:root {
	--color-i46dkgoyr: 0, 0, 0;
	--color-iwu5mz02x: 255, 255, 255;
	--color-ixvgbb9sf: 238, 238, 238;
	--color-i6s0y4rq8: 169, 169, 169;
	--color-iagk7jeaq: 169, 169, 169;
	--color-iebtd7gn0: 169, 169, 169;
	--color-i6041p9fq: 169, 169, 169;
	--color-iosxrfjtf: 255, 255, 255;
	--color-ia92jg0wr: 217, 217, 217;
	--color-iu77xgg3v: 169, 169, 169;
	--color-iju1z63fj: 169, 169, 169;
	--color-i4xe7733v: 169, 169, 169;
	--color-ify08te9r: 169, 169, 169;
	--color-i24dfb54m: 255, 255, 255;
	--color-isphf7myl: 169, 169, 169;
	--color-ifs8u5ryd: 169, 169, 169;
	--color-ial9ew6la: 169, 169, 169;
	--color-iyxma8zt9: 169, 169, 169;
	--color-i3xhejis6: 255, 255, 255;
	--color-ikf5xp8hk: 169, 169, 169;
	--color-ix1s3m1oj: 169, 169, 169;
	--color-ivmdpivv8: 169, 169, 169;
	--color-i7rqpcqlb: 169, 169, 169;
	--color-i0ljluvvw: 255, 255, 255;
	--color-i5c37stap: 169, 169, 169;
	--color-inupewg0p: 169, 169, 169;
	--color-icjkh8k2p: 169, 169, 169;
	--color-iildz5kpv: 169, 169, 169;
	--color-ifnhlt25j: 248, 248, 248;
	--color-i05o1oply: 169, 169, 169;
	--color-imh88f1d2: 169, 169, 169;
	--color-iy36ca6vk: 169, 169, 169;
	--color-ihjvvgi4d: 169, 169, 169;
	--color-ijlkskfdz: 248, 248, 248;
	--color-io0zf1lgh: 51, 51, 51;
	--color-ii3zpczr5: 245, 130, 31;
	--color-ilokibguo: 255, 0, 0;
	--color-iaz6gb75d: 128, 128, 128;
	--color-iec5of62e: 128, 128, 128;
	--color-igozijvd1: 128, 128, 128;
	--color-im6jyzcjd: 128, 128, 128;
	--color-ig0du8l1j: 128, 128, 128;
	--color-ivrldmtvj: 0, 0, 0;
	--color-iwf3kh36u: 0, 0, 0;
	--color-ihqp8av9y: 128, 128, 128;
	--color-impkrpxyk: 128, 128, 128;
	--color-inqd9y5b3: 128, 128, 128;
	--color-iwqlodeka: 128, 128, 128;
	--color-i5evkc4qr: 0, 0, 0;
	--color-i44hsto1v: 0, 0, 0;
	--color-i06r9e7gq: 245, 130, 31;
	--color-ih9sptgr8: 255, 255, 255;
	--color-i3puyqrud: 255, 255, 255;
	--color-icp8gzzwx: 255, 255, 255;
	--color-ii875qhpg: 255, 255, 255;
	--color-i1p0gyb8l: 255, 255, 255;
	--color-i2e6kelyg: 197, 197, 197;
	--color-ikzt9svme: 197, 197, 197;
	--color-iftg4khhz: 197, 197, 197;
	--color-irg62gp0l: 197, 197, 197;
	--color-i3jslxmva: 197, 197, 197;
	--color-i57u9rs0q: 255, 0, 0;
	--color-ie6ocqmuk: 85, 85, 85;
	--color-ijftiwmlp: 0, 0, 255;
	--color-ikgdq37en: 0, 0, 255;
	--color-ipe2zsakw: 245, 130, 31;
	--color-ikvw9i36i: 255, 255, 255;
	--color-itx3lma3x: 255, 255, 255;
	--color-ij6hxvl4s: 255, 255, 255;
	--color-iezh2t2dj: 255, 255, 255;
	--color-iatz1tgxu: 169, 169, 169;
	--color-i3kwv41s0: 169, 169, 169;
	--color-ia17f77kg: 169, 169, 169;
	--color-itqufe8ls: 169, 169, 169;
	--color-i9mhb82a1: 169, 169, 169;
	--color-iu0w8fdwy: 169, 169, 169;
	--color-i4gs4j2eq: 169, 169, 169;
	--color-i2j2phyls: 169, 169, 169;
	--image-ijw2dzw94: url("/d/tpl25_1555444.png");
	--color-i4six4u7m: 44, 45, 44;
}

.mosaic-popup--u-iduyz1sio { position: fixed; top: 0px; left: 0px; z-index: 11 }
.mosaic-popup__inner-bg--u-ivcv1g9oa { position: fixed; top: 0px; right: 0px; left: 0px; bottom: 0px; background-color: rgba(var(--color-i46dkgoyr), 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-iy0a2fasf { position: relative; width: 300px; min-height: auto; max-width: 100vw; background-color: rgba(var(--color-iwu5mz02x), 1); margin-top: auto; margin-right: auto; margin-bottom: auto; margin-left: auto; border-top-left-radius: 10px; border-top-right-radius: 10px; border-bottom-right-radius: 10px; border-bottom-left-radius: 10px }
.mosaic-popup__close--u-in13q187u { cursor: pointer; position: absolute; right: 0px; top: 0px; min-width: 50px; min-height: 50px; text-align: center; background-color: rgba(var(--color-ixvgbb9sf), 1); 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; margin-top: 10px; margin-right: 10px; border-top-left-radius: 50px; border-top-right-radius: 50px; border-bottom-right-radius: 50px; border-bottom-left-radius: 50px }
.svg_image--u-i2zhvgv5k { 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-i2zhvgv5k .path-iji428fxw { fill: rgba(var(--color-i4six4u7m), 1) }
.mosaic-form--u-i0xkzjzrn { display: block }
.mosaic-form--u-i0xkzjzrn * { outline-style: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__title--u-ice55dcz7 { line-height: 27px; margin-bottom: 20px; font-weight: 400; font-size: 35px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__header { display: -webkit-box; display: -ms-flexbox; display: flex; margin-bottom: 5px }
.mosaic-form--u-i0xkzjzrn .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-i0xkzjzrn .mosaic-form__field { margin-bottom: 10px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__name { font-weight: bold }
.mosaic-form--u-i0xkzjzrn .mosaic-form__text { width: 100%; display: block; height: 51px; 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-i6s0y4rq8), 0.24); border-right-color: rgba(var(--color-iagk7jeaq), 0.24); border-bottom-color: rgba(var(--color-iebtd7gn0), 0.24); border-left-color: rgba(var(--color-i6041p9fq), 0.24); padding-bottom: 15px; padding-top: 15px; padding-left: 25px; padding-right: 25px; background-color: rgba(var(--color-iosxrfjtf), 1); flex-shrink: 1; border-top-left-radius: 10px; border-top-right-radius: 10px; border-bottom-right-radius: 10px; border-bottom-left-radius: 10px; font-size: 14px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__icon { width: 25px; height: 25px; margin-top: 0px; margin-right: 10px; margin-bottom: 0px; margin-left: 0px; background-color: rgba(var(--color-ia92jg0wr), 1) }
.mosaic-form--u-i0xkzjzrn .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-i0xkzjzrn .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-i0xkzjzrn .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-i0xkzjzrn .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-iu77xgg3v), 1); border-right-color: rgba(var(--color-iju1z63fj), 1); border-bottom-color: rgba(var(--color-i4xe7733v), 1); border-left-color: rgba(var(--color-ify08te9r), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-i24dfb54m), 1); cursor: pointer }
.mosaic-form--u-i0xkzjzrn .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-isphf7myl), 1); border-right-color: rgba(var(--color-ifs8u5ryd), 1); border-bottom-color: rgba(var(--color-ial9ew6la), 1); border-left-color: rgba(var(--color-iyxma8zt9), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-i3xhejis6), 1); cursor: pointer }
.mosaic-form--u-i0xkzjzrn .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-ikf5xp8hk), 0.24); border-right-color: rgba(var(--color-ix1s3m1oj), 0.24); border-bottom-color: rgba(var(--color-ivmdpivv8), 0.24); border-left-color: rgba(var(--color-i7rqpcqlb), 0.24); padding-bottom: 15px; padding-top: 15px; padding-left: 25px; padding-right: 25px; background-color: rgba(var(--color-i0ljluvvw), 1); flex-shrink: 1; font-size: 14px; border-top-left-radius: 10px; border-top-right-radius: 10px; border-bottom-right-radius: 10px; border-bottom-left-radius: 10px }
.mosaic-form--u-i0xkzjzrn .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-i5c37stap), 1); border-right-color: rgba(var(--color-inupewg0p), 1); border-bottom-color: rgba(var(--color-icjkh8k2p), 1); border-left-color: rgba(var(--color-iildz5kpv), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-ifnhlt25j), 1) }
.mosaic-form--u-i0xkzjzrn .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-i05o1oply), 1); border-right-color: rgba(var(--color-imh88f1d2), 1); border-bottom-color: rgba(var(--color-iy36ca6vk), 1); border-left-color: rgba(var(--color-ihjvvgi4d), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-ijlkskfdz), 1) }
.mosaic-form--u-i0xkzjzrn .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-i0xkzjzrn .mosaic-form__date-interval-delimiter { width: 15px; height: 2px; flex-shrink: 0; background-color: rgba(var(--color-io0zf1lgh), 1); margin-right: 5px; margin-left: 5px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__error { color: rgba(var(--color-ii3zpczr5), 1); margin-bottom: 5px; font-size: 12px; font-family: Arial, Helvetica, sans-serif }
.mosaic-form--u-i0xkzjzrn .mosaic-form__required { color: rgba(var(--color-ilokibguo), 1) }
.mosaic-form--u-i0xkzjzrn .mosaic-form__note { color: rgba(var(--color-iaz6gb75d), 1) }
.mosaic-form--u-i0xkzjzrn .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-iec5of62e), 1); border-right-color: rgba(var(--color-igozijvd1), 1); border-bottom-color: rgba(var(--color-im6jyzcjd), 1); border-left-color: rgba(var(--color-ig0du8l1j), 1); background-color: rgba(var(--color-ivrldmtvj), 0.2) }
.mosaic-form--u-i0xkzjzrn .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-ihqp8av9y), 1); border-right-color: rgba(var(--color-impkrpxyk), 1); border-bottom-color: rgba(var(--color-inqd9y5b3), 1); border-left-color: rgba(var(--color-iwqlodeka), 1); background-color: rgba(var(--color-i5evkc4qr), 0.2) }
.mosaic-form--u-i0xkzjzrn .mosaic-form__value { margin-left: 5px }
.mosaic-form--u-i0xkzjzrn .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-i0xkzjzrn .mosaic-form__button { display: -webkit-box; display: -ms-flexbox; display: flex; cursor: pointer; vertical-align: top; padding-top: 20px; padding-right: 20px; padding-bottom: 20px; padding-left: 20px; background-color: rgba(var(--color-i06r9e7gq), 1); color: rgba(var(--color-ih9sptgr8), 1); position: relative; text-decoration-line: none; 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-left-radius: 20px; border-top-right-radius: 20px; border-bottom-right-radius: 20px; border-bottom-left-radius: 20px; border-top-color: rgba(var(--color-i3puyqrud), 0.28); border-right-color: rgba(var(--color-icp8gzzwx), 0.28); border-bottom-color: rgba(var(--color-ii875qhpg), 0.28); border-left-color: rgba(var(--color-i1p0gyb8l), 0.28); margin-left: 0px; margin-right: 0px; transition-property: all; transition-duration: 300ms; transition-delay: 0ms; transition-timing-function: cubic-bezier(0.77, 0, 0.175, 1); transition-behavior: normal }
.mosaic-form--u-i0xkzjzrn .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-i2e6kelyg), 1); border-right-color: rgba(var(--color-ikzt9svme), 1); border-bottom-color: rgba(var(--color-iftg4khhz), 1); border-left-color: rgba(var(--color-irg62gp0l), 1); margin-bottom: 10px; padding-top: 10px; padding-bottom: 10px; padding-left: 10px; padding-right: 10px; right: 10px }
.mosaic-form--u-i0xkzjzrn .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-i3jslxmva), 1) }
.mosaic-form--u-i0xkzjzrn .progressContainer { position: relative }
.mosaic-form--u-i0xkzjzrn .progressCancel { font-size: 0px; display: block; height: 40px; width: 40px; position: absolute; right: 0px; top: 0px; text-align: center; background-color: rgba(var(--color-i57u9rs0q), 1) }
.mosaic-form--u-i0xkzjzrn .progressName { margin-right: 50px; font-weight: 700; color: rgba(var(--color-ie6ocqmuk), 1); text-align: left; overflow-x: hidden; overflow-y: hidden }
.mosaic-form--u-i0xkzjzrn .progressBarStatus { margin-top: 5px; margin-right: 50px; text-align: left }
.mosaic-form--u-i0xkzjzrn .progressBarInProgress { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-ijftiwmlp), 1); margin-top: 5px }
.mosaic-form--u-i0xkzjzrn .progressBarComplete { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-ikgdq37en), 1); margin-top: 5px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__upload-count-container { display: -webkit-box; display: -ms-flexbox; display: flex }
.mosaic-form--u-i0xkzjzrn .div--u-i2am9b7h4 { padding-bottom: 0px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__checkbox { margin-right: 10px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__form--u-ijufx6aom { padding-left: 50px; padding-right: 50px; padding-bottom: 50px; padding-top: 50px; background-image: var(--image-ijw2dzw94); background-repeat: no-repeat; background-position: left -40px bottom -150px; background-size: 265.20px auto; background-attachment: scroll }
.mosaic-form--u-i0xkzjzrn .mosaic-form__success__text--u-i2n8z402u { padding-left: 50px; padding-right: 50px; font-weight: 700; text-align: center; font-size: 23px; line-height: 25px; padding-bottom: 50px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__radio-icon:hover, .mosaic-form--u-i0xkzjzrn .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-i0xkzjzrn .mosaic-form__checkbox-icon:hover, .mosaic-form--u-i0xkzjzrn .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-i0xkzjzrn .progressWrapper:first-child { padding-top: 0px; border-top-width: 0px }
.mosaic-form--u-i0xkzjzrn .progressWrapper:last-child { padding-bottom: 0px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__button:hover, .mosaic-form--u-i0xkzjzrn .mosaic-form__button.is-hover { background-color: rgba(var(--color-ipe2zsakw), 0.85); border-top-color: rgba(var(--color-ikvw9i36i), 0); border-right-color: rgba(var(--color-itx3lma3x), 0); border-bottom-color: rgba(var(--color-ij6hxvl4s), 0); border-left-color: rgba(var(--color-iezh2t2dj), 0) }
.mosaic-form--u-i0xkzjzrn .mosaic-form__text:hover, .mosaic-form--u-i0xkzjzrn .mosaic-form__text.is-hover { border-top-color: rgba(var(--color-iatz1tgxu), 0.5); border-right-color: rgba(var(--color-i3kwv41s0), 0.5); border-bottom-color: rgba(var(--color-ia17f77kg), 0.5); border-left-color: rgba(var(--color-itqufe8ls), 0.5) }
.mosaic-form--u-i0xkzjzrn .mosaic-form__textarea:hover, .mosaic-form--u-i0xkzjzrn .mosaic-form__textarea.is-hover { border-top-color: rgba(var(--color-i9mhb82a1), 0.5); border-right-color: rgba(var(--color-iu0w8fdwy), 0.5); border-bottom-color: rgba(var(--color-i4gs4j2eq), 0.5); border-left-color: rgba(var(--color-i2j2phyls), 0.5) }
.mosaic-form--u-i0xkzjzrn .mosaic-form__field--u-i4wo1bnrh .mosaic-form__header { display: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__field--u-i4wo1bnrh .mosaic-form__icon { display: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__field--u-iwvdnl9m5 .mosaic-form__header { display: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__field--u-iwvdnl9m5 .mosaic-form__icon { display: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__field--u-imi295dad .mosaic-form__header { display: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__field--u-imi295dad .mosaic-form__icon { display: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__field--u-i9zy5b9sv .mosaic-form__header { display: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__field--u-i9zy5b9sv .mosaic-form__icon { display: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__field--u-i8lirstxg .mosaic-form__header { display: none }
.mosaic-form--u-i0xkzjzrn .mosaic-form__checkbox ~ .mosaic-form__value { font-size: 14px; line-height: 14px }
.mosaic-form--u-i0xkzjzrn .mosaic-form__radio:checked ~ .mosaic-form__radio-icon, .mosaic-form--u-i0xkzjzrn .mosaic-form__radio.is-checked ~ .mosaic-form__radio-icon { background-color: rgba(var(--color-iwf3kh36u), 0.2); background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-i0xkzjzrn .mosaic-form__checkbox:checked ~ .mosaic-form__checkbox-icon, .mosaic-form--u-i0xkzjzrn .mosaic-form__checkbox.is-checked ~ .mosaic-form__checkbox-icon { background-color: rgba(var(--color-i44hsto1v), 0.2); background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.div--u-i2am9b7h4 { width: 100%; position: relative; display: block }
.mosaic-form__field--u-imi295dad { display: block }
.mosaic-form__field--u-i4wo1bnrh { display: block }
.mosaic-form__field--u-iwvdnl9m5 { display: block }
.mosaic-form__field--u-izz9lgyy9 { display: block }
.mosaic-form__field--u-i8lirstxg { display: block }

@media (max-width: 991px) {
	.mosaic-form--u-i0xkzjzrn .mosaic-form__button { margin-left: auto; margin-right: auto; margin-top: 20px }
}