#daxko_form_div{border:3px solid var(--White);border-radius:8px;font-family:var(--font-rubik)}#daxko_form_div .client-name{display:none!important}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-mandatory-bold,#daxko_prospect_error_div{display:none}#daxko_form_div .daxko-form-container #daxko_prospect_prospect_form{width:100%!important}.daxko-form-control-group{display:block!important}.daxko-form-control-label{color:#fff!important;font-feature-settings:"calt" off;font-weight:500;line-height:16px;letter-spacing:-.14px}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-control-label,#daxko_form_div label{font-family:var(--font-rubik);color:var(--White)!important;font-size:14px;font-style:normal;font-weight:500;line-height:16px;font-feature-settings:"calt" off;letter-spacing:-.14px}#daxko_prospect_email_address::placeholder{color:#fff;content:"test"}.daxko-form-row-fluid{position:relative}#daxko_form_div .daxko-form-container .daxko-form-control-group .cls_terms{color:#fff!important;text-decoration:underline!important}#daxko_form_div{width:100%!important;padding:36px calc(36px - 1%)!important;margin:0!important}#daxko_form_div .daxko-form-panel-base-color{height:auto;margin:auto;width:100%!important}#daxko_form_div .daxko-form-container{margin-bottom:0!important;width:100%!important;height:auto;padding:0!important;min-height:-moz-fit-content!important;min-height:fit-content!important;overflow:auto;font-family:Helvetica Neue Light,Helvetica Neue,Helvetica,Arial,Lucida Grande,sans-serif}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-row-fluid{padding-bottom:4px!important}#daxko_form_div .daxko-form-input-text{padding:0!important;font-size:16px!important;min-height:44px!important;width:100%}#daxko_form_div .daxko-form-input-text::placeholder{color:#fff!important;letter-spacing:1px}#daxko_form_div .daxko-form-container .daxko-form-control-group{float:left;margin-bottom:8px;width:48%!important;margin-right:1%;margin-left:1%}#daxko_prospect_email_address,#daxko_prospect_first_name,#daxko_prospect_last_name{width:100%}#daxko_prospect_date_of_birth{height:44px}#daxko_form_div input:not(.daxko-form-btn-save,.cls_radio_btns input){color:#424242!important;background-color:#fff!important;border-radius:4px!important}#daxko_form_div select{background-color:#fff!important;color:#424242!important;min-width:calc(100% - 30px)}#daxko_form_div option{background-color:rgba(0,0,0,.6)!important}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-save{padding-top:18.5px!important}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-select{border:1px solid var(--awb-color3);border-radius:4px;padding:5px 10px;font-size:16px;line-height:24px;min-height:44px;height:44px;vertical-align:middle;outline:0;position:relative}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-controls{width:100%!important}#daxko_prospect_phone_number{width:calc(100% - 60px)!important}.daxko-form-row-fluid span{color:#fff!important}#daxko_form_div .margin-right-10{margin-right:0!important}#daxko_form_div .phone{margin-left:5px!important;min-width:calc(100% - 95px)}#daxko_form_div .area_code{min-width:40px!important;max-width:40px!important;padding-right:5px!important;padding-left:5px!important;text-align:center!important}#daxko_form_div .cls_radio_btns{margin-top:24px!important;margin-left:-106%!important;margin-bottom:16px;color:#fff!important;display:flex;flex-direction:column}#daxko_form_div .cls_radio_btns input{margin:0 8px 0 0}#daxko_form_div .cls_radio_btns br{display:none}#daxko_form_div .cls_radio_btns a{margin-left:30px;padding-bottom:12px}#daxko_form_div .cls_radio_btns label{display:inline-block;margin-right:5px;position:relative;padding-left:0;cursor:pointer;display:flex;align-items:center;font-weight:400}#daxko_form_div .cls_radio_btns input[type=radio]{box-sizing:border-box;flex-shrink:0;accent-color:rgba(0,0,0,0);border:2px solid #fff;background-color:rgba(0,0,0,0);width:20px;height:20px;-moz-appearance:none;appearance:none;-webkit-appearance:none;border-radius:50%;cursor:pointer;position:relative}#daxko_form_div .cls_radio_btns input[type=radio]:checked{accent-color:var(--AccentColorLight);border-color:var(--AccentColorLight)}#daxko_form_div .cls_radio_btns input[type=radio]:checked:before{content:"";position:absolute;top:50%;left:50%;transform:translate(-50%,-50%);width:8px;height:8px;background:#fff;border-radius:50%}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-save{padding-top:22px!important}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-btn-save{background-color:var(--AccentColorLight)!important;height:44px!important;border-radius:4px}@media(max-width:960px){#daxko_form_div .daxko-form-container .daxko-form-control-group{width:99%!important;float:left}#daxko_form_div{width:100%!important;margin:0!important;padding:36px calc(32px - 1%)!important}#daxko_form_div .cls_radio_btns{margin-left:0!important}#daxko_form_div .daxko-form-container .daxko-form-control-group{margin-bottom:12px}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-save{padding-top:0!important}}@media(max-width:640px){#daxko_form_div{border:none!important;padding:0!important}#daxko_form_div .daxko-form-container .daxko-form-control-group .daxko-form-btn-save,#daxko_form_div .daxko-form-input-date{width:100%!important}#daxko_form_div .daxko-form-container .daxko-form-control-group{margin-right:0;margin-left:0;margin-bottom:0}}