._form_1j2qb_1{background:#f5f1e8;border:1px solid #17362d1f;gap:18px;margin:36px 0;padding:24px;display:grid}._form_1j2qb_1 label{color:#17362d;gap:7px;font-size:.8rem;font-weight:700;display:grid}._form_1j2qb_1 input,._form_1j2qb_1 select,._form_1j2qb_1 textarea{color:#17362d;width:100%;font:inherit;background:#fff;border:1px solid #17362d40;border-radius:5px;padding:12px}._form_1j2qb_1 textarea{resize:vertical}._declaration_1j2qb_1{align-items:start;line-height:1.5;grid-template-columns:20px 1fr!important;font-weight:500!important}._declaration_1j2qb_1 input{margin-top:3px}._form_1j2qb_1 button{color:#fff;cursor:pointer;background:#17362d;border:0;border-radius:999px;justify-self:start;padding:13px 20px;font-weight:700}._notice_1j2qb_1{background:#fff;border-left:3px solid #caa55c;padding:14px;color:#53645e!important}