._form_gx6nz_1{width:min(1040px,100% - 2.4rem);margin:0 auto clamp(4rem,7vw,7rem)}._notice_gx6nz_3{border-left:5px solid var(--red);background:#f1ebe2;margin-bottom:2rem;padding:1.4rem 1.55rem}._notice_gx6nz_3 strong{color:var(--red-dark);letter-spacing:.12em;text-transform:uppercase;font-size:.76rem}._notice_gx6nz_3 p{max-width:850px;margin:.7rem 0 0;line-height:1.6}._form_gx6nz_1 fieldset{border:1px solid var(--line);background:#fffdfa;border-bottom:0;margin:0;padding:clamp(1.3rem,3vw,2.3rem)}._form_gx6nz_1 fieldset:last-of-type{border-bottom:1px solid var(--line)}._form_gx6nz_1 legend{color:var(--red-dark);letter-spacing:.12em;text-transform:uppercase;padding:0 .65rem;font-size:.72rem;font-weight:800}._optionGrid_gx6nz_15,._fields_gx6nz_15{grid-template-columns:repeat(2,minmax(0,1fr));gap:1.15rem;display:grid}._optionGrid_gx6nz_15 label{border:1px solid var(--line);background:var(--paper);cursor:pointer;align-items:flex-start;gap:.85rem;min-height:105px;padding:1.15rem;display:flex}._optionGrid_gx6nz_15 b{margin-bottom:.3rem;display:block}._fields_gx6nz_15 label{gap:.45rem;font-size:.78rem;font-weight:700;display:grid}._fields_gx6nz_15 label>span{color:#756e65;font-weight:400}._full_gx6nz_25{grid-column:1/-1}._form_gx6nz_1 input,._form_gx6nz_1 select,._form_gx6nz_1 textarea{width:100%;color:var(--ink);font:inherit;background:#fff;border:1px solid #b9b2a8;border-radius:0;font-weight:400}._form_gx6nz_1 input,._form_gx6nz_1 select{min-height:48px;padding:0 .85rem}._form_gx6nz_1 textarea{resize:vertical;padding:.8rem;line-height:1.5}:is(._form_gx6nz_1 input:focus-visible,._form_gx6nz_1 select:focus-visible,._form_gx6nz_1 textarea:focus-visible,._form_gx6nz_1 button:focus-visible){outline:3px solid color-mix(in srgb, var(--blue) 45%, transparent);outline-offset:2px}._check_gx6nz_35{grid-column:1/-1;align-items:flex-start;gap:.65rem;font-size:.82rem;line-height:1.5;font-weight:400!important;display:flex!important}._check_gx6nz_35 input{flex:none;width:18px;min-height:18px;margin-top:.12rem}._check_gx6nz_35 a{border-bottom:1px solid}._honeypot_gx6nz_41{position:absolute;left:-10000px}._submitRow_gx6nz_43{justify-content:space-between;align-items:center;gap:1rem;padding-top:1.5rem;display:flex}._submitRow_gx6nz_43 p{color:#686159;margin:0;font-size:.8rem}._form_gx6nz_1 button,._receipt_gx6nz_47 button{background:var(--red-dark);color:#fff;letter-spacing:.1em;text-transform:uppercase;cursor:pointer;border:0;min-height:52px;padding:0 1.5rem;font-size:.72rem;font-weight:800}._form_gx6nz_1 button:disabled{cursor:wait;opacity:.55}._error_gx6nz_51{color:#8b211c;background:#fff0ed;padding:1rem}._receipt_gx6nz_47{border:1px solid var(--line);width:min(840px,100% - 2.4rem);box-shadow:inset 6px 0 0 var(--green);background:#fff;margin:2rem auto 6rem;padding:clamp(2rem,5vw,4rem)}._receipt_gx6nz_47>span{color:var(--green);letter-spacing:.12em;text-transform:uppercase;font-size:.72rem;font-weight:800}._receipt_gx6nz_47 h2{font-family:var(--display);letter-spacing:-.055em;margin:.8rem 0 1.5rem;font-size:clamp(2.7rem,6vw,4.8rem);font-weight:300}._receipt_gx6nz_47 p{line-height:1.6}._receipt_gx6nz_47 button{margin-top:1.2rem}@media (max-width:720px){._optionGrid_gx6nz_15,._fields_gx6nz_15{grid-template-columns:1fr}._full_gx6nz_25{grid-column:auto}._submitRow_gx6nz_43{flex-direction:column;align-items:stretch}._submitRow_gx6nz_43 button{width:100%}}@media print{._receipt_gx6nz_47{box-shadow:none;border:0;margin:0}._receipt_gx6nz_47 button,._siteHeader_gx6nz_65,._siteFooter_gx6nz_65,._approvalBar_gx6nz_65{display:none!important}}