:root{font-family:Arial,sans-serif;color:#122d4b;background:#f4f7fc}*{box-sizing:border-box}body{margin:0}a{color:#1754e8}header{background:white;border-bottom:1px solid #dde6f2;padding:22px max(24px,calc((100vw - 1120px)/2));display:flex;justify-content:space-between;align-items:center;gap:16px}.brand{display:flex;align-items:center;gap:10px;text-decoration:none;font-weight:800;color:#102d4f}.brand img{width:35px;height:35px}.brand small{display:block;font-size:8px;letter-spacing:2px;margin-top:5px}main{max-width:1040px;margin:45px auto;padding:0 24px 48px}.eyebrow{font-size:11px;font-weight:bold;letter-spacing:2px;color:#2a5ee8}h1{font-size:38px;margin:12px 0 16px;letter-spacing:-1px}h2{font-size:20px;margin:0 0 22px}.intro{max-width:760px;color:#5d7189;line-height:1.7}.intro a{white-space:nowrap}.provider{padding:22px 26px;background:#112e54;color:white;border-radius:14px;line-height:1.7;margin:26px 0}.provider span{display:block;color:#c8d8ef;font-size:13px}.provider b{display:block;font-size:15px}.form-card{background:white;border:1px solid #dbe5f2;border-radius:16px;padding:30px;margin:20px 0}.number{display:inline-flex;width:30px;height:30px;align-items:center;justify-content:center;background:#eaf0ff;color:#2558e6;border-radius:9px;font-size:14px;margin-right:9px}.grid{display:grid;grid-template-columns:1fr 1fr;gap:22px}.full{grid-column:1/-1}label{display:block;font-size:13px;font-weight:bold;margin-bottom:8px}input,select,textarea{font:15px Arial,sans-serif;width:100%;padding:13px;border:1px solid #cbd8ec;border-radius:8px;background:#fff;color:#132b49;min-height:46px}input:focus,select:focus,textarea:focus{outline:3px solid #d9e5ff;border-color:#2963ed}textarea{resize:vertical;line-height:1.6}small,.hint{font-size:12px;line-height:1.65;color:#64778f}.choice{display:flex;align-items:flex-start;gap:10px;font-weight:normal;line-height:1.6}.choice input{width:18px;min-height:18px;margin:2px 0}.options{display:flex;gap:22px;flex-wrap:wrap}.options label{flex:1;min-width:220px;padding:16px;border:1px solid #dbe5f2;border-radius:10px}.notice{background:#eaf1ff;border-radius:10px;padding:18px 22px;font-size:13px;line-height:1.7}.error{background:#fff0f0;color:#a51a2b;border:1px solid #e9aab2;padding:18px;border-radius:10px}.submit{background:#2459ef;color:white;padding:16px 25px;border:0;border-radius:10px;font-weight:bold;font-size:15px;cursor:pointer}.submit:disabled{opacity:.65;cursor:wait}.end{display:flex;align-items:center;justify-content:space-between;gap:20px;margin-top:22px}.legal{font-size:12px;color:#61758d;line-height:1.8}footer{border-top:1px solid #dce5f2;padding:24px;text-align:center;font-size:12px;color:#657891}.trap{position:absolute;left:-10000px;width:1px;height:1px;overflow:hidden}.representative{background:#f6f8fd;padding:20px;border-radius:10px}fieldset{border:0;padding:0;margin:0}legend{font-weight:bold;margin-bottom:12px;font-size:13px}@media(max-width:650px){header{padding:18px;font-size:12px}main{margin-top:28px;padding:0 16px 30px}h1{font-size:29px}.grid{grid-template-columns:1fr}.form-card{padding:21px}.end{align-items:stretch;flex-direction:column}.options label{min-width:100%}}
