@font-face { font-family: "Roboto"; font-weight: 100; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-t.woff2") format("woff2"), url("/g/fonts/roboto/roboto-t.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 100; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-t-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-t-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 300; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-l.woff2") format("woff2"), url("/g/fonts/roboto/roboto-l.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 300; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-l-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-l-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 400; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-r.woff2") format("woff2"), url("/g/fonts/roboto/roboto-r.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 400; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-r-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-r-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 500; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-m.woff2") format("woff2"), url("/g/fonts/roboto/roboto-m.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 500; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-m-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-m-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 700; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-b.woff2") format("woff2"), url("/g/fonts/roboto/roboto-b.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 700; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-b-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-b-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 900; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-bl.woff2") format("woff2"), url("/g/fonts/roboto/roboto-bl.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 900; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-bl-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-bl-i.woff") format("woff");}
:root {
	--color-imomuebl9: 255, 118, 37;
	--color-iucoxou3o: 255, 255, 255;
	--color-i23x2nzxu: 212, 212, 212;
	--color-iuiodrn8k: 212, 212, 212;
	--color-ibnn5iaqw: 212, 212, 212;
	--color-iup3f0g3o: 212, 212, 212;
	--color-i058l5xop: 255, 255, 255;
	--color-it6cdj6xl: 0, 0, 0;
	--color-iaoq82meq: 169, 169, 169;
	--color-ifk6j7s2o: 169, 169, 169;
	--color-ivm0j80xw: 169, 169, 169;
	--color-ixwxkkk9u: 169, 169, 169;
	--color-i7tijj13w: 255, 255, 255;
	--color-ixascqgni: 169, 169, 169;
	--color-ivmd610dz: 169, 169, 169;
	--color-i2eyu5983: 169, 169, 169;
	--color-i2nfsol9o: 169, 169, 169;
	--color-izgj6567q: 255, 255, 255;
	--color-i1kjk13eu: 169, 169, 169;
	--color-irw8i5q9e: 169, 169, 169;
	--color-iai6b3ftp: 169, 169, 169;
	--color-inwzf5l0n: 169, 169, 169;
	--color-iomvgfi99: 255, 255, 255;
	--color-i8gmhx8va: 169, 169, 169;
	--color-ieql6dexk: 169, 169, 169;
	--color-ij28jnol8: 169, 169, 169;
	--color-i2nsnfbpx: 169, 169, 169;
	--color-iyny1u3dm: 248, 248, 248;
	--color-ip250clgr: 169, 169, 169;
	--color-iy6h5ysjm: 169, 169, 169;
	--color-iohli1j4l: 169, 169, 169;
	--color-i3ifj29hv: 169, 169, 169;
	--color-ixse032q6: 248, 248, 248;
	--color-inul9h6he: 51, 51, 51;
	--color-ib6upa1e7: 255, 118, 37;
	--color-izner0na9: 255, 0, 0;
	--color-in36rg3so: 128, 128, 128;
	--color-io8sloq30: 128, 128, 128;
	--color-ije2hadt3: 128, 128, 128;
	--color-if1n8su1k: 128, 128, 128;
	--color-ikqzd68m5: 128, 128, 128;
	--color-i3t8jkwg4: 0, 0, 0;
	--color-i1sdwf220: 0, 0, 0;
	--color-izsss21sr: 128, 128, 128;
	--color-ipnfvvg9x: 128, 128, 128;
	--color-ijm0752u8: 128, 128, 128;
	--color-i2qt12bkx: 128, 128, 128;
	--color-ivdrua07o: 0, 0, 0;
	--color-izfnzbjkd: 0, 0, 0;
	--color-i9usw3och: 255, 118, 37;
	--color-iqwq9wlz8: 255, 118, 37;
	--color-il435e12x: 255, 118, 37;
	--color-i408yakrs: 255, 118, 37;
	--color-izj4h0wlo: 255, 118, 37;
	--color-i325it0co: 255, 118, 37;
	--color-iw2mlhsdk: 255, 255, 255;
	--color-iicwdqmu4: 197, 197, 197;
	--color-idlv18lch: 197, 197, 197;
	--color-ioi2yf9rk: 197, 197, 197;
	--color-izzt2r9bj: 197, 197, 197;
	--color-idg95gjdv: 197, 197, 197;
	--color-i05kdgmmf: 255, 0, 0;
	--color-iq6w3fhl0: 85, 85, 85;
	--color-iskwxvr8u: 0, 0, 255;
	--color-i006a568r: 0, 0, 255;
	--color-ib9m57xme: 246, 246, 246;
	--color-iluxq1ojr: 9, 33, 33;
	--color-iub4gqzfz: 255, 255, 255;
	--color-ik2z8r0tl: 33, 35, 55;
	--color-ib8lzg5en: 255, 118, 37;
	--color-ijr1mm5l7: 33, 35, 55;
	--color-i5ovr2dod: 255, 118, 37;
	--color-ijmvmauk6: 255, 118, 37;
	--color-i7beojryo: 255, 118, 37;
	--color-ip49iss2b: 255, 118, 37;
	--color-iun2l9l0h: 255, 118, 37;
	--color-insirjwzt: 184, 184, 184;
	--color-irtra6y16: 255, 255, 255;
	--color-iozjnd8b3: 255, 255, 255;
}

.mosaic-form--u-iy00qtdwk { display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column; flex-shrink: 0; padding-left: 0px; padding-right: 0px; padding-top: 0px; padding-bottom: 0px; border-top-left-radius: 10px; border-top-right-radius: 10px; border-bottom-right-radius: 10px; border-bottom-left-radius: 10px; background-color: rgba(var(--color-ib9m57xme), 0); box-shadow: none; margin-top: 0px; background-image: none; background-repeat: repeat; background-position: 0 0; background-size: auto; background-attachment: scroll; margin-left: auto; margin-right: auto; color: rgba(var(--color-iub4gqzfz), 1); cursor: auto; font-size: 16px; 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-iy00qtdwk * { outline-style: none }
.mosaic-form--u-iy00qtdwk .mosaic-form__title--u-izx7y606u { font-size: 16px; line-height: 100%; margin-bottom: 0px; color: rgba(var(--color-imomuebl9), 1); font-weight: 300; padding-bottom: 5px; background-image: none; background-repeat: repeat; background-position: 0 0; background-size: auto; background-attachment: scroll; margin-left: 0px; margin-right: 0px; display: -webkit-box; display: -ms-flexbox; display: flex; justify-content: flex-start; text-transform: none; margin-top: 0px }
.mosaic-form--u-iy00qtdwk .mosaic-form__header { display: -webkit-box; display: -ms-flexbox; display: flex; margin-bottom: 5px; color: rgba(var(--color-iucoxou3o), 1) }
.mosaic-form--u-iy00qtdwk .mosaic-form__field { margin-bottom: 0px; font-size: 14px; margin-left: 0px; margin-right: 20px; width: 100%; overflow-x: visible; overflow-y: visible }
.mosaic-form--u-iy00qtdwk .mosaic-form__name { font-weight: bold; font-size: 15px }
.mosaic-form--u-iy00qtdwk .mosaic-form__text { width: 100%; display: block; height: auto; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-i23x2nzxu), 0.35); border-right-color: rgba(var(--color-iuiodrn8k), 0.35); border-bottom-color: rgba(var(--color-ibnn5iaqw), 0.35); border-left-color: rgba(var(--color-iup3f0g3o), 0.35); padding-bottom: 20px; padding-top: 20px; padding-left: 20px; padding-right: 20px; background-color: rgba(var(--color-i058l5xop), 1); color: rgba(var(--color-it6cdj6xl), 1); font-size: 16px; border-top-left-radius: 10px; border-top-right-radius: 10px; border-bottom-right-radius: 10px; border-bottom-left-radius: 10px }
.mosaic-form--u-iy00qtdwk .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-iaoq82meq), 1); border-right-color: rgba(var(--color-ifk6j7s2o), 1); border-bottom-color: rgba(var(--color-ivm0j80xw), 1); border-left-color: rgba(var(--color-ixwxkkk9u), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-i7tijj13w), 1); cursor: pointer }
.mosaic-form--u-iy00qtdwk .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-ixascqgni), 1); border-right-color: rgba(var(--color-ivmd610dz), 1); border-bottom-color: rgba(var(--color-i2eyu5983), 1); border-left-color: rgba(var(--color-i2nfsol9o), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-izgj6567q), 1); cursor: pointer }
.mosaic-form--u-iy00qtdwk .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-i1kjk13eu), 1); border-right-color: rgba(var(--color-irw8i5q9e), 1); border-bottom-color: rgba(var(--color-iai6b3ftp), 1); border-left-color: rgba(var(--color-inwzf5l0n), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-iomvgfi99), 1) }
.mosaic-form--u-iy00qtdwk .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-i8gmhx8va), 1); border-right-color: rgba(var(--color-ieql6dexk), 1); border-bottom-color: rgba(var(--color-ij28jnol8), 1); border-left-color: rgba(var(--color-i2nsnfbpx), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-iyny1u3dm), 1) }
.mosaic-form--u-iy00qtdwk .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-ip250clgr), 1); border-right-color: rgba(var(--color-iy6h5ysjm), 1); border-bottom-color: rgba(var(--color-iohli1j4l), 1); border-left-color: rgba(var(--color-i3ifj29hv), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-ixse032q6), 1) }
.mosaic-form--u-iy00qtdwk .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-iy00qtdwk .mosaic-form__date-interval-delimiter { width: 15px; height: 2px; flex-shrink: 0; background-color: rgba(var(--color-inul9h6he), 1); margin-right: 5px; margin-left: 5px }
.mosaic-form--u-iy00qtdwk .mosaic-form__success--u-i7chsr0d9 { font-size: 16px }
.mosaic-form--u-iy00qtdwk .mosaic-form__error { color: rgba(var(--color-ib6upa1e7), 1); padding-left: 20px; padding-right: 20px; margin-bottom: 5px; font-family: Roboto, sans-serif }
.mosaic-form--u-iy00qtdwk .mosaic-form__required { color: rgba(var(--color-izner0na9), 1) }
.mosaic-form--u-iy00qtdwk .mosaic-form__note { font-size: 12px; color: rgba(var(--color-in36rg3so), 1) }
.mosaic-form--u-iy00qtdwk .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-io8sloq30), 1); border-right-color: rgba(var(--color-ije2hadt3), 1); border-bottom-color: rgba(var(--color-if1n8su1k), 1); border-left-color: rgba(var(--color-ikqzd68m5), 1); background-color: rgba(var(--color-i3t8jkwg4), 0.2) }
.mosaic-form--u-iy00qtdwk .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-izsss21sr), 1); border-right-color: rgba(var(--color-ipnfvvg9x), 1); border-bottom-color: rgba(var(--color-ijm0752u8), 1); border-left-color: rgba(var(--color-i2qt12bkx), 1); background-color: rgba(var(--color-ivdrua07o), 0.2) }
.mosaic-form--u-iy00qtdwk .mosaic-form__value { margin-left: 5px }
.mosaic-form--u-iy00qtdwk .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-iy00qtdwk .mosaic-form__button { display: -webkit-box; display: -ms-flexbox; display: flex; cursor: pointer; vertical-align: top; padding-top: 20px; padding-right: 35px; padding-bottom: 20px; padding-left: 35px; line-height: normal; background-color: rgba(var(--color-i9usw3och), 1); position: relative; text-decoration-line: none; margin-top: 0px; background-image: none; background-repeat: repeat; background-position: 0 0; background-size: auto; background-attachment: scroll;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; justify-content: center; box-shadow: 0px 30px 16px -18px rgba(var(--color-iqwq9wlz8), 0.5); border-top-color: rgba(var(--color-il435e12x), 1); border-right-color: rgba(var(--color-i408yakrs), 1); border-bottom-color: rgba(var(--color-izj4h0wlo), 1); border-left-color: rgba(var(--color-i325it0co), 1); border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; color: rgba(var(--color-iw2mlhsdk), 1); border-top-left-radius: 10px; border-top-right-radius: 10px; border-bottom-right-radius: 10px; border-bottom-left-radius: 10px }
.mosaic-form--u-iy00qtdwk .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-iicwdqmu4), 1); border-right-color: rgba(var(--color-idlv18lch), 1); border-bottom-color: rgba(var(--color-ioi2yf9rk), 1); border-left-color: rgba(var(--color-izzt2r9bj), 1); margin-bottom: 10px; padding-top: 10px; padding-bottom: 10px; padding-left: 10px; padding-right: 10px; right: 10px }
.mosaic-form--u-iy00qtdwk .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-idg95gjdv), 1) }
.mosaic-form--u-iy00qtdwk .progressContainer { position: relative }
.mosaic-form--u-iy00qtdwk .progressCancel { font-size: 0px; display: block; height: 14px; width: 14px; position: absolute; right: 0px; top: 0px; text-align: center; background-color: rgba(var(--color-i05kdgmmf), 1) }
.mosaic-form--u-iy00qtdwk .progressName { font-size: 0.7em; font-weight: 700; color: rgba(var(--color-iq6w3fhl0), 1); width: 323px; text-align: left; overflow-x: hidden; overflow-y: hidden }
.mosaic-form--u-iy00qtdwk .progressBarStatus { margin-top: 2px; width: 337px; font-size: 0.6em; text-align: left }
.mosaic-form--u-iy00qtdwk .progressBarInProgress { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-iskwxvr8u), 1); margin-top: 2px }
.mosaic-form--u-iy00qtdwk .progressBarComplete { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-i006a568r), 1); margin-top: 2px }
.mosaic-form--u-iy00qtdwk .mosaic-form__upload-count-container { display: -webkit-box; display: -ms-flexbox; display: flex }
.mosaic-form--u-iy00qtdwk .div--u-ipsqia7fc { padding-bottom: 0px; display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-align: end; -ms-flex-align: end; align-items: flex-end; margin-left: 0px; margin-right: 0px; -webkit-box-orient: horizontal; -webkit-box-direction: normal; -ms-flex-direction: row; flex-direction: row }
.mosaic-form--u-iy00qtdwk .button__text { text-shadow: none }
.mosaic-form--u-iy00qtdwk .mosaic-form__success__text--u-i6lzgjwb2 { text-align: center; color: rgba(var(--color-iozjnd8b3), 1) }
.mosaic-form--u-iy00qtdwk .text--u-iu297clg7 { font-size: 2.5vw; font-weight: 700; line-height: 100%; margin-bottom: 0px; display: block; text-transform: uppercase }
.mosaic-form--u-iy00qtdwk .div--u-iu03sez5q { display: -webkit-box; display: -ms-flexbox; display: flex; justify-content: flex-start;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; width: auto; margin-right: 20px }
.mosaic-form--u-iy00qtdwk .mosaic-form__form--u-idnw1p1nu { 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: start; -ms-flex-align: start; align-items: flex-start }
.mosaic-form--u-iy00qtdwk .div--u-ikv1zb2p9 { display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-align: end; -ms-flex-align: end; align-items: flex-end; margin-bottom: 30px; justify-content: space-between }
.mosaic-form--u-iy00qtdwk .mosaic-form__radio-icon:hover, .mosaic-form--u-iy00qtdwk .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-iy00qtdwk .mosaic-form__checkbox-icon:hover, .mosaic-form--u-iy00qtdwk .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-iy00qtdwk .progressWrapper:first-child { padding-top: 0px; border-top-width: 0px }
.mosaic-form--u-iy00qtdwk .progressWrapper:last-child { padding-bottom: 0px }
.mosaic-form--u-iy00qtdwk .mosaic-form__button:hover, .mosaic-form--u-iy00qtdwk .mosaic-form__button.is-hover { box-shadow: none; background-color: rgba(var(--color-ib8lzg5en), 1) }
.mosaic-form--u-iy00qtdwk .mosaic-form__button:active, .mosaic-form--u-iy00qtdwk .mosaic-form__button.is-active { box-shadow: inset 0px 4px 6px 0px rgba(var(--color-ijr1mm5l7), 0.46); background-color: rgba(var(--color-i5ovr2dod), 1); border-top-color: rgba(var(--color-ijmvmauk6), 1); border-right-color: rgba(var(--color-i7beojryo), 1); border-bottom-color: rgba(var(--color-ip49iss2b), 1); border-left-color: rgba(var(--color-iun2l9l0h), 1) }
.mosaic-form--u-iy00qtdwk .mosaic-form__text::placeholder { color: rgba(var(--color-insirjwzt), 1) }
.mosaic-form--u-iy00qtdwk .mosaic-form__field--u-i3rx4qrdd .mosaic-form__header { display: none }
.mosaic-form--u-iy00qtdwk .mosaic-form__field--u-im467tr3i .mosaic-form__header { display: none }
.mosaic-form--u-iy00qtdwk .mosaic-form__radio:checked ~ .mosaic-form__radio-icon, .mosaic-form--u-iy00qtdwk .mosaic-form__radio.is-checked ~ .mosaic-form__radio-icon { background-color: rgba(var(--color-i1sdwf220), 0.2); background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-iy00qtdwk .mosaic-form__checkbox:checked ~ .mosaic-form__checkbox-icon, .mosaic-form--u-iy00qtdwk .mosaic-form__checkbox.is-checked ~ .mosaic-form__checkbox-icon { background-color: rgba(var(--color-izfnzbjkd), 0.2); background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.div--u-ipsqia7fc { width: 100%; position: relative; display: block }
.mosaic-form__field--u-im467tr3i { display: block }
.mosaic-form__button--u-i99pn5gqo { display: inline-block }
.text--u-iu297clg7 { display: -webkit-box; display: -ms-flexbox; display: flex; vertical-align: top; position: relative }
.div--u-iu03sez5q { width: 100%; position: relative; display: block }
.div--u-ikv1zb2p9 { width: 100%; position: relative; display: block }

@media (max-width: 991px) {
	.mosaic-form--u-iy00qtdwk { width: 100%; margin-top: 0px }
	.mosaic-form--u-iy00qtdwk .mosaic-form__title--u-izx7y606u { background-position: center bottom 0; font-size: 16px }
	.mosaic-form--u-iy00qtdwk .text--u-iu297clg7 { font-size: 30px; margin-left: 10px }
	.mosaic-form--u-iy00qtdwk .div--u-ikv1zb2p9 { margin-bottom: 20px }
}

@media (max-width: 767px) {
	.mosaic-form--u-iy00qtdwk { -webkit-box-align: stretch; -ms-flex-align: stretch; align-items: stretch }
	.mosaic-form--u-iy00qtdwk .div--u-ipsqia7fc { display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column; margin-left: 0px; width: 100% }
	.mosaic-form--u-iy00qtdwk .mosaic-form__field { margin-left: 0px; margin-right: 0px; margin-bottom: 10px }
	.mosaic-form--u-iy00qtdwk .mosaic-form__button { margin-left: auto; margin-right: auto }
	.mosaic-form--u-iy00qtdwk .text--u-iu297clg7 { font-size: 30px }
	.mosaic-form--u-iy00qtdwk .mosaic-form__title--u-izx7y606u { font-size: 20px }
	.mosaic-form--u-iy00qtdwk .div--u-ikv1zb2p9 { -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 }
	.mosaic-form--u-iy00qtdwk .div--u-iu03sez5q { margin-left: auto; margin-right: auto; margin-bottom: 5px; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column; text-align: center }
}

@media (max-width: 479px) {
	.mosaic-form--u-iy00qtdwk .mosaic-form__title--u-izx7y606u { justify-content: center; font-size: 16px; text-align: center; margin-left: auto; margin-right: auto }
	.mosaic-form--u-iy00qtdwk .mosaic-form__button {  }
	.mosaic-form--u-iy00qtdwk .text--u-iu297clg7 { font-size: 24px }
	.mosaic-form--u-iy00qtdwk .div--u-iu03sez5q { margin-bottom: 5px }
}