; cursor: pointer; vertical-align: top; padding-top: 20px; padding-right: 40px; padding-bottom: 20px; padding-left: 40px; background-color: rgba(var(--color-i50zotigs), 0.81); color: rgba(var(--color-i0vaaic50), 1); position: relative; text-decoration-line: none; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: none; border-right-style: none; border-bottom-style: none; border-left-style: none; border-top-left-radius: 3px; border-top-right-radius: 3px; border-bottom-right-radius: 3px; border-bottom-left-radius: 3px; font-weight: 700; font-size: 22px; text-transform: uppercase; font-family: Open Sans Condensed, sans-serif; border-top-color: rgba(var(--color-i67bxnoim), 1); border-right-color: rgba(var(--color-is9xwj592), 1); border-bottom-color: rgba(var(--color-isl9ic9n5), 1); border-left-color: rgba(var(--color-i70f3lx5l), 1) }
.mosaic-form--u-ieia3pfld .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-iahdhcu5n), 1); border-right-color: rgba(var(--color-i1dkwk9op), 1); border-bottom-color: rgba(var(--color-ikn4u0vc4), 1); border-left-color: rgba(var(--color-ikap4hnzm), 1); margin-bottom: 10px; padding-top: 10px; padding-bottom: 10px; padding-left: 10px; padding-right: 10px; right: 10px }
.mosaic-form--u-ieia3pfld .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-iubvoljwj), 1) }
.mosaic-form--u-ieia3pfld .progressContainer { position: relative }
.mosaic-form--u-ieia3pfld .progressCancel { font-size: 0px; display: block; height: 14px; width: 14px; position: absolute; right: 0px; top: 0px; text-align: center; background-color: rgba(var(--color-ihphp3229), 1) }
.mosaic-form--u-ieia3pfld .progressName { font-weight: 700; color: rgba(var(--color-io85c1qtc), 1); width: 323px; text-align: left; overflow-x: hidden; overflow-y: hidden }
.mosaic-form--u-ieia3pfld .progressBarStatus { margin-top: 2px; width: 337px; text-align: left }
.mosaic-form--u-ieia3pfld .progressBarInProgress { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-ieggsx9x5), 1); margin-top: 2px }
.mosaic-form--u-ieia3pfld .progressBarComplete { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-i68clx3n0), 1); margin-top: 2px }
.mosaic-form--u-ieia3pfld .mosaic-form__upload-count-container { display: -webkit-box; display: -ms-flexbox; display: flex }
.mosaic-form--u-ieia3pfld .div--u-io0q7qt9b { margin-top: 20px }
.mosaic-form--u-ieia3pfld .div--u-ioi78iaqg { margin-top: 20px }
.mosaic-form--u-ieia3pfld .mosaic-form__success__text--u-isq141wdh { color: rgba(var(--color-i90fcj5jg), 1); font-weight: 700; margin-top: 20px }
.mosaic-form--u-ieia3pfld .mosaic-form__checkbox { width: 20px; height: 20px; flex-shrink: 0; margin-right: 10px }
.mosaic-form--u-ieia3pfld .mosaic-form__radio-icon:hover, .mosaic-form--u-ieia3pfld .mosaic-form__radio-icon.is-hover { background-image: url("data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSI2IiBoZWlnaHQ9IjYiIHZpZXdCb3g9IjAgMCA2IDYiPjxnPjxnIG9wYWNpdHk9Ii4zIj48cGF0aCBkPSJNMyA2YTMgMyAwIDEgMCAwLTYgMyAzIDAgMCAwIDAgNnoiLz48L2c+PC9nPjwvc3ZnPg=="); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-ieia3pfld .mosaic-form__checkbox-icon:hover, .mosaic-form--u-ieia3pfld .mosaic-form__checkbox-icon.is-hover { background-image: url("data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxMSIgaGVpZ2h0PSI5IiB2aWV3Qm94PSIwIDAgMTEgOSI+PGc+PGc+PHBhdGggZmlsbD0ibm9uZSIgc3Ryb2tlPSJncmF5IiBzdHJva2UtbWl0ZXJsaW1pdD0iNTAiIHN0cm9rZS13aWR0aD0iMiIgZD0iTTEwIDF2MEw0LjUgNy41djBMMSA0djAiLz48L2c+PC9nPjwvc3ZnPg=="); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-ieia3pfld .progressWrapper:first-child { padding-top: 0px; border-top-width: 0px }
.mosaic-form--u-ieia3pfld .progressWrapper:last-child { padding-bottom: 0px }
.mosaic-form--u-ieia3pfld .mosaic-form__textarea::placeholder { color: rgba(var(--color-iusw26z2q), 1) }
.mosaic-form--u-ieia3pfld .mosaic-form__text::placeholder { color: rgba(var(--color-il7361daz), 1) }
.mosaic-form--u-ieia3pfld .mosaic-form__button:hover, .mosaic-form--u-ieia3pfld .mosaic-form__button.is-hover { box-shadow: 0px 20px 40px 1px rgba(var(--color-iidya9y52), 0.35); background-image: none; background-repeat: repeat; background-position: 0 0; background-size: auto; background-attachment: scroll; background-color: rgba(var(--color-ivxvfa5el), 1) }
.mosaic-form--u-ieia3pfld .mosaic-form__button:active, .mosaic-form--u-ieia3pfld .mosaic-form__button.is-active { background-color: rgba(var(--color-i066n893i), 0.79) }
.mosaic-form--u-ieia3pfld .mosaic-form__field--u-iiur1blvc .mosaic-form__header { display: none }
.mosaic-form--u-ieia3pfld .mosaic-form__checkbox ~ .mosaic-form__value { font-size: 14px; color: rgba(var(--color-i2sqtxp23), 1) }
.mosaic-form--u-ieia3pfld .mosaic-form__radio:checked ~ .mosaic-form__radio-icon, .mosaic-form--u-ieia3pfld .mosaic-form__radio.is-checked ~ .mosaic-form__radio-icon { background-color: rgba(var(--color-iwrkgl0vk), 0.2); background-image: url("data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSI2IiBoZWlnaHQ9IjYiIHZpZXdCb3g9IjAgMCA2IDYiPjxnPjxnIG9wYWNpdHk9Ii42Ij48cGF0aCBkPSJNMyA2YTMgMyAwIDEgMCAwLTYgMyAzIDAgMCAwIDAgNnoiLz48L2c+PC9nPjwvc3ZnPg=="); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-ieia3pfld .mosaic-form__checkbox:checked ~ .mosaic-form__checkbox-icon, .mosaic-form--u-ieia3pfld .mosaic-form__checkbox.is-checked ~ .mosaic-form__checkbox-icon { background-color: rgba(var(--color-iporumb0h), 0.2); background-image: url("data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxMSIgaGVpZ2h0PSI5IiB2aWV3Qm94PSIwIDAgMTEgOSI+PGc+PGc+PHBhdGggZmlsbD0ibm9uZSIgc3Ryb2tlPSIjMzMzIiBzdHJva2UtbWl0ZXJsaW1pdD0iNTAiIHN0cm9rZS13aWR0aD0iMiIgZD0iTTEwIDF2MEw0LjUgNy41djBMMSA0djAiLz48L2c+PC9nPjwvc3ZnPg=="); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-ieia3pfld .mosaic-form__button:hover .button__text, .mosaic-form--u-ieia3pfld .mosaic-form__button.is-hover .button__text { color: rgba(var(--color-iwe6a17i6), 1) }
.mosaic-form--u-ieia3pfld .mosaic-form__button:active .button__text, .mosaic-form--u-ieia3pfld .mosaic-form__button.is-active .button__text { color: rgba(var(--color-iq0nsm8iv), 1) }
.div--u-io0q7qt9b { width: 100%; position: relative; display: block }
.div--u-ioi78iaqg { width: 100%; position: relative; display: block }
.mosaic-form__field--u-imibjlvys { display: block }
.div--u-iv36umt18 { width: 100%; position: relative; display: block }
.mosaic-form__field--u-i8dwzfnne { display: block }
.mosaic-form__field--u-ih77thhrh { display: block }
.mosaic-form__field--u-icy0wcb9g { display: block }

@media (max-width: 991px) {
	.mosaic-form--u-ieia3pfld { margin-top: 0px; display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column; -webkit-box-align: stretch; -ms-flex-align: stretch; align-items: stretch }
	.mosaic-form--u-ieia3pfld .mosaic-form__title--u-i4h8tije1 { text-align: center; font-size: 23px }
	.mosaic-form--u-ieia3pfld .div--u-ioi78iaqg { display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column;  -webkit-box-align: center; -ms-flex-align: center; align-items: center }
}

@media (max-width: 767px) {
	.mosaic-form--u-ieia3pfld .mosaic-form__title--u-i4h8tije1 { text-align: center }
	.mosaic-form--u-ieia3pfld .div--u-ioi78iaqg { display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column;  -webkit-box-align: center; -ms-flex-align: center; align-items: center }
}