._errorContainer_1se5s_1{align-items:center;gap:.375rem;display:flex}._errorIcon_1se5s_7{color:var(--color-error);flex-shrink:0;align-items:center;display:flex}._errorText_1se5s_14{color:var(--color-error);font-size:.875rem;line-height:1.5}:root{--ff-form-primary-color:var(--color-primary-base);--ff-form-error-color:var(--color-error);--ff-form-text-color:#1a1a1a;--ff-form-text-secondary:var(--color-grey-900);--ff-form-text-muted:var(--color-grey-300);--ff-form-border-color:#e0e0e0;--ff-form-border-light:#d1d5db;--ff-form-background:var(--color-white);--ff-form-background-muted:#f9f9f9;--ff-form-border-radius:4px;--ff-form-border-radius-lg:8px;--ff-form-spacing-xs:.375rem;--ff-form-spacing-sm:.5rem;--ff-form-spacing-md:.75rem;--ff-form-spacing-lg:1rem;--ff-form-spacing-xl:1.25rem;--ff-form-spacing-2xl:1.5rem;--ff-form-input-height:3rem;--ff-form-font-size-sm:.875rem;--ff-form-font-size-base:1rem;--ff-form-font-size-lg:1.5rem;--ff-form-font-size-xl:2rem;--ff-form-transition:.2s}._formGroup_fbflh_28{--select-border-color:var(--ff-form-border-color);--select-padding-inline:var(--ff-form-spacing-lg);gap:var(--ff-form-spacing-xs);flex-direction:column;display:flex}._formGroup_fbflh_28:has([aria-haspopup=listbox][aria-expanded=true])>label{color:var(--ff-form-primary-color)}._row_fbflh_40{gap:var(--ff-form-spacing-lg);grid-template-columns:1fr 1fr;display:grid}._step_fbflh_46{gap:var(--ff-form-spacing-lg);flex-direction:column;display:flex}._form_fbflh_28{gap:var(--ff-form-spacing-2xl);flex-direction:column;display:flex}._inputBase_fbflh_58{width:100%;padding:var(--ff-form-spacing-md) var(--ff-form-spacing-lg);border:1px solid var(--ff-form-border-color);border-radius:var(--ff-form-border-radius);font-size:var(--ff-form-font-size-base);color:var(--ff-form-text-color);height:var(--ff-form-input-height);transition:border-color var(--ff-form-transition);background:var(--ff-form-background)}._inputBase_fbflh_58::placeholder{color:var(--ff-form-text-muted)}._inputBase_fbflh_58:hover,._inputBase_fbflh_58:focus{border-color:var(--ff-form-primary-color);outline:none}._inputError_fbflh_80,._inputError_fbflh_80:hover,._inputError_fbflh_80:focus,._selectError_fbflh_89>div{border-color:var(--ff-form-error-color)!important}._flagContainer_fbflh_93{align-items:center;gap:var(--ff-form-spacing-sm);display:flex}._flagLabel_fbflh_99{font-size:var(--ff-form-font-size-base);color:var(--ff-form-text-color);margin:0}._countryOption_fbflh_105{align-items:center;gap:var(--ff-form-spacing-sm);width:100%;display:flex}._countryCode_fbflh_112{color:var(--ff-form-text-color);font-weight:500;font-size:var(--ff-form-font-size-sm);min-width:45px}._container_fbflh_119{background:var(--ff-form-background);border-radius:var(--ff-form-border-radius);padding:var(--ff-form-spacing-2xl);scroll-margin-top:8rem}._title_fbflh_126{color:var(--ff-form-text-secondary);font-weight:600;font-size:var(--ff-form-font-size-lg);text-align:center;margin-bottom:var(--ff-form-spacing-2xl);line-height:1.1}._errorWrapper_fbflh_135{justify-content:center;width:100%;display:flex}._visuallyHidden_fbflh_141{clip:rect(0, 0, 0, 0);white-space:nowrap;border:0;width:1px;height:1px;margin:-1px;padding:0;position:absolute;overflow:hidden}._flexCenter_fbflh_153{justify-content:center;align-items:center;display:flex}._textCenter_fbflh_159{text-align:center}._fspDisclaimer_fbflh_163{background-color:var(--color-success-bg);border-radius:4px;align-items:flex-start;gap:8px;margin-top:24px;padding:12px 12px 12px 8px;display:flex}._securityNote_fbflh_173{color:#606060;text-align:center;margin:12px 0 0;font-size:12px;line-height:16px}._fspIcon_fbflh_181{flex-shrink:0}._fspText_fbflh_185{color:var(--color-grey-900);margin:0;font-size:12px;font-weight:400;line-height:16px}@media (width<=60em){._row_fbflh_40{grid-template-columns:1fr}._errorWrapper_fbflh_135{justify-content:flex-start}}._container_1e4o0_6{border-radius:var(--radius-xs);border:1px solid var(--select-border-color,var(--border-color-default));background-color:var(--color-white);flex-direction:column;justify-content:center;gap:.5rem;width:100%;min-width:7rem;height:3rem;padding:0;transition:border-color .2s ease-in-out;display:flex;position:relative}._container_1e4o0_6:focus-within,._container_1e4o0_6[data-open=true]{border-color:var(--border-color-focus)}._container_1e4o0_6[data-variant=default]{min-height:3rem}._container_1e4o0_6[data-variant=subcomponent]{background-color:#0000;border-top:0;border-bottom:0;border-left:0;border-top-right-radius:0;border-bottom-right-radius:0;height:calc(3rem - 2px)}._container_1e4o0_6[data-variant=subcomponent]:focus-within,._container_1e4o0_6[data-variant=subcomponent][data-open=true]{border-color:var(--border-color-default)}._trigger_1e4o0_46{appearance:none;width:100%;height:100%;padding:0 var(--select-padding-inline,var(--space-3));cursor:pointer;color:var(--color-grey-900);background-color:#0000;border:none;outline:none;justify-content:space-between;align-items:center;line-height:1;transition:all .2s ease-in-out;display:flex}._trigger_1e4o0_46:disabled{color:inherit;background-color:var(--color-grey-50);cursor:not-allowed}._trigger_1e4o0_46[data-is-placeholder=true]{color:var(--color-grey-300)}._caret_1e4o0_73{transition:transform .2s ease-in-out}._caret_1e4o0_73[data-open=true]{transform:rotate(180deg)}._trigger_1e4o0_46[data-variant=subcomponent]{border-top-left-radius:var(--radius-xs);border-bottom-left-radius:var(--radius-xs);box-sizing:border-box}._optionsContainer_1e4o0_92{top:calc(100% + var(--space-2) + 1px);width:max-content;min-width:max(140px, var(--select-options-width,calc(100% + 2px)));box-sizing:border-box;background-color:var(--color-white);border:1px solid var(--border-color-default);border-radius:var(--radius-xs);max-width:calc(100vw - 2rem);max-height:28rem;box-shadow:var(--shadow-base);z-index:1;font-size:var(--font-size-md);padding:var(--space-2);flex-direction:column;flex:1;display:flex;position:absolute;left:-1px}._optionsContainer_1e4o0_92[data-variant=subcomponent]{left:0}._optionsInner_1e4o0_117{gap:var(--space-2);flex-direction:column;min-height:0;display:flex;overflow:hidden auto}._option_1e4o0_92{appearance:none;justify-content:space-between;align-items:center;gap:var(--space-3);border-radius:var(--radius-xs);width:100%;min-height:2.5rem;padding:var(--space-2-5) var(--space-3);text-align:left;cursor:pointer;background-color:var(--color-white);color:var(--color-grey-900);font-family:inherit;font-size:var(--font-size-md);border:none;flex-shrink:0;line-height:1.25rem;display:flex}._option_1e4o0_92:hover{background-color:var(--color-grey-50)}._radioCheck_1e4o0_151{border:1px solid var(--color-grey-200);background-color:var(--color-white);border-radius:100%;flex-shrink:0;min-width:1rem;height:1rem;display:block}._radioCheck_1e4o0_151[data-checked=true]{background-color:var(--color-primary-base);border:none;position:relative}._radioCheck_1e4o0_151[data-checked=true]:after{content:"";background-color:var(--color-white);border-radius:50%;width:.375rem;height:.375rem;display:block;position:absolute;top:50%;left:50%;transform:translate(-50%,-50%)}._label_c0tkr_1{color:var(--color-grey-900);font-size:.875rem;font-weight:600;line-height:1.4}._required_c0tkr_9{color:var(--color-grey-900)}._inputContainer_1wkge_1{flex-direction:column;align-items:flex-start;gap:.25rem;width:100%;max-width:28.75rem;display:flex}._labelContainer_1wkge_10{justify-content:space-between;gap:.25rem;width:100%;display:flex}._label_1wkge_10{color:#333;font-size:.875rem;font-weight:600}._errorMessage_1wkge_23{color:var(--color-error);font-size:.875rem}._input_1wkge_1{border:1px solid var(--color-grey-100);border-radius:.25rem;width:100%;height:3rem;padding:.5rem .625rem;&:focus-visible{border-color:#57a8a3;outline:none}&::placeholder{color:var(--color-grey-300)}&._invalidInput_1wkge_44{border-color:var(--color-error)}}._textarea_1wkge_49{max-width:100%;min-height:3rem}._fileInputContainer_1wkge_54{border:1px solid var(--color-grey-100);border-radius:.25rem;justify-content:space-between;align-items:center;width:100%;padding:1.425rem;display:flex}._fileInputContainer_1wkge_54[data-has-file=true]{align-items:flex-start}._fileInputContainer_1wkge_54[data-has-file=true],._fileInputContainer_1wkge_54[data-drag-active=true]{border-color:var(--color-primary-base)}._fileInputContainer_1wkge_54[data-invalid=true]{border-color:red}._fileInputContent_1wkge_77{text-align:left;max-width:80%;color:var(--color-grey-850);flex-direction:column;gap:1rem;font-weight:200;display:flex}._fileDetailsContainer_1wkge_87{align-items:center;gap:.75rem;display:flex}._fileNameContainer_1wkge_93{flex-wrap:wrap;align-items:center;gap:.5rem;display:flex}._fileName_1wkge_93{font-size:.875rem}._fileSize_1wkge_104{white-space:nowrap;border-left:1px solid var(--color-grey-100);padding-left:.75rem;font-size:.875rem}._changeFileButton_1wkge_111{width:fit-content}._iconButton_1wkge_115[data-variant=tertiary]{width:3rem;border:1px solid var(--color-grey-100)!important;height:3rem!important;&:hover:not(:disabled){border:1px solid var(--color-grey-100);background-color:#f0f0f0!important}}@media (width<=60rem){._fileInputContainer_1wkge_54{padding:1rem}._fileInputContainer_1wkge_54[data-has-file=true]{align-items:center}}._title_1jysn_1{padding-bottom:0!important}._label_1jysn_11{line-height:1.4}._field_1jysn_15 div:has(>input[type=tel])>button,._field_1jysn_15 div:has(>input[type=tel])>div>button{border-color:var(--ff-form-border-color,var(--border-color-default))}._field_1jysn_15 input:where([type=tel]){padding-inline:var(--ff-form-spacing-lg,var(--space-3));border-color:var(--ff-form-border-color,var(--border-color-default))}._field_1jysn_15 div[data-error]:has(>input[type=tel])>button,._field_1jysn_15 div[data-error]:has(>input[type=tel])>div>button{border-color:var(--ff-form-error-color,var(--color-error))!important}._fallbackLabel_1jysn_32{margin-bottom:var(--space-1-5);color:var(--color-grey-900);font-size:var(--font-size-sm);font-weight:var(--font-weight-semibold);line-height:1.4;display:block}._fallbackRow_1jysn_41{display:flex}._fallbackCode_1jysn_45{width:110px;min-width:110px;height:48px;padding:0 var(--space-3);border:1px solid var(--ff-form-border-color,var(--border-color-default));border-radius:var(--radius-xs) 0 0 var(--radius-xs);color:var(--color-grey-900);background:var(--color-white);justify-content:center;align-items:center;display:flex}._fallbackInput_1jysn_59{width:100%;height:48px;padding:0 var(--ff-form-spacing-lg,var(--space-3));border:1px solid var(--ff-form-border-color,var(--border-color-default));border-radius:0 var(--radius-xs) var(--radius-xs) 0;color:var(--color-grey-900);background:var(--color-white);border-left:0}._fallbackInput_1jysn_59::placeholder{color:var(--color-grey-300)}@media (width<=64em){._titleDefault_1jysn_75{font-size:var(--font-size-2xl)!important;margin-bottom:var(--space-5)!important}._title_1jysn_1{padding-bottom:var(--space-6)!important}}._lottie_374kk_1{width:var(--loader-size);height:var(--loader-size)}._container_xy90f_1{text-align:center;color:var(--color-grey-900);flex-direction:column;justify-content:center;align-items:center;font-size:1rem;display:flex}._title_xy90f_11{margin-top:1rem;margin-bottom:.625rem;font-family:Belleza,sans-serif;font-size:2rem;font-weight:400;line-height:1.2}._description_xy90f_20{margin-bottom:1.5rem}._info_xy90f_24{text-align:center;background-color:#f9f9f9;border-radius:.25rem;flex-direction:column;gap:1rem;width:100%;padding:1rem 1.5rem;font-size:.875rem;display:flex;& a{color:inherit}}@media (width<=60em){._description_xy90f_20{margin-bottom:1rem}}