.pq77df0{padding:1.5rem;width:90vw;max-width:64rem;position:relative;margin:0 auto;background:#FFFFFF;border-radius:.75rem}.pq77df0,.pq77df1{display:flex;flex-direction:column;gap:1rem;align-items:center}.pq77df1{padding:1.5rem 1.5rem 1rem}.pq77df2{position:relative;width:5rem;height:5rem;margin:0 auto;flex-shrink:0}.pq77df3{font-size:1.65rem;text-align:center;line-height:1.2;font-weight:300}.pq77df4{line-height:2;text-align:center;padding-bottom:1.5rem}.pq77df5{--text-field-color:var(--gg4qj89);--text-field-border-color:var(--gg4qj85);--text-field-background-color:var(--gg4qj80);--text-field-invalid-background-color:var(--gg4qj80);--text-field-border-radius:2rem;--text-field-padding:0.8rem 1rem;--text-area-min-height:8rem;--text-field-font-size:0.875rem;--text-field-label-font-size:0.875rem;--checkbox-color:var(--gg4qj89);--checkbox-size:1rem;display:grid;gap:1.25rem;width:100%}.pq77df6{--text-field-color:#010001;color:#010001}.pq77df7{--text-field-background-color:white}.pq77dfa{--text-field-border-radius:1rem;resize:vertical}.pq77dfb{--text-field-background-color:white}.pq77dfe,.pq77dff{width:100%}.pq77dff{--select-dropdown-max-width:100%;display:flex;flex-direction:column}.pq77dff,.pq77dfg{--select-dropdown-margin:0}.pq77dfh{--text-field-background-color:white}.pq77dfk{display:block;font-weight:300;color:var(--text-field-color,#FFFFFF);font-size:var(--text-field-label-font-size,.75rem);padding-left:.5rem;margin-bottom:.25rem}.pq77dfl{flex-direction:column;gap:2rem}.pq77dfl,.pq77dfm{display:flex;align-items:center}.pq77dfm{gap:.5rem;justify-content:center}.pq77dfn{font-size:.875rem;line-height:1.2}.pq77dfo{font-weight:500;border-radius:2rem;padding:.75rem 1.5rem;max-width:60rem;background-color:#010001;color:#FFFFFF;margin:0 auto;display:flex}.pq77dfp{font-weight:300;text-align:left;font-size:.875rem}@media (min-width:30rem){.pq77df0{padding:2rem}}@media (min-width:48rem){.pq77df0{padding:2.5rem 3rem 5rem}.pq77df3{font-size:2.25rem}.pq77df5{--select-dropdown-max-width:50%;--select-dropdown-margin:0 auto;--text-field-padding:0.8rem 1.5rem;grid-template-columns:repeat(2,1fr);gap:2rem 1rem}.pq77dfa{--text-field-border-radius:2rem;--text-field-padding:1rem 1.5rem}.pq77dfe,.pq77dfp{grid-column:span 2}.pq77dfp{text-align:center}}@media (min-width:62rem){.pq77df0{padding:3rem 4rem 5rem}}@media (min-width:75rem){.pq77df0{padding:3.5rem 5rem 5rem}.pq77dfa{--text-field-border-radius:3rem}}