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.form-matrix-table tr:last-child th, .form-matrix-table tr:not([role=group])+tr[role=group] th,\n  .form-matrix-headers.form-matrix-column-headers,\n  .isSelected .form-matrix-column-headers:nth-last-of-type(2),\n  li[data-type=control_inline] input[type=email], li[data-type=control_inline] input[type=number],\n  li[data-type=control_inline] input[type=tel], li[data-type=control_inline] input[type=text] {\n    border-color: rgba(195, 202, 216, 0.75);\n  }\n  .stageEmpty,\n  .form-page-break:before,\n  .welcome-page-break:before,\n  .thankyou-page-break:before,\n  .form-cover-break:before,\n  .form-page-break:after,\n  .welcome-page-break:after,\n  .thankyou-page-break:after,\n  .form-cover-break:after {\n    border-color: rgba(195, 202, 216, 0.75);\n  }\n\n  .rating-item input:hover+label {\n    border-color: rgba(195, 202, 216, 0.75);\n  }\n  .appointmentSlot,\n  .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,\n  .form-radio:checked+label:before, .form-radio:checked+span:before,\n  .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\n  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover {\n    border-color: rgba(195, 202, 216, 0.75);\n  }\n\n  .calendar tr.days td:hover:not(.unselectable):after {\n    border-color: #e5eaf4;\n  }\n  .form-header-group,\n  .form-buttons-wrapper, .form-pagebreak, .form-submit-clear-wrapper,\n  .form-pagebreak-next,\n  .form-pagebreak-back,\n  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before,\n  .divider {\n    border-color: #FFFFFF;\n  }\n  .form-pagebreak-back:focus, .form-pagebreak-next:focus, .form-submit-button:focus {\n    border-color: rgba(46, 105, 255, 1);\n  }\n  \/* background-colors *\/\n  .form-line-active {\n    background-color: #F1F5FF;\n  }\n  .stageEmpty {\n    background-color:  #FFFFFF;\n  }\n  .form-line-error {\n    background-color: #FFD6D6;\n  }\n  .form-matrix-column-headers, .form-matrix-row-headers,\n  .form-spinner-button-container>*,\n  .form-collapse-table,\n  .form-collapse-table:hover,\n  .appointmentDayPickerButton {\n    background-color: #e5eaf4;\n  }\n  .calendar.popup, .calendar.popup table,\n  .calendar.popup table tbody td:after{\n    background-color: #FFFFFF;\n  }\n\n  .appointmentCalendar .calendarDay.isActive .calendarDayEach,\n  .appointmentFieldRow.forSelectedDate,\n  .calendar.popup tr.days td.selected:after,\n  .calendar.popup:after,\n  .submit-button,\n  .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,\n  .form-radio+label:after, .form-radio+span:after,\n  .rating-item input:checked+label,\n  .appointmentCalendar .calendarDay:after,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\n  .rating-item input:focus+label,\n  .formPage-removePage:hover,\n  .btn-barebone:hover, .btn-barebone:active {\n    background-color: #2e69ff;\n  }\n  .appointmentSlot.active {\n    background-color: #2e69ff !important;\n  }\n  .clear-pad-btn,\n  .appointmentCalendar .dayOfWeek,\n  .calendar.popup th {\n    background-color: #FFFFFF !important;\n  }\n  .appointmentField .timezonePicker:hover+.timezonePickerName,\n  .form-spinner-button-container>*:hover {\n    background-color: #96B4FF;\n  }\n  .form-matrix-values,\n  .form-matrix-values,\n  .signature-wrapper,\n  .signature-pad-passive,\n  .rating-item label,\n  .form-checkbox+label:before, .form-checkbox+span:before,\n  .form-radio+label:before, .form-radio+span:before {\n    background-color: #FFFFFF;\n  }\n  li[data-type=control_fileupload] .qq-upload-button {\n    background-color: #FFFFFF;\n  }\n  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected\n  .questionLine-editButton.forRemove:after,\n  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected .questionLine-editButton.forRemove:before {\n    background-color: #FFFFFF;\n  }\n  .appointmentCalendarContainer, .appointmentSlot,\n  .rating-item-title.for-to > label:first-child,\n  .rating-item-title.for-from > label:first-child,\n  .rating-item-title .editor-container *,\n  .calendar-opened {\n    background-color: transparent;\n  }\n  .page-section li.form-line-active[data-type=\"control_button\"] {\n    background-color: #F1F5FF;\n  }\n  .appointmentCalendar .calendarDay.isSelected:after {\n    color: #FFFFFF;\n  }\n  \/* shadow *\/\n  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover,\n  .calendar.popup:before,\n  .jSignature:hover,\n  li[data-type=control_fileupload] .qq-upload-button-hover,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox:hover .select_border,\n  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before,\n  .calendar.popup:before {\n    border-color: rgba(169, 191, 249, 0.5);\n    box-shadow: 0 0 0 2px rgba(201, 216, 254, 0.25);\n  }\n  .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,\n  li[data-type=control_fileupload] .qq-upload-button-focus,\n  .form-checkbox:focus+label:before, .form-checkbox:focus+span:before, .form-radio:focus+label:before, .form-radio:focus+span:before,\n  .calendar.popup:before {\n    border-color: rgba(46, 105, 255, 1);\n    box-shadow: 0 0 0 3px rgba(201, 216, 254, 0.25);\n  }\n  .calendar.popup table tbody td{\n    box-shadow: none;\n  }\n\n  \/* button colors *\/\n  .submit-button {\n    background-color: #18BD5B;\n    border-color: #18BD5B;\n  }\n  .submit-button:hover {\n    background-color: #16AA52;\n    border-color: #16AA52;\n  }\n  .form-pagebreak-next {\n    background-color: #FFFFFF;\n  }\n  .form-pagebreak-back {\n    background-color: #FFFFFF;\n  }\n  .form-pagebreak-back:hover {\n    background-color: #CED0DA;\n    border-color: #CED0DA;\n  }\n  .form-pagebreak-next:hover {\n    background-color: #2554CC;\n    border-color: #2554CC;\n  }\n  .form-sacl-button, .form-submit-print {\n    background-color: transparent;\n    color: rgba(195, 202, 216, 0.75);\n    border-color: rgba(195, 202, 216, 0.75);\n  }\n  .form-sacl-button:hover, .form-submit-print:hover,\n  .appointmentSlot:not(.disabled):not(.active):hover,\n  .appointmentDayPickerButton:hover,\n  .rating-item input:hover+label {\n    background-color: #96B4FF;\n  }\n\n  \/* payment styles *\/\n\n  .form-line[data-payment=true] .form-textbox,\n  .form-line[data-payment=true] .select-area,\n  .form-line[data-payment=true] #coupon-input,\n  .form-line[data-payment=true] #coupon-container input,\n  .form-line[data-payment=true] input#productSearch-input,\n  .form-line[data-payment=true] .form-product-category-item:after,\n  .form-line[data-payment=true] .filter-container .dropdown-container .select-content,\n  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .select_border,\n  .form-line[data-payment=\"true\"] .form-product-item .form-product-container .form-sub-label-container span.select_cont,\n  .form-line[data-payment=true] select.form-dropdown,\n  .form-line[data-payment=true] #payment-category-dropdown .select-area,\n  .form-line[data-payment=true] #payment-sorting-products-dropdown .select-area,\n  .form-line[data-payment=true] .dropdown-container .select-content {\n    border-color: rgba(195, 202, 216, 0.75);\n    border-color: undefined;\n  }\n  .form-line[data-payment=\"true\"] hr,\n  .form-line[data-payment=true] .p_item_separator,\n  .form-line[data-payment=\"true\"] .payment_footer.new_ui,\n  .form-line.card-3col .form-product-item.new_ui,\n  .form-line.card-2col .form-product-item.new_ui {\n    border-color: rgba(195, 202, 216, 0.75);\n    border-color: undefined;\n  }\n  .form-line[data-payment=true] .form-product-category-item {\n    border-color: rgba(195, 202, 216, 0.75);\n    border-color: undefined;\n  }\n  .form-line[data-payment=true] #coupon-input,\n  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,\n  .form-line[data-payment=true] input#productSearch-input,\n  .form-line[data-payment=true] .select-area,\n  .form-line[data-payment=true] .custom_quantity,\n  .form-line[data-payment=true] .filter-container .select-content,\n  .form-line[data-payment=true] .p_checkbox .select_border,\n  .form-line[data-payment=true] #payment-category-dropdown .select-area,\n  .form-line[data-payment=true] #payment-sorting-products-dropdown .select-area,\n  .form-line[data-payment=true] .dropdown-container .select-content {\n    background-color: #FFFFFF;\n  }\n  .form-line[data-payment=true] .form-product-category-item.title_collapsed.has_selected_product .selected-items-icon {\n   background-color: #ffffff;\n   border-color: #ffffff;\n  }\n  .form-line[data-payment=true].form-line.card-3col .form-product-item,\n  .form-line[data-payment=true].form-line.card-2col .form-product-item {\n   background-color: undefined;\n  }\n  .form-line[data-payment=true] .payment-form-table input.form-textbox,\n  .form-line[data-payment=true] .payment-form-table input.form-dropdown,\n  .form-line[data-payment=true] .payment-form-table .form-sub-label-container > div,\n  .form-line[data-payment=true] .payment-form-table span.form-sub-label-container iframe,\n  .form-line[data-type=control_square] .payment-form-table span.form-sub-label-container iframe {\n    border-color: rgba(195, 202, 216, 0.75);\n  }\n\n  \/* icons *\/\n  .appointmentField .timezonePickerName:before {\n    background-image: url(data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMTYiIGhlaWdodD0iMTYiIHZpZXdCb3g9IjAgMCAxNiAxNiIgZmlsbD0ibm9uZSIgeG1sbnM9Imh0dHA6Ly93d3cudzMub3JnLzIwMDAvc3ZnIj4KPHBhdGggZmlsbC1ydWxlPSJldmVub2RkIiBjbGlwLXJ1bGU9ImV2ZW5vZGQiIGQ9Ik0wIDcuOTYwMkMwIDMuNTY2MTcgMy41NTgyMSAwIDcuOTUyMjQgMEMxMi4zNTQyIDAgMTUuOTIwNCAzLjU2NjE3IDE1LjkyMDQgNy45NjAyQzE1LjkyMDQgMTIuMzU0MiAxMi4zNTQyIDE1LjkyMDQgNy45NTIyNCAxNS45MjA0QzMuNTU4MjEgMTUuOTIwNCAwIDEyLjM1NDIgMCA3Ljk2MDJaTTEuNTkzNzUgNy45NjAyQzEuNTkzNzUgMTEuNDc4NiA0LjQ0MzUgMTQuMzI4NCA3Ljk2MTkxIDE0LjMyODRDMTEuNDgwMyAxNC4zMjg0IDE0LjMzMDEgMTEuNDc4NiAxNC4zMzAxIDcuOTYwMkMxNC4zMzAxIDQuNDQxNzkgMTEuNDgwMyAxLjU5MjA0IDcuOTYxOTEgMS41OTIwNEM0LjQ0MzUgMS41OTIwNCAxLjU5Mzc1IDQuNDQxNzkgMS41OTM3NSA3Ljk2MDJaIiBmaWxsPSIjMTExMTExIi8+CjxwYXRoIGQ9Ik04LjM1ODA5IDMuOTgwNDdINy4xNjQwNlY4Ljc1NjU5TDExLjM0MzIgMTEuMjY0MUwxMS45NDAyIDEwLjI4NDlMOC4zNTgwOSA4LjE1OTU3VjMuOTgwNDdaIiBmaWxsPSIjMTExMTExIi8+Cjwvc3ZnPgo=);\n  }\n  .appointmentCalendarContainer .monthYearPicker .pickerArrow.prev:after {\n    background-image: url(data:image\/svg+xml;base64,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);\n  }\n  .appointmentCalendarContainer .monthYearPicker .pickerArrow.next:after {\n    background-image: url(data:image\/svg+xml;base64,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);\n  }\n  .appointmentField .timezonePickerName:after {\n    background-image: url(data:image\/svg+xml;base64,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);\n    width: 11px;\n  }\n  li[data-type=control_datetime] [data-wrapper-react=true].extended>div+.form-sub-label-container .form-textbox:placeholder-shown,\n  li[data-type=control_datetime] [data-wrapper-react=true]:not(.extended) .form-textbox:not(.time-dropdown):placeholder-shown,\n  .appointmentCalendarContainer .currentDate {\n    background-image: 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 }\n  .appointmentDayPickerButton {\n    background-image: url(data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iOCIgaGVpZ2h0PSIxNCIgdmlld0JveD0iMCAwIDggMTQiIGZpbGw9Im5vbmUiIHhtbG5zPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwL3N2ZyI+CjxwYXRoIGQ9Ik0xIDEzTDcgN0wxIDAuOTk5OTk5IiBzdHJva2U9IiM4Nzk1QUMiIHN0cm9rZS13aWR0aD0iMiIgc3Ryb2tlLWxpbmVjYXA9InJvdW5kIiBzdHJva2UtbGluZWpvaW49InJvdW5kIi8+Cjwvc3ZnPgo=);\n  }\n  .FITB:not(.formRender) .qb-datebox input:not([data-labelid]), .FITB:not(.formRender) .qb-selectbox input:not([data-labelid]),\n  .FITB:not(.formRender) .qb-signaturebox input:not([data-labelid]), .FITB:not(.formRender) .qb-textbox input:not([data-labelid]),\n  .FITB:not(.formRender) .qb-timebox input:not([data-labelid]), span.FITB-inptCont[data-type=datebox] label,\n  span.FITB-inptCont[data-type=signaturebox] label, span.FITB-inptCont[data-type=textbox] label, span.FITB-inptCont[data-type=timebox] label,\n  span.FITB-inptCont[data-type=datebox] input:focus~label, span.FITB-inptCont[data-type=datebox] input:valid~label,\n  span.FITB-inptCont[data-type=signaturebox] input:focus~label, span.FITB-inptCont[data-type=signaturebox] input:valid~label,\n  span.FITB-inptCont[data-type=textbox] input:focus~label, span.FITB-inptCont[data-type=textbox] input:valid~label,\n  span.FITB-inptCont[data-type=timebox] input:focus~label, span.FITB-inptCont[data-type=timebox] input:valid~label {\n    color: #e5eaf4;\n  }\n\n  \/* NEW THEME STYLE *\/\n  \/*PREFERENCES STYLE*\/\n*,\n*:after,\n*:before {\n  box-sizing: border-box;\n}\n.form-all {\n  font-family: \"Arial\", sans-serif;\n}\n.main .jotform-form {\n  width: 100%;\n  padding: 0 3%;\n}\n.form-all {\n  display: flex;\n  flex-direction: column;\n  width: 100%;\n  max-width: 960px;\n}\n.form-line-active {\n  background-color: #f1f5ff;\n}\n.form-all {\n  font-size: 20px;\n}\n.form-label {\n  font-weight: 500;\n  font-size: 0.95em;\n}\nli.form-line {\n  margin-top: 12px;\n  margin-bottom: 12px;\n}\n.form-line {\n  padding: 12px 10px;\n}\n.supernova .form-all,\n.form-all {\n  border-radius: 20px;\n}\n.form-section:first-child {\n  border-radius: 20px 20px 0 0;\n}\n.form-section:last-child {\n  border-radius: 0 0 20px 20px;\n}\n.form-line,\n.form-input,\n.form-input-wide,\n.form-dropdown,\n.form-sub-label-container,\n.form-matrix-table {\n  width: 100%;\n  max-width: none;\n}\n.form-textbox,\n.form-textarea,\n.form-radio-item,\n.form-checkbox-item,\n.form-captcha input,\n.form-spinner input,\n.form-error-message {\n  width: 100%;\n  max-width: none;\n}\n.form-section {\n  padding: 0px 38px;\n}\n.form-textbox,\n.form-textarea,\nli[data-type=control_fileupload] .qq-upload-button,\n.signature-wrapper {\n  border-color: rgba(195, 202, 216, 0.75);\n}\n.form-textarea:hover,\n.form-textbox:hover,\nli[data-type=control_fileupload] .qq-upload-button:hover,\n.signature-wrapper:hover {\n  border-color: rgba(195, 202, 216, 0.5);\n  box-shadow: 0 0 0 2px rgba(195, 202, 216, 0.25);\n}\n.form-textarea:focus,\n.form-textbox:focus,\nli[data-type=control_fileupload] .qq-upload-button:focus,\n.signature-wrapper:focus {\n  border-color: #c3cad8;\n  box-shadow: 0 0 0 3px rgba(195, 202, 216, 0.25);\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: #ffffff;\n}\nli[data-type=\"control_textbox\"] div[data-layout=\"half\"],\nli[data-type=\"control_dropdown\"] div[data-layout=\"half\"],\nli[data-type=\"control_email\"] div[data-layout=\"half\"],\nli[data-type=\"control_number\"] div[data-layout=\"half\"],\nli[data-type=\"control_phone\"] div[data-layout=\"half\"],\nli[data-type=\"control_datetime\"] div[data-layout=\"half\"],\nli[data-type=\"control_signature\"] div[data-layout=\"half\"] {\n  width: 100% !important;\n  max-width: 960px;\n}\n.form-label {\n  margin-bottom: 12px;\n  margin-right: 0;\n}\n.form-label {\n  font-family: \"Arial\", sans-serif;\n}\n.form-line-column {\n  width: calc(50% - 8px);\n}\n.form-dropdown:first-child {\n  border-color: rgba(195, 202, 216, 0.75);\n  color: #8894ab;\n  background-color: #ffffff;\n}\n[data-type=\"control_dropdown\"] .form-input,\n[data-type=\"control_birthdate\"] .form-input,\n[data-type=\"control_time\"] .form-input,\n[data-type=\"control_dropdown\"] .form-input-wide,\n[data-type=\"control_birthdate\"] .form-input-wide,\n[data-type=\"control_time\"] .form-input-wide {\n  width: 100% !important;\n  max-width: 960px;\n}\n[data-type=\"control_dropdown\"] .form-dropdown {\n  width: 100% !important;\n  max-width: 960px;\n}\n.form-checkbox-item label,\n.form-checkbox-item span,\n.form-radio-item label,\n.form-radio-item span {\n  color: #09dde5;\n}\n.form-label-top,\n.form-label-left,\n.form-label-right,\n.form-html {\n  color: #07aeb4;\n}\n.form-checkbox-item label,\n.form-radio-item label {\n  color: #07aeb4;\n}\n.form-radio-item,\n.form-checkbox-item {\n  padding-bottom: 0px !important;\n}\n.form-radio-item:last-child,\n.form-checkbox-item:last-child {\n  padding-bottom: 0;\n}\n.form-single-column .form-checkbox-item,\n.form-single-column .form-radio-item {\n  width: 100%;\n}\n.form-checkbox-item .editor-container div,\n.form-radio-item .editor-container div {\n  position: relative;\n}\n.form-checkbox-item .editor-container div:before,\n.form-radio-item .editor-container div:before {\n  display: inline-block;\n  vertical-align: middle;\n  left: 0;\n  width: 20px;\n  height: 20px;\n}\n.form-checkbox-item input,\n.form-radio-item input {\n  margin-top: 2px;\n}\n.form-checkbox:checked + label:before,\n.form-checkbox:checked + span:before {\n  background-color: rgba(195, 202, 216, 0.75);\n  border-color: rgba(195, 202, 216, 0.75);\n}\n.form-radio:checked + label:before,\n.form-radio:checked + span:before {\n  border-color: rgba(195, 202, 216, 0.75);\n}\n.form-radio:checked + label:after,\n.form-radio:checked + span:after {\n  background-color: rgba(195, 202, 216, 0.75);\n}\n.form-checkbox:hover + label:before,\n.form-checkbox:hover + span:before,\n.form-radio:hover + label:before,\n.form-radio:hover + span:before {\n  border-color: rgba(195, 202, 216, 0.5);\n  box-shadow: 0 0 0 2px rgba(195, 202, 216, 0.25);\n}\n.form-checkbox:focus + label:before,\n.form-checkbox:focus + span:before,\n.form-radio:focus + label:before,\n.form-radio:focus + span:before {\n  border-color: #c3cad8;\n  box-shadow: 0 0 0 3px rgba(195, 202, 216, 0.25);\n}\n.submit-button {\n  font-size: 20px;\n  font-weight: normal;\n  font-family: \"Arial\", sans-serif;\n  border-color: rgba(195, 202, 216, 0.75);\n}\n.submit-button {\n  min-width: 180px;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n  font-family: \"Arial\", sans-serif;\n  font-size: 20px;\n  font-weight: normal;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n  min-width: 128px;\n}\nli[data-type=\"control_image\"] div {\n  text-align: left;\n}\nli[data-type=\"control_image\"] img {\n  border: none;\n  border-width: 0px !important;\n  border-style: solid !important;\n  border-color: false !important;\n}\n.supernova {\n  height: 100%;\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.supernova {\n  background-image: none;\n}\n#stage {\n  background-image: none;\n}\n\/* | *\/\n.form-all {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.form-header-group {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n}\n.header-large h1.form-header {\n  font-size: 2em;\n}\n.header-large h2.form-header {\n  font-size: 1.5em;\n}\n.header-large h3.form-header {\n  font-size: 1.17em;\n}\n.header-large h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-large h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-large h3 + .form-subHeader {\n  font-size: .75em;\n}\n.header-default h1.form-header {\n  font-size: 2em;\n}\n.header-default h2.form-header {\n  font-size: 1.5em;\n}\n.header-default h3.form-header {\n  font-size: 1.17em;\n}\n.header-default h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-default h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-default h3 + .form-subHeader {\n  font-size: .75em;\n}\n.header-small h1.form-header {\n  font-size: 2em;\n}\n.header-small h2.form-header {\n  font-size: 1.5em;\n}\n.header-small h3.form-header {\n  font-size: 1.17em;\n}\n.header-small h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-small h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-small h3 + .form-subHeader {\n  font-size: .75em;\n}\n.form-header-group {\n  text-align: left;\n}\n.form-header-group {\n  font-family: \"Arial\", sans-serif;\n}\ndiv.form-header-group.header-large,\ndiv.form-header-group.hasImage {\n  margin: 0px -38px;\n}\ndiv.form-header-group.header-large,\ndiv.form-header-group.hasImage {\n  padding: 40px 52px;\n}\n.form-header-group .form-header,\n.form-header-group .form-subHeader {\n  color: #000000;\n}\n.form-collapse-table {\n  border: 1px solid rgba(0, 0, 0, 0.2);\n  background-color: #e5e7f2;\n  box-shadow: 0 1px 0 rgba(255,255,255,0.5) inset, 0 1px 0 rgba(0,0,0,0.2);\n  color: #2c3345;\n}\n.form-collapse-table .form-collapse-mid {\n  text-shadow: none;\n}\n.form-line-error {\n  overflow: hidden;\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #ffd6d6;\n}\n.form-line-error .form-error-message {\n  background-color: #f23a3c;\n  clear: both;\n  float: none;\n}\n.form-line-error .form-error-message .form-error-arrow {\n  border-bottom-color: #f23a3c;\n}\n.form-line-error input:not(#coupon-input),\n.form-line-error textarea,\n.form-line-error .form-validation-error {\n  border: 1px solid #f23a3c;\n  box-shadow: 0 0 3px #f23a3c;\n}\n.supernova {\n  background-color: #ffffff;\n}\n.supernova body {\n  background-color: transparent;\n}\n.supernova .form-all,\n.form-all {\n  background-color: #ffffff;\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: #ffffff;\n}\n.form-matrix-table tr {\n  border-color: #e6e6e6;\n}\n.form-matrix-table tr:nth-child(2n) {\n  background-color: #f2f2f2;\n}\n.form-all {\n  color: 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JotForm.accessible) $('input_32').setAttribute('tabindex',0);\n      setTimeout(function() {\n          $('input_6').hint('ex: email@yahoo.com');\n       }, 20);\nif (window.JotForm && JotForm.accessible) $('input_30').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) $('input_9').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) $('input_11').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) $('input_23').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) $('input_24').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) $('input_19').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) $('input_20').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) $('input_21').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) $('input_26').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) 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\/>\n  <div role=\"main\" class=\"form-all\">\n    <ul class=\"form-section page-section\">\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_31\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_31\" for=\"input_31\"> first name<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_31\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_31\" name=\"q31_firstName\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_31\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_32\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_32\" for=\"input_32\"> last name<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_32\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_32\" name=\"q32_typeA32\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_32\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_email\" id=\"id_6\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_6\" for=\"input_6\"> email<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_6\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"email\" id=\"input_6\" name=\"q6_email6\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" placeholder=\"ex: email@yahoo.com\" data-component=\"email\" aria-labelledby=\"label_6\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_30\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_30\" for=\"input_30\"> message subject<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_30\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_30\" name=\"q30_messageSubject\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_30\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_dropdown\" id=\"id_8\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_8\" for=\"input_8\"> my question \/ comment \/ concern is about<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_8\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_8\" name=\"q8_howDid8\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"my question \/ comment \/ concern is about\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"programming\">programming<\/option>\n            <option value=\"membership \/ a thank-you gift \/ Passport help\">membership \/ a thank-you gift \/ Passport help<\/option>\n            <option value=\"reception \/ technical difficulties\">reception \/ technical difficulties<\/option>\n            <option value=\"event tickets\">event tickets<\/option>\n            <option value=\"Something else (Please specify...)\">Something else (Please specify...)<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_9\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_9\" for=\"input_9\"> other<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_9\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_9\" name=\"q9_other\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" placeholder=\" \" data-component=\"textbox\" aria-labelledby=\"label_9\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_11\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_11\" for=\"input_11\"> message:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_11\" class=\"form-input-wide jf-required\" data-layout=\"full\"> <textarea id=\"input_11\" class=\"form-textarea validate[required]\" name=\"q11_feedbackAbout11\" style=\"width:648px;height:163px\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_11\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_dropdown\" id=\"id_15\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_15\" for=\"input_15\"> how do you receive our signal<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_15\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_15\" name=\"q15_howDo\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"how do you receive our signal\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"over-the-air\">over-the-air<\/option>\n            <option value=\"cable\">cable<\/option>\n            <option value=\"satellite\">satellite<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_16\">\n        <div id=\"cid_16\" class=\"form-input-wide\" data-layout=\"full\">\n          <div id=\"text_16\" class=\"form-html\" data-component=\"text\" tabindex=\"0\">\n            <p><span style=\"color: #000000; font-family: arial, helvetica, sans-serif; font-size: 18pt;\">possible cable problem<\/span><\/p>\n            <p><span style=\"color: #000000; font-family: arial, helvetica, sans-serif;\">Sometimes a cable outage is causing the problem. If you subscribe to Comcast, you may want to contact them at 1.800.XFINITY (I.800.934.6489).<\/span><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_dropdown\" id=\"id_17\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_17\" for=\"input_17\"> have you tried contacting your cable provider?<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_17\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_17\" name=\"q17_haveYou\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"have you tried contacting your cable provider?\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"yes\">yes<\/option>\n            <option value=\"no\">no<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_dropdown\" id=\"id_18\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_18\" for=\"input_18\"> cable provider<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_18\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_18\" name=\"q18_cableProvider\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"cable provider\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"comcast\">comcast<\/option>\n            <option value=\"other\">other<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_23\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_23\" for=\"input_23\"> other cable provider<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_23\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_23\" name=\"q23_otherCable\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_23\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_dropdown\" id=\"id_25\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_25\" for=\"input_25\"> have you tried contacting your satellite provider?<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_25\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_25\" name=\"q25_haveYou25\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"have you tried contacting your satellite provider?\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"yes\">yes<\/option>\n            <option value=\"no\">no<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_24\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_24\" for=\"input_24\"> satellite provider<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_24\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_24\" name=\"q24_satelliteProvider\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_24\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_19\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_19\" for=\"input_19\"> day and time of the problem (rough estimate)<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_19\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_19\" name=\"q19_dayAnd\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_19\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_20\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_20\" for=\"input_20\"> city<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_20\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_20\" name=\"q20_city\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_20\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_21\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_21\" for=\"input_21\"> zip code<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_21\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_21\" name=\"q21_zipCode\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_21\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_26\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_26\" for=\"input_26\"> address or nearest intersection<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_26\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_26\" name=\"q26_addressOr\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_26\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_dropdown\" id=\"id_27\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_27\" for=\"input_27\"> what kind of antenna do you use?<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_27\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_27\" name=\"q27_whatKind\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"what kind of antenna do you use?\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"indoor\">indoor<\/option>\n            <option value=\"outdoor\">outdoor<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_22\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_22\" for=\"input_22\"> describe the problem:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_22\" class=\"form-input-wide jf-required\" data-layout=\"full\"> <textarea id=\"input_22\" class=\"form-textarea validate[required]\" name=\"q22_describeThe\" style=\"width:648px;height:163px\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_22\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_28\">\n        <div id=\"cid_28\" class=\"form-input-wide\" data-layout=\"full\">\n          <div id=\"text_28\" class=\"form-html\" data-component=\"text\" tabindex=\"0\">\n            <p><span style=\"color: #000000; font-family: arial, helvetica, sans-serif; font-size: 18pt;\">optional information<\/span><\/p>\n            <p><span style=\"color: #000000;\">At times our engineers find it helps to give you a call so they can discuss the problem with you in greater depth.<\/span><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_phone\" id=\"id_29\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_29\" for=\"input_29_full\"> Phone Number <\/label>\n        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