form.123formbuilder.com Open in urlscan Pro
34.196.61.3  Public Scan

Submitted URL: https://kfdj6qebb.cc.rs6.net/tn.jsp?f=001cL5xa-dqAC-lFiICjg395mHU8gCcvPIiD_DB_FxnJcyRpa1cXLexIiuz7JYYzJSo2rldUpS3BJpXYY0lP19m...
Effective URL: https://form.123formbuilder.com/6348738//
Submission: On October 28 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST

<form data-iframe-height="1" method="post" id="form" action="" data-form-hash="d3RyM01hT1BoZGkzbmxVeHpuUEQyOGtRa05SVFQrS1VocHZkZFRtUCtBU0VHK3pleTVYWTJlRWF6N3lMb1RlQQ==" data-form-id="6348738" data-loader-type="viewer" data-num-children="1"
  data-instructions-text-alignment="left" data-label-text-alignment="left" data-text-direction="ltr" data-label-placement="top" data-layout-type="desktop" data-theme-is-ready="1">
  <style>
    #form div[data-role="grid"] {
      padding-left: 20px;
      padding-right: 20px;
    }

    #form div[data-role="grid"]>div[data-role="edge"][data-edge="left"] {
      left: 20px;
    }

    #form div[data-role="grid"]>div[data-role="edge"][data-edge="right"] {
      right: 20px;
    }

    #form div[data-role="grid"]>div[data-role="edge"][data-edge="top"] {
      top: 20px;
    }

    #form div[data-role="grid"]>div[data-role="edge"][data-edge="bottom"] {
      bottom: 20px;
    }

    #form div[data-role="grid"]>div[data-role="col"] {
      width: 14px;
      margin-right: 16px;
    }

    #form div[data-role="grid"]>div[data-role="col"][data-index="1"] {
      margin-left: 29px;
    }

    #form [data-role="control"]:not([data-colspan]),
    #form [data-role="container"][data-type="likert-wrapper"]:not([data-colspan]) {
      width: 600px;
    }

    #form [data-role="input-row"]>*[data-size]+*[data-size] {
      margin-left: 16px !important;
    }

    #form[data-text-direction="rtl"] [data-role="control"]:not([data-force-mobile-rendering]) [data-role="input-row"]>*[data-size]+*[data-size] {
      margin-left: 16px;
    }

    #form [data-colspan="1"][data-role="control"],
    #form [data-colspan="1"][data-role="container"],
    #form [data-colspan="1"][data-role="virtual-form-table-row"] {
      width: 30px;
    }

    #form [data-role="input-row"][data-fill-colspan="1"]>[data-size="fill"] {
      width: 14px;
    }

    #form [data-role="input-row"]>[data-size="1u"] {
      width: 14px;
    }

    #form [data-colspan="1"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 14px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="1"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="1"]:hover>[data-role="label-resizer"] {
      left: 29px;
    }

    #form [data-colspan="1"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="1"]>button[data-role="add-group-button"] {
      width: 14px;
    }

    #form [data-colspan="1"]>[data-role="input-row"]>[data-size="half"] {
      width: -16px;
    }

    #form [data-colspan="1"]>[data-role="input-row"]>[data-size="third"] {
      width: -16px;
    }

    #form [data-colspan="1"]>[data-role="input-row"]>[data-size="quarter"] {
      width: -16px;
    }

    #form [data-colspan="2"][data-role="control"],
    #form [data-colspan="2"][data-role="container"],
    #form [data-colspan="2"][data-role="virtual-form-table-row"] {
      width: 60px;
    }

    #form [data-role="input-row"][data-fill-colspan="2"]>[data-size="fill"] {
      width: 44px;
    }

    #form [data-role="input-row"]>[data-size="2u"] {
      width: 44px;
    }

    #form [data-colspan="2"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 44px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="2"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="2"]:hover>[data-role="label-resizer"] {
      left: 59px;
    }

    #form [data-colspan="2"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="2"]>button[data-role="add-group-button"] {
      width: 44px;
    }

    #form [data-colspan="2"]>[data-role="input-row"]>[data-size="half"] {
      width: 14px;
    }

    #form [data-colspan="2"]>[data-role="input-row"]>[data-size="third"] {
      width: -16px;
    }

    #form [data-colspan="2"]>[data-role="input-row"]>[data-size="quarter"] {
      width: -16px;
    }

    #form [data-colspan="3"][data-role="control"],
    #form [data-colspan="3"][data-role="container"],
    #form [data-colspan="3"][data-role="virtual-form-table-row"] {
      width: 90px;
    }

    #form [data-role="input-row"][data-fill-colspan="3"]>[data-size="fill"] {
      width: 74px;
    }

    #form [data-role="input-row"]>[data-size="3u"] {
      width: 74px;
    }

    #form [data-colspan="3"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 74px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="3"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="3"]:hover>[data-role="label-resizer"] {
      left: 89px;
    }

    #form [data-colspan="3"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="3"]>button[data-role="add-group-button"] {
      width: 74px;
    }

    #form [data-colspan="3"]>[data-role="input-row"]>[data-size="half"] {
      width: 14px;
    }

    #form [data-colspan="3"]>[data-role="input-row"]>[data-size="third"] {
      width: 14px;
    }

    #form [data-colspan="3"]>[data-role="input-row"]>[data-size="quarter"] {
      width: -16px;
    }

    #form [data-colspan="4"][data-role="control"],
    #form [data-colspan="4"][data-role="container"],
    #form [data-colspan="4"][data-role="virtual-form-table-row"] {
      width: 120px;
    }

    #form [data-role="input-row"][data-fill-colspan="4"]>[data-size="fill"] {
      width: 104px;
    }

    #form [data-role="input-row"]>[data-size="4u"] {
      width: 104px;
    }

    #form [data-colspan="4"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 104px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="4"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="4"]:hover>[data-role="label-resizer"] {
      left: 119px;
    }

    #form [data-colspan="4"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="4"]>button[data-role="add-group-button"] {
      width: 104px;
    }

    #form [data-colspan="4"]>[data-role="input-row"]>[data-size="half"] {
      width: 44px;
    }

    #form [data-colspan="4"]>[data-role="input-row"]>[data-size="third"] {
      width: 14px;
    }

    #form [data-colspan="4"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 14px;
    }

    #form [data-colspan="5"][data-role="control"],
    #form [data-colspan="5"][data-role="container"],
    #form [data-colspan="5"][data-role="virtual-form-table-row"] {
      width: 150px;
    }

    #form [data-role="input-row"][data-fill-colspan="5"]>[data-size="fill"] {
      width: 134px;
    }

    #form [data-colspan="5"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 134px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="5"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="5"]:hover>[data-role="label-resizer"] {
      left: 149px;
    }

    #form [data-colspan="5"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="5"]>button[data-role="add-group-button"] {
      width: 134px;
    }

    #form [data-colspan="5"]>[data-role="input-row"]>[data-size="half"] {
      width: 44px;
    }

    #form [data-colspan="5"]>[data-role="input-row"]>[data-size="third"] {
      width: 14px;
    }

    #form [data-colspan="5"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 14px;
    }

    #form [data-colspan="6"][data-role="control"],
    #form [data-colspan="6"][data-role="container"],
    #form [data-colspan="6"][data-role="virtual-form-table-row"] {
      width: 180px;
    }

    #form [data-role="input-row"][data-fill-colspan="6"]>[data-size="fill"] {
      width: 164px;
    }

    #form [data-colspan="6"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 164px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="6"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="6"]:hover>[data-role="label-resizer"] {
      left: 179px;
    }

    #form [data-colspan="6"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="6"]>button[data-role="add-group-button"] {
      width: 164px;
    }

    #form [data-colspan="6"]>[data-role="input-row"]>[data-size="half"] {
      width: 74px;
    }

    #form [data-colspan="6"]>[data-role="input-row"]>[data-size="third"] {
      width: 44px;
    }

    #form [data-colspan="6"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 14px;
    }

    #form [data-colspan="7"][data-role="control"],
    #form [data-colspan="7"][data-role="container"],
    #form [data-colspan="7"][data-role="virtual-form-table-row"] {
      width: 210px;
    }

    #form [data-role="input-row"][data-fill-colspan="7"]>[data-size="fill"] {
      width: 194px;
    }

    #form [data-colspan="7"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 194px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="7"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="7"]:hover>[data-role="label-resizer"] {
      left: 209px;
    }

    #form [data-colspan="7"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="7"]>button[data-role="add-group-button"] {
      width: 194px;
    }

    #form [data-colspan="7"]>[data-role="input-row"]>[data-size="half"] {
      width: 74px;
    }

    #form [data-colspan="7"]>[data-role="input-row"]>[data-size="third"] {
      width: 44px;
    }

    #form [data-colspan="7"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 14px;
    }

    #form [data-colspan="8"][data-role="control"],
    #form [data-colspan="8"][data-role="container"],
    #form [data-colspan="8"][data-role="virtual-form-table-row"] {
      width: 240px;
    }

    #form [data-role="input-row"][data-fill-colspan="8"]>[data-size="fill"] {
      width: 224px;
    }

    #form [data-colspan="8"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 224px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="8"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="8"]:hover>[data-role="label-resizer"] {
      left: 239px;
    }

    #form [data-colspan="8"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="8"]>button[data-role="add-group-button"] {
      width: 224px;
    }

    #form [data-colspan="8"]>[data-role="input-row"]>[data-size="half"] {
      width: 104px;
    }

    #form [data-colspan="8"]>[data-role="input-row"]>[data-size="third"] {
      width: 44px;
    }

    #form [data-colspan="8"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 44px;
    }

    #form [data-colspan="9"][data-role="control"],
    #form [data-colspan="9"][data-role="container"],
    #form [data-colspan="9"][data-role="virtual-form-table-row"] {
      width: 270px;
    }

    #form [data-role="input-row"][data-fill-colspan="9"]>[data-size="fill"] {
      width: 254px;
    }

    #form [data-colspan="9"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 254px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="9"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="9"]:hover>[data-role="label-resizer"] {
      left: 269px;
    }

    #form [data-colspan="9"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="9"]>button[data-role="add-group-button"] {
      width: 254px;
    }

    #form [data-colspan="9"]>[data-role="input-row"]>[data-size="half"] {
      width: 104px;
    }

    #form [data-colspan="9"]>[data-role="input-row"]>[data-size="third"] {
      width: 74px;
    }

    #form [data-colspan="9"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 44px;
    }

    #form [data-colspan="10"][data-role="control"],
    #form [data-colspan="10"][data-role="container"],
    #form [data-colspan="10"][data-role="virtual-form-table-row"] {
      width: 300px;
    }

    #form [data-role="input-row"][data-fill-colspan="10"]>[data-size="fill"] {
      width: 284px;
    }

    #form [data-colspan="10"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 284px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="10"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="10"]:hover>[data-role="label-resizer"] {
      left: 299px;
    }

    #form [data-colspan="10"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="10"]>button[data-role="add-group-button"] {
      width: 284px;
    }

    #form [data-colspan="10"]>[data-role="input-row"]>[data-size="half"] {
      width: 134px;
    }

    #form [data-colspan="10"]>[data-role="input-row"]>[data-size="third"] {
      width: 74px;
    }

    #form [data-colspan="10"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 44px;
    }

    #form [data-colspan="11"][data-role="control"],
    #form [data-colspan="11"][data-role="container"],
    #form [data-colspan="11"][data-role="virtual-form-table-row"] {
      width: 330px;
    }

    #form [data-role="input-row"][data-fill-colspan="11"]>[data-size="fill"] {
      width: 314px;
    }

    #form [data-colspan="11"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 314px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="11"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="11"]:hover>[data-role="label-resizer"] {
      left: 329px;
    }

    #form [data-colspan="11"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="11"]>button[data-role="add-group-button"] {
      width: 314px;
    }

    #form [data-colspan="11"]>[data-role="input-row"]>[data-size="half"] {
      width: 134px;
    }

    #form [data-colspan="11"]>[data-role="input-row"]>[data-size="third"] {
      width: 74px;
    }

    #form [data-colspan="11"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 44px;
    }

    #form [data-colspan="12"][data-role="control"],
    #form [data-colspan="12"][data-role="container"],
    #form [data-colspan="12"][data-role="virtual-form-table-row"] {
      width: 360px;
    }

    #form [data-role="input-row"][data-fill-colspan="12"]>[data-size="fill"] {
      width: 344px;
    }

    #form [data-colspan="12"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 344px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="12"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="12"]:hover>[data-role="label-resizer"] {
      left: 359px;
    }

    #form [data-colspan="12"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="12"]>button[data-role="add-group-button"] {
      width: 344px;
    }

    #form [data-colspan="12"]>[data-role="input-row"]>[data-size="half"] {
      width: 164px;
    }

    #form [data-colspan="12"]>[data-role="input-row"]>[data-size="third"] {
      width: 104px;
    }

    #form [data-colspan="12"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 74px;
    }

    #form [data-colspan="13"][data-role="control"],
    #form [data-colspan="13"][data-role="container"],
    #form [data-colspan="13"][data-role="virtual-form-table-row"] {
      width: 390px;
    }

    #form [data-role="input-row"][data-fill-colspan="13"]>[data-size="fill"] {
      width: 374px;
    }

    #form [data-colspan="13"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 374px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="13"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="13"]:hover>[data-role="label-resizer"] {
      left: 389px;
    }

    #form [data-colspan="13"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="13"]>button[data-role="add-group-button"] {
      width: 374px;
    }

    #form [data-colspan="13"]>[data-role="input-row"]>[data-size="half"] {
      width: 164px;
    }

    #form [data-colspan="13"]>[data-role="input-row"]>[data-size="third"] {
      width: 104px;
    }

    #form [data-colspan="13"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 74px;
    }

    #form [data-colspan="14"][data-role="control"],
    #form [data-colspan="14"][data-role="container"],
    #form [data-colspan="14"][data-role="virtual-form-table-row"] {
      width: 420px;
    }

    #form [data-role="input-row"][data-fill-colspan="14"]>[data-size="fill"] {
      width: 404px;
    }

    #form [data-colspan="14"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 404px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="14"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="14"]:hover>[data-role="label-resizer"] {
      left: 419px;
    }

    #form [data-colspan="14"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="14"]>button[data-role="add-group-button"] {
      width: 404px;
    }

    #form [data-colspan="14"]>[data-role="input-row"]>[data-size="half"] {
      width: 194px;
    }

    #form [data-colspan="14"]>[data-role="input-row"]>[data-size="third"] {
      width: 104px;
    }

    #form [data-colspan="14"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 74px;
    }

    #form [data-colspan="15"][data-role="control"],
    #form [data-colspan="15"][data-role="container"],
    #form [data-colspan="15"][data-role="virtual-form-table-row"] {
      width: 450px;
    }

    #form [data-role="input-row"][data-fill-colspan="15"]>[data-size="fill"] {
      width: 434px;
    }

    #form [data-colspan="15"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 434px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="15"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="15"]:hover>[data-role="label-resizer"] {
      left: 449px;
    }

    #form [data-colspan="15"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="15"]>button[data-role="add-group-button"] {
      width: 434px;
    }

    #form [data-colspan="15"]>[data-role="input-row"]>[data-size="half"] {
      width: 194px;
    }

    #form [data-colspan="15"]>[data-role="input-row"]>[data-size="third"] {
      width: 134px;
    }

    #form [data-colspan="15"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 74px;
    }

    #form [data-colspan="16"][data-role="control"],
    #form [data-colspan="16"][data-role="container"],
    #form [data-colspan="16"][data-role="virtual-form-table-row"] {
      width: 480px;
    }

    #form [data-role="input-row"][data-fill-colspan="16"]>[data-size="fill"] {
      width: 464px;
    }

    #form [data-colspan="16"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 464px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="16"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="16"]:hover>[data-role="label-resizer"] {
      left: 479px;
    }

    #form [data-colspan="16"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="16"]>button[data-role="add-group-button"] {
      width: 464px;
    }

    #form [data-colspan="16"]>[data-role="input-row"]>[data-size="half"] {
      width: 224px;
    }

    #form [data-colspan="16"]>[data-role="input-row"]>[data-size="third"] {
      width: 134px;
    }

    #form [data-colspan="16"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 104px;
    }

    #form [data-colspan="17"][data-role="control"],
    #form [data-colspan="17"][data-role="container"],
    #form [data-colspan="17"][data-role="virtual-form-table-row"] {
      width: 510px;
    }

    #form [data-role="input-row"][data-fill-colspan="17"]>[data-size="fill"] {
      width: 494px;
    }

    #form [data-colspan="17"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 494px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="17"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="17"]:hover>[data-role="label-resizer"] {
      left: 509px;
    }

    #form [data-colspan="17"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="17"]>button[data-role="add-group-button"] {
      width: 494px;
    }

    #form [data-colspan="17"]>[data-role="input-row"]>[data-size="half"] {
      width: 224px;
    }

    #form [data-colspan="17"]>[data-role="input-row"]>[data-size="third"] {
      width: 134px;
    }

    #form [data-colspan="17"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 104px;
    }

    #form [data-colspan="18"][data-role="control"],
    #form [data-colspan="18"][data-role="container"],
    #form [data-colspan="18"][data-role="virtual-form-table-row"] {
      width: 540px;
    }

    #form [data-role="input-row"][data-fill-colspan="18"]>[data-size="fill"] {
      width: 524px;
    }

    #form [data-colspan="18"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 524px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="18"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="18"]:hover>[data-role="label-resizer"] {
      left: 539px;
    }

    #form [data-colspan="18"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="18"]>button[data-role="add-group-button"] {
      width: 524px;
    }

    #form [data-colspan="18"]>[data-role="input-row"]>[data-size="half"] {
      width: 254px;
    }

    #form [data-colspan="18"]>[data-role="input-row"]>[data-size="third"] {
      width: 164px;
    }

    #form [data-colspan="18"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 104px;
    }

    #form [data-colspan="19"][data-role="control"],
    #form [data-colspan="19"][data-role="container"],
    #form [data-colspan="19"][data-role="virtual-form-table-row"] {
      width: 570px;
    }

    #form [data-role="input-row"][data-fill-colspan="19"]>[data-size="fill"] {
      width: 554px;
    }

    #form [data-colspan="19"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 554px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="19"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="19"]:hover>[data-role="label-resizer"] {
      left: 569px;
    }

    #form [data-colspan="19"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="19"]>button[data-role="add-group-button"] {
      width: 554px;
    }

    #form [data-colspan="19"]>[data-role="input-row"]>[data-size="half"] {
      width: 254px;
    }

    #form [data-colspan="19"]>[data-role="input-row"]>[data-size="third"] {
      width: 164px;
    }

    #form [data-colspan="19"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 104px;
    }

    #form [data-colspan="20"][data-role="control"],
    #form [data-colspan="20"][data-role="container"],
    #form [data-colspan="20"][data-role="virtual-form-table-row"] {
      width: 600px;
    }

    #form [data-role="input-row"][data-fill-colspan="20"]>[data-size="fill"] {
      width: 584px;
    }

    #form [data-colspan="20"]:not([data-role="control"]):not([data-role="container"]):not([data-role="virtual-form-table-row"]):not([data-role="page"]) {
      width: 584px;
      margin-right: 16px;
    }

    #form [data-role="control"][data-label-width="20"]:hover>[data-role="label-resizer"],
    #form [data-role="container"][data-type="likert-wrapper"][data-label-width="20"]:hover>[data-role="label-resizer"] {
      left: 599px;
    }

    #form [data-colspan="20"]>[data-role="input-row"]>[data-size="full"],
    [data-role="container"][data-type="repeatable"][data-colspan="20"]>button[data-role="add-group-button"] {
      width: 584px;
    }

    #form [data-colspan="20"]>[data-role="input-row"]>[data-size="half"] {
      width: 284px;
    }

    #form [data-colspan="20"]>[data-role="input-row"]>[data-size="third"] {
      width: 164px;
    }

    #form [data-colspan="20"]>[data-role="input-row"]>[data-size="quarter"] {
      width: 134px;
    }

    #form {
      background-color: #fcfdfc;
      font-family: Lato;
      font-size: 16px;
    }

    body.with-notification #notifications-area {
      background-color: #fcfdfc !important;
    }

    #form[data-submission-phase="show-html"]>[data-submission-phase="show-html"],
    #form div[data-role="detailed-invoice"],
    #form #editor-settings-panel {
      width: 654px;
      padding: 20px 20px 20px 20px;
      background-color: #fcfdfc;
      border-width: 7px;
      border-style: none;
      border-color: #4c4c4c;
    }

    #form div[data-role="page"] {
      width: 654px;
      padding: 0 20px 20px 20px;
      margin: 40px auto 40px auto !important;
      background-color: #fcfdfc;
      border-width: 7px;
      border-style: none;
      border-color: #4c4c4c;
    }

    #form div[data-role="page"][data-type="payment-summary-page"] {
      margin-bottom: 80px !important;
    }

    #form.has-backlink div[data-role="page"][data-type="payment-summary-page"] {
      margin-bottom: calc(40px + 12px) !important;
    }

    #form div[data-type="backlink-container"] {
      width: calc(640px + 7px + 7px + 16px);
      margin: 0 auto;
    }

    #form [data-role="page"][data-num-children]:not([data-num-children="0"]) {
      width: 654px;
      padding: 0 20px 20px 20px;
      margin-top: 40px !important;
      margin-bottom: 40px !important;
      background-color: #fcfdfc;
      border-width: 7px;
      border-style: none;
      border-color: #4c4c4c;
    }

    #form.has-backlink [data-role="page"],
    #form.has-backlink [data-role="page"][data-num-children]:not([data-num-children="0"]) {
      margin-bottom: 12px !important;
    }

    body>[data-role="wix-app-warning-box"] {
      width: 654px;
    }

    #form[data-has-fixed-header] div[data-role="page"] [data-role="control"][data-type="realtime-calculations"],
    #form div[data-role="page"]>div[data-role="page-header"]>div[data-role="quiz-timer"] {
      width: 654px;
    }

    #form div[data-role="page"]>div[data-role="page-header"]>div[data-role="quiz-timer"] {
      padding-right: 28px;
    }

    #form div[data-role="page"]>div[data-role="page-header"]>div[data-role="quiz-timer"] {
      margin-left: -20px;
      margin-right: -20px;
    }

    #form div[data-role="page"]>div[data-role="page-header"]>div[data-role="control"][data-type="realtime-calculations"] {
      margin-left: -20px;
    }

    #form div[data-role="page"]>div[data-role="page-header"]:not([data-has-quiz-timer])>div[data-role="control"][data-type="realtime-calculations"] {
      margin-right: -20px;
    }

    #form div[data-role="page"]>div[data-role="page-header"]:not([data-has-quiz-timer])>div[data-role="control"][data-type="realtime-calculations"] {
      padding-right: 20px;
    }

    #form:not([data-has-fixed-header]) div[data-role="page"]>div[data-role="page-header"][data-has-realtime-calculations][data-has-quiz-timer]>div[data-role="control"][data-type="realtime-calculations"] {
      width: calc(100% + 20px + 20px);
      margin-left: -20px;
    }

    #form div[data-role="form-errors"],
    #form[data-submission-phase="show-report"]>[data-submission-phase="show-report"],
    #form[data-submission-phase="show-quiz-results"]>[data-submission-phase="show-quiz-results"],
    #form[data-submission-phase="redirect"]>[data-submission-phase="redirect"],
    #form[data-submission-phase="text-and-redirect"]>[data-submission-phase="text-and-redirect"],
    #form[data-submission-phase="show-text"]>[data-submission-phase="show-text"],
    #form[data-submission-phase="unhandled"]>[data-submission-phase="unhandled"] {
      width: 654px;
      padding: 20px 20px 20px 20px;
      border-width: 7px;
      border-style: none;
    }

    #form {
      padding-top: 40px;
    }

    @media (max-width: 768px) {
      body.has-ribbon #form {
        padding-top: 100px;
      }
    }

    #form[data-has-language-selector] {
      padding-top: 80px;
    }

    #form div[data-role="control"][data-type="language-selector"]>div[data-ui-role="ui-element"][data-type="dropdown"] {
      font-family: Lato;
      font-size: 16px;
      line-height: 1.2em;
    }

    #form[data-loader-type="viewer"] {
      padding-bottom: 40px;
    }

    #form[data-layout-type="desktop"] div[data-role="page"][data-page-index="0"],
    #form[data-submission-phase="show-html"]>[data-submission-phase="show-html"],
    #form[data-loader-type="viewer"] div[data-role="page"][data-is-active] {
      margin: 0 auto 0 auto;
    }

    #form div[data-role="page"]~[data-role="after-submit-page-break"] {
      width: 654px;
      height: 80px;
    }

    #form div[data-role="container"][data-type="repeatable"],
    #form div[data-role="container"][data-type="div"],
    #form div[data-role="container"][data-type="virtual-form-table-row"]:not(.image-container--justify) {
      overflow: visible;
    }

    #form div[data-role="control"],
    #form div[data-role="container"][data-type="div"],
    #form div[data-role="container"][data-type="likert-wrapper"] {
      padding: 8px 8px;
      border-width: 0px;
      border-style: none;
      border-radius: 0px;
    }

    #form div[data-role="control"]:not(:hover):not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    #form div[data-role="container"][data-type="div"]:not(:hover):not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    #form div[data-role="container"][data-type="likert-wrapper"]:not(:hover):not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) {
      background-color: transparent;
      border-color: transparent;
    }

    body:not([data-mouse-gesture-type]) #form[data-loader-type="editor"] div[data-role="container"]:not(.image-container--justify) div[data-role="control"]:hover:not(.selected):not([data-is-selected]):not([data-is-drag-source]):not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    body:not([data-mouse-gesture-type]) #form[data-loader-type="editor"] div[data-role="container"][data-type="div"]:hover:not([data-is-drag-source]):not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]):not([data-num-children]),
    body:not([data-mouse-gesture-type]) #form[data-loader-type="editor"] div[data-role="container"][data-type="repeatable"]:hover:not([data-is-drag-source]):not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    body:not([data-mouse-gesture-type]) #form[data-loader-type="editor"] div[data-role="container"][data-type="likert-wrapper"]:hover:not([data-is-drag-source]):not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) {
      background-color: rgba(204, 204, 204, .2);
      box-shadow: inset 0px 0px 0px 2px rgba(0, 153, 204, 0.5);
    }

    #form[data-loader-type="editor"] div[data-role="control"][data-is-selected]:not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    #form[data-loader-type="editor"] div[data-role="control"].selected:not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    #form[data-loader-type="editor"] div[data-role="container"][data-type="div"][data-is-selected]:not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    #form[data-loader-type="editor"] div[data-role="container"][data-type="div"].selected:not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    #form[data-loader-type="editor"] div[data-role="container"][data-type="likert-wrapper"][data-is-selected]:not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    #form[data-loader-type="editor"] div[data-role="container"][data-type="likert-wrapper"].selected:not([data-disabled]):not([data-is-active]):not([data-has-errors]),
    #form[data-loader-type="editor"] div[data-role="container"][data-type="repeatable"][data-is-selected],
    #form[data-loader-type="editor"] div[data-role="container"][data-type="repeatable"].selected {
      background-color: rgba(204, 204, 204, .4);
      border-color: transparent;
    }

    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]),
    #form div[data-role="container"][data-type="div"][data-disabled]:not([data-is-active]):not([data-has-errors]),
    #form div[data-role="container"][data-type="likert-wrapper"][data-disabled]:not([data-is-active]):not([data-has-errors]) {
      background-color: transparent;
      border-color: transparent;
    }

    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]),
    #form[data-loader-type="editor"] div[data-role="container"][data-type="div"][data-is-active]:not([data-has-errors]),
    #form[data-loader-type="editor"] div[data-role="container"][data-type="likert-wrapper"][data-is-active]:not([data-has-errors]),
    #editor-settings-panel [data-role="setting"][data-is-selected]:not([data-has-errors]) {
      background-color: rgba(204, 204, 204, .4);
      border-color: transparent;
    }

    #form div[data-role="control"][data-has-errors],
    #form div[data-role="container"][data-type="div"][data-has-errors],
    #form div[data-role="container"][data-type="likert-wrapper"][data-has-errors] {
      background-color: transparent;
      border-color: transparent;
    }

    #form [data-role="page"]>[data-role="page-header"] [data-role="control"],
    #form [data-role="page"]>[data-role="page-footer"] [data-role="control"] {
      background-color: transparent;
      border-color: transparent;
    }

    body:not([data-mouse-gesture-type]) #form[data-loader-type="editor"] [data-role="page"]>[data-role="page-header"] [data-role="control"]:not([data-is-selected]):hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="editor"] [data-role="page"]>[data-role="page-footer"] [data-role="control"]:not([data-is-selected]):not([data-type="form-captcha"]):hover {
      border-color: transparent !important;
    }

    #form [data-role="page"]>[data-role="page-header"] [data-role="control"][data-is-selected],
    #form [data-role="page"]>[data-role="page-footer"] [data-role="control"][data-is-selected] {
      background-color: rgba(204, 204, 204, .4);
      border-color: transparent;
    }

    #form div[data-role="control"] label[data-role="label"],
    #form div[data-role="control"] div.control__label,
    #form div[data-role="container"][data-type="likert-wrapper"] label[data-role="label"],
    #form div[data-role="container"][data-type="repeatable"] label[data-role="label"] {
      font-family: Lato;
      font-size: 16px;
      font-weight: normal;
      font-style: normal;
      line-height: 1.2em;
      padding-top: 10px;
      padding-bottom: 8px;
      margin-top: 0px;
      margin-bottom: 0px;
    }

    #form,
    #form div[data-role="control"]:not(:hover):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) div[data-role="label"],
    #form div[data-role="control"]:not(:hover):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) label[data-role="label"],
    #form div[data-role="container"][data-type="likert-wrapper"]:not(:hover):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) label[data-role="label"] {
      color: #000000;
    }

    #form div[data-role="control"]:hover:not([data-is-selected]):not([data-is-drag-source]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) div[data-role="label"],
    #form div[data-role="control"]:hover:not([data-is-selected]):not([data-is-drag-source]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) label[data-role="label"],
    #form div[data-role="container"][data-type="likert-wrapper"]:hover:not([data-is-selected]):not([data-is-drag-source]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) label[data-role="label"] {
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-is-selected]:not([data-disabled]):not([data-is-active]):not([data-has-errors]) div[data-role="label"],
    #form div[data-role="control"][data-is-selected]:not([data-disabled]):not([data-is-active]):not([data-has-errors]) label[data-role="label"],
    #form div[data-role="container"][data-type="likert-wrapper"][data-is-selected]:not([data-disabled]):not([data-is-active]):not([data-has-errors]) label[data-role="label"] {
      color: #4c4c4c;
    }

    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) div[data-role="label"],
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) label[data-role="label"],
    #form div[data-role="container"][data-type="likert-wrapper"][data-disabled]:not([data-is-active]):not([data-has-errors]) label[data-role="label"] {
      color: rgba(76, 76, 76, .5);
    }

    #form div[data-role="control"][data-is-active]:not([data-has-errors]) div.control__label,
    #form div[data-role="control"][data-is-active]:not([data-has-errors]) label[data-role="label"],
    #form div[data-role="container"][data-type="likert-wrapper"][data-is-active]:not([data-has-errors]) label[data-role="label"],
    #form div[data-role="control"][data-is-active]:not([data-has-errors]) div.control__label,
    #form div[data-role="container"][data-type="likert-wrapper"][data-is-active]:not([data-has-errors]) div.control__label {
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-has-errors] div[data-role="label"],
    #form div[data-role="control"][data-has-errors] label[data-role="label"],
    #form div[data-role="container"][data-type="likert-wrapper"][data-has-errors] label[data-role="label"] {
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-is-required]:not([data-type="likert-scale"]) label[data-role="label"]:after,
    #form div[data-role="container"][data-is-required][data-type="likert-wrapper"] label[data-role="label"]:after,
    #form div[data-role="control"][data-is-required]:not([data-type="likert-scale"]) div.control__label:after,
    #form div[data-role="container"][data-is-required][data-type="likert-wrapper"] div.control__label:after {
      color: rgba(255, 0, 0, 1);
    }

    #form div[data-role="control"] label[data-role="error"],
    #form div[data-role="container"][data-type="likert-wrapper"] label[data-role="error"] {
      font-family: Lato;
      font-size: 14px;
      font-weight: normal;
      font-style: normal;
      line-height: 1.2em;
      padding-top: 4px;
      padding-bottom: 0px;
      color: #fa4848;
      white-space: normal;
    }

    #form div[data-role="control"] [data-role="instructions"],
    #form div[data-role="container"][data-type="likert-wrapper"] [data-role="instructions"],
    #form div[data-role="container"][data-type="repeatable"] [data-role="instructions"] {
      font-family: Lato;
      font-size: 14px;
      font-weight: normal;
      font-style: normal;
      line-height: 1.2em;
      padding-top: 4px;
      padding-bottom: 0px;
      margin-top: 0px;
      margin-bottom: 0px;
    }

    #form div[data-role="control"]:not(:hover):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) [data-role="instructions"],
    #form div[data-role="container"][data-type="likert-wrapper"]:not(:hover):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) [data-role="instructions"] {
      color: #000000;
    }

    #form div[data-role="control"]:hover:not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) [data-role="instructions"],
    #form div[data-role="page-footer"] div[data-role="control"]:hover:not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) .actionBarDisclaimerContainer,
    #form div[data-role="container"][data-type-likert-wrapper]:hover:not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) [data-role="instructions"] {
      color: #808080;
    }

    #form div[data-role="control"][data-is-selected]:not([data-disabled]):not([data-is-active]):not([data-has-errors]) [data-role="instructions"],
    #form div[data-role="control"][data-is-selected]:not([data-disabled]):not([data-is-active]):not([data-has-errors]) .actionBarDisclaimerContainer,
    #form div[data-role="container"][data-type="likert-wrapper"][data-is-selected]:not([data-disabled]):not([data-is-active]):not([data-has-errors]) [data-role="instructions"] {
      color: #aaaaaa;
    }

    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) [data-role="instructions"],
    #form div[data-role="container"][data-type="likert-wrapper"][data-disabled]:not([data-is-active]):not([data-has-errors]) [data-role="instructions"] {
      color: rgba(170, 170, 170, .5);
    }

    #form div[data-role="control"][data-is-active]:not([data-has-errors]) [data-role="instructions"],
    #form div[data-role="container"][data-type="likert-wrapper"][data-is-active]:not([data-has-errors]) [data-role="instructions"] {
      color: #808080;
    }

    #form div[data-role="control"][data-has-errors] [data-role="instructions"],
    #form div[data-role="container"][data-type="likert-wrapper"][data-has-errors] [data-role="instructions"] {
      color: #808080;
    }

    #form div[data-role="control"] input[data-role="i123-input"]:not([type=radio]):not([type=checkbox]):not([type=reset]):not([type=hidden]):not([data-no-theme]),
    #form div[data-role="control"] select[data-role="i123-input"],
    #form div[data-role="control"] textarea[data-role="i123-input"],
    #form div[data-role=control][data-type=textarea] [data-role=input-row]::after,
    #form div[data-role="control"] div[data-role="i123-input"]:not([data-type="file"]),
    #form div[data-role="control"] div[data-role="i123-input"][data-type="file"]>div[data-role="upload-overlay"],
    #form div[data-role="control"] div[data-role="i123-input"][data-type="file"]>div[data-role="abort-all-uploads"],
    #form div[data-role="control"][data-type="check-box"] input[data-role="other"],
    #form div[data-role="control"][data-type="radio"] input[data-role="other"],
    #form div[data-role="control"] div[data-role="price-container"],
    #form div[data-role="control"] div[data-role="price-container"]>input,
    #form div[data-role="control"] div[data-role="input-container"] {
      color: #000000;
      padding: 8px 8px;
      border-width: 1px !important;
      border-style: solid !important;
      border-radius: 18px !important;
      font-family: Lato;
      font-size: 16px;
      font-weight: normal;
      font-style: normal;
      line-height: 1.2em;
      background-color: transparent;
      border-color: #a0aec0;
    }

    #form div[data-role="control"] textarea[data-role="i123-input"]::-ms-input-placeholder {
      color: #000000;
      opacity: .5;
    }

    #form div[data-role="control"] textarea[data-role="i123-input"]::placeholder {
      color: #000000;
      opacity: .5;
    }

    #form div[data-role="control"] input[data-role="i123-input"]::-ms-input-placeholder {
      color: #000000;
      opacity: .5;
    }

    #form div[data-role="control"] textarea[data-role="i123-input"]::-webkit-input-placeholder {
      color: #000000;
      opacity: .5;
    }

    #form div[data-role="control"] input[data-role="i123-input"]::-webkit-input-placeholder {
      color: #000000;
      opacity: .5;
    }

    #form div[data-role="control"] div[data-role="price-container"]>input,
    #form div[data-role="control"] div[data-role="input-container"]>input {
      border: none !important;
    }

    #form div[data-role="control"] div[data-type="star-rating"][data-role="i123-input"] {
      color: rgba(76, 76, 76, .5);
    }

    #form div[data-role="control"] div[data-role="i123-input"][data-type="date"]>div[data-role="expander"]:after,
    #form div[data-role="control"] div[data-role="i123-input"][data-type="time"]>div[data-role="expander"]:after {
      right: 5px;
    }

    #form div[data-role="control"] input[data-role="i123-input"]:not([type=radio]):not([type=checkbox]):not([type=reset]):not([type=hidden]):not([data-no-theme]),
    #form div[data-role="control"] select[data-role="i123-input"],
    #form div[data-role="control"] div[data-role="i123-input"],
    #form div[data-role="control"][data-type="form-captcha"] img[data-role="i123-captcha"]:not([data-captcha-type="recaptcha"]),
    #form div[data-role="control"][data-type="check-box"] input[data-role="other"],
    #form div[data-role="control"][data-type="radio"] input[data-role="other"],
    #form div[data-role="control"] div[data-role="price-container"],
    #form div[data-role="control"] div[data-role="input-container"] {
      height: calc(8px + 8px + 1px + 1px + 1.2em);
    }

    #form div[data-role="control"] input[data-role="i123-input"][type=radio]+label,
    #form div[data-role="control"] input[data-role="i123-input"][type=radio]+i.radio-icon {
      border-width: 1px;
      border-style: solid;
      border-radius: 50%;
      margin: 0 8px 0 0;
      background-color: transparent;
      border-color: #a0aec0;
    }

    #form div[data-role="control"][data-type="radio"] input[data-role="i123-input"][type=radio]:checked+label,
    #form div[data-role="control"][data-type="radio"] input[data-role="i123-input"][type=radio]:checked+i.radio-icon,
    #form div[data-role="control"][data-type="likert-scale"] input[data-role="i123-input"][type=radio]:checked+label,
    #form div[data-role="control"][data-type="likert-scale"] input[data-role="i123-input"][type=radio]:checked+i.radio-icon {
      border-color: #000000 !important;
      background-color: #000000 !important;
    }

    #form div[data-role="control"][data-type="radio"] input[data-role="i123-input"][type=radio]:checked:hover+label,
    #form div[data-role="control"][data-type="likert-scale"] input[data-role="i123-input"][type=radio]:checked:hover+label {
      border-color: #a0aec0 !important;
    }

    #form div[data-role="control"] input[data-role="i123-input"][type=checkbox]+label,
    #form div[data-role="control"] input[data-role="i123-input"][type=checkbox]+i.checkbox-icon {
      border-width: 1px;
      border-style: solid;
      margin: 0 8px 0 0;
      background-color: transparent;
      border-color: #a0aec0;
    }

    #form div[data-role="control"][data-type="check-box"] input[data-role="i123-input"][type=checkbox]:checked+label,
    #form div[data-role="control"][data-type="check-box"] input[data-role="i123-input"][type=checkbox]:checked+i.checkbox-icon,
    #form div[data-role="control"][data-type="product"] input[data-role="i123-input"][type=checkbox]:checked+label,
    #form div[data-role="control"][data-type="terms-of-service"] input[data-role="i123-input"][type=checkbox]:checked+i.checkbox-icon,
    #form div[data-role="control"][data-type="terms-of-service"] input[data-role="i123-input"][type=checkbox]:checked+label {
      border-color: #000000 !important;
      border-width: 1px;
      border-style: solid;
      background-color: #000000 !important;
      font-style: normal;
    }

    #form div[data-role="control"][data-type="check-box"] input[data-role="i123-input"][type=checkbox]:checked:hover+label,
    #form div[data-role="control"][data-type="terms-of-service"] input[data-role="i123-input"][type=checkbox]:checked:hover+i.checkbox-icon,
    #form div[data-role="control"][data-type="terms-of-service"] input[data-role="i123-input"][type=checkbox]:checked:hover+label {
      border-color: #a0aec0 !important;
    }

    #form [data-role="control"][data-show-number-of-choices] [data-role="input-row"]>[data-role="choice"]>label[data-role="choice"]>span[data-role="label-info"] {
      color: rgba(76, 76, 76, .5);
    }

    #form div[data-role="control"][data-type="check-box"] label[data-role="choice"],
    #form [data-role="control"] [data-role="input-row"] label[data-role="tos-label"] {
      padding-top: 1px;
    }

    #form div[data-role="control"][data-type="radio"] label[data-role="choice"] {
      padding-top: 1px;
    }

    #form div[data-role="control"][data-type="check-box"] label[data-role="choice"]>input[data-role="i123-input"][type=checkbox]+label,
    #form [data-role="control"] [data-role="input-row"] label[data-role="tos-label"]>input[data-role="i123-input"][type=checkbox]+label,
    #form div[data-role="control"][data-type="check-box"] label[data-role="choice"]>input[data-role="i123-input"][type=checkbox]+i.checkbox-icon {
      margin-right: 8px;
    }

    #form div[data-role="control"][data-type="radio"] label[data-role="choice"]>input[data-role="i123-input"][type=radio]+label,
    #form div[data-role="control"][data-type="radio"] label[data-role="choice"]>input[data-role="i123-input"][type=radio]+i.radio-icon {
      margin-right: 8px;
    }

    #form[data-accessibility-enabled="1"] div[data-role="control"][data-type="radio"].button-choices label[data-role="choice"]>input[data-role="i123-input"][type=radio]+i.radio-icon,
    #form[data-accessibility-enabled="1"] div[data-role="control"][data-type="check-box"].button-choices label[data-role="choice"]>input[data-role="i123-input"][type=checkbox]+i.checkbox-icon {
      margin-left: 0;
    }

    #form[data-text-direction="rtl"] div[data-role="control"][data-type="check-box"] label[data-role="choice"]>input[data-role="i123-input"][type=checkbox]+label,
    #form[data-text-direction="rtl"] [data-role="control"] [data-role="input-row"] label[data-role="tos-label"]>input[data-role="i123-input"][type=checkbox]+label {
      margin-left: 8px;
    }

    #form[data-text-direction="rtl"] div[data-role="control"][data-type="radio"] label[data-role="choice"]>input[data-role="i123-input"][type=radio]+label {
      margin-left: 8px;
    }

    #form div[data-role="control"][data-type="check-box"] label[data-role="choice"][data-disabled],
    #form div[data-role="control"][data-type="radio"] label[data-role="choice"][data-disabled] {
      color: rgba(76, 76, 76, .5);
    }

    #form div[data-role="control"][data-type="check-box"] label[data-role="choice"][data-disabled]>input[data-role="i123-input"][type=checkbox]+label,
    #form div[data-role="control"][data-type="radio"] label[data-role="choice"][data-disabled]>input[data-role="i123-input"][type=radio]+label {
      background-color: transparent;
      border-color: rgba(204, 204, 204, .5);
    }

    #form div[data-role="control"]:not(:hover):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) input[data-role="i123-input"][type=checkbox][data-disabled]+label,
    #form div[data-role="control"]:not(:hover):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) input[data-role="i123-input"][type=radio][data-disabled]+label,
    #form div[data-role="control"]:not(:hover):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) input[data-role="i123-input"][type=radio][data-disabled]+i.radio-icon {
      background-color: transparent;
      border-color: rgba(204, 204, 204, .5);
    }

    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) input[data-role="i123-input"]:not([data-no-theme]):not([type=reset]):not([type=radio]):not([type=checkbox]):not([type=hidden]),
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) select[data-role="i123-input"],
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) div[data-role="i123-input"]:not([data-type=file]),
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) div[data-role="price-container"],
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) div[data-role="input-container"],
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) div[data-role="i123-input"][type=file]>[data-role="upload-overlay"],
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) div[data-role="i123-input"][type=file]>[data-role="abort-all-uploads"],
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) textarea[data-role="i123-input"],
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) input[data-role="i123-input"][type=radio]+label,
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) input[data-role="i123-input"][type=checkbox]+label,
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) div[data-role="choice"] input[data-role="other"],
    #form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) div[data-role="choice"] i.checkbox-icon,
    #form div[data-role="control"][data-type="signature"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) [data-role="signature-container"],
    #form [data-role="container"][data-type="repeatable"] [data-role="add-group-button"] {
      background-color: transparent;
      border-color: #a0aec0;
    }

    #form div[data-ui-role="ui-element"][data-type="file"]>div[data-role="abort-all-uploads"] {
      color: rgba(76, 76, 76, .5);
    }

    #form div[data-ui-role="ui-element"][data-type="file"]>div[data-role="upload-overlay"]>div[data-role="placeholder"] {
      color: #000000;
    }

    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) input[data-role="i123-input"]:not([type=reset]):not([type=radio]):not([type=checkbox]):not([type=hidden]):not([data-disabled]):not([data-no-theme]):hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) select[data-role="i123-input"]:not([data-disabled]):hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="i123-input"]:not([data-type="file"]):not([data-disabled]):not([readonly="readonly"]):hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="price-container"]:not([data-disabled]):hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="input-container"]:not([data-disabled]):hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="i123-input"][data-type="file"]:not([data-disabled])>[data-role="upload-overlay"]:hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="i123-input"][data-type="file"]:not([data-disabled])>[data-role="abort-all-uploads"]:hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) textarea[data-role="i123-input"]:not([data-disabled]):hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) input[data-role="i123-input"][type=radio]:not([data-disabled]):hover+label,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) input[data-role="i123-input"][type=radio]:not([data-disabled]):hover+i.radio-icon,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) input[data-role="i123-input"][type=checkbox]:not([data-disabled]):not([readonly]):hover+label,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="choice"] input[data-role="other"]:not([data-disabled]):hover,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="choice"] label[data-role="choice"]>input+label:focus,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="choice"] label[data-role="choice"]>input+i:focus,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="choice"] label[data-role="choice"]>input:focus+label,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="choice"] label[data-role="choice"]>input:focus+i,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="choice"] label[data-role="choice"]>input[type=radio]:focus+label,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="choice"] label[data-role="choice"]>input[type=radio]:focus+i,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="input-row"] label[data-role="tos-label"]>input:not([readonly])+label:focus,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) div[data-role="input-row"] label[data-role="tos-label"]>input:not([readonly]):focus+label,
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"][data-type="signature"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]) [data-role="signature-container"]:not([readonly="readonly"]):hover {
      background-color: #edf2f7;
      border-color: #a0aec0;
      color: #2a2a2a
    }

    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]):not([data-is-active]) div[data-role="i123-input"][data-type="file"]:not([data-disabled])>[data-role="upload-overlay"]:hover>div[data-role="placeholder"],
    body:not([data-mouse-gesture-type]) #form[data-loader-type="viewer"] div[data-role="control"]:not([data-is-drag-source]):not([data-disabled]):not([data-has-errors]):not([data-is-active]) div[data-role="i123-input"][data-type="file"]:not([data-disabled])>[data-role="abort-all-uploads"]:hover {
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) input[data-role="i123-input"]:not([data-no-theme]):not([type=reset]):not([type=radio]):not([type=checkbox]):not([type=hidden]),
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) select[data-role="i123-input"],
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) div[data-role="i123-input"],
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) div[data-role="price-container"],
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) div[data-role="price-container"]>input,
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) div[data-role="input-container"],
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) div[data-role="input-container"]>input,
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) textarea[data-role="i123-input"],
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) input[data-role="i123-input"][type=radio]+label,
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) input[data-role="i123-input"][type=checkbox]+label,
    #form div[data-role="control"][data-disabled]:not([data-is-active]):not([data-has-errors]) div[data-role="choice"] input[data-role="other"] {
      background-color: transparent;
      border-color: rgba(204, 204, 204, .5);
    }

    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) input[data-role="i123-input"]:not([data-no-theme]):not([type=reset]):not([type=radio]):not([type=checkbox]):not([type=hidden]),
    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) select[data-role="i123-input"],
    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"]:not([data-type="file"]),
    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="price-container"],
    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="price-container"]>input,
    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="input-container"],
    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-type="file"]>div[data-role="upload-overlay"],
    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-type="file"]>div[data-role="abort-all-uploads"],
    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) textarea[data-role="i123-input"],
    #form[data-loader-type="editor"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="choice"] input[data-role="other"] {
      background-color: transparent;
      border-color: #a0aec0;
    }

    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) input[data-role="i123-input"]:not([data-no-theme]):not([type=reset]):not([type=radio]):not([type=checkbox]):not([type=hidden]):focus,
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) select[data-role="i123-input"]:focus,
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"]:not([data-type="file"]):not([data-type="dropdown"]):focus,
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-is-focused-child-element],
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="price-container"][data-is-focused-child-element],
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="input-container"][data-is-focused-child-element],
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-type="file"]:focus>[data-role="upload-overlay"],
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-type="file"]:focus>[data-role="abort-all-uploads"],
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-type="file"][data-file-tab-focus-state] div[data-role="upload-overlay"],
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) textarea[data-role="i123-input"]:focus,
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="choice"] input[data-role="other"]:focus {
      background-color: #edf2f7 !important;
      border-color: #a0aec0 !important;
      color: #2a2a2a !important;
    }

    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-type="file"][data-file-tab-focus-state] div[data-role="upload-overlay"] div[data-role="placeholder"] {
      color: #a0aec0;
    }

    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-type="file"]:focus>[data-role="upload-overlay"]>[data-role="placeholder"],
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-type="file"]:hover>[data-role="upload-overlay"]>[data-role="placeholder"],
    #form[data-loader-type="viewer"] div[data-role="control"][data-is-active]:not([data-has-errors]) div[data-role="i123-input"][data-type="file"]>[data-role="abort-all-uploads"] {
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-has-errors]:not([data-type="address"]) select[data-role="i123-input"],
    #form div[data-role="control"][data-has-errors]:not([data-type="address"]) div[data-role="i123-input"]:not([data-type="file"]),
    #form div[data-role="control"][data-has-errors] div[data-role="price-container"],
    #form div[data-role="control"][data-has-errors] div[data-role="input-container"],
    #form div[data-role="control"][data-has-errors] div[data-role="i123-input"][data-type="file"] [data-role="upload-overlay"],
    #form div[data-role="control"][data-has-errors] textarea[data-role="i123-input"],
    #form div[data-role="control"][data-has-errors] input[data-role="i123-input"][type=radio]+label,
    #form div[data-role="control"][data-has-errors] input[data-role="i123-input"][type=radio]+i.radio-icon,
    #form div[data-role="control"][data-has-errors]:not([data-type="product"]) input[data-role="i123-input"][type=checkbox]+label,
    #form div[data-role="control"][data-has-errors] div[data-role="choice"] input[data-role="other"],
    #form div[data-role="control"][data-has-errors] div[data-role="price-container"] span[data-role="currency-code"],
    #form div[data-role="control"][data-has-errors]:not([data-type="product"]) input {
      background-color: transparent;
      border-color: #fa4848;
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-has-errors][data-type="address"] input[data-role="i123-input"][data-field-with-error]:not([data-no-theme]):not([type=reset]):not([type=radio]):not([type=checkbox]):not([type=hidden]),
    #form div[data-role="control"][data-has-errors][data-type="address"] select[data-role="i123-input"][data-field-with-error],
    #form div[data-role="control"][data-has-errors][data-type="address"] div[data-role="i123-input"]:not([data-type="file"])[data-field-with-error] {
      background-color: transparent;
      border-color: #fa4848;
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-has-errors] div[data-role="price-container"] input,
    #form div[data-role="control"][data-has-errors] div[data-role="input-container"] input {
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-has-errors] div[data-role="i123-input"][data-type="file"] [data-role="upload-overlay"]>[data-role="placeholder"] {
      color: #fa4848;
    }

    #form div[data-role="control"][data-has-errors] div[data-type="date"][data-role="i123-input"] div[data-role="date-part"],
    #form div[data-role="control"][data-has-errors] div[data-type="time"][data-role="i123-input"] div[data-role="date-part"] {
      color: #fa4848;
    }

    #form [data-role="control"]:not([data-type="check-box"]):not([data-type="radio"]) [data-role="input-row"]:not([data-is-first-row]) {
      margin-top: 16px;
    }

    #form [data-role="control"]:not([data-type="check-box"]):not([data-type="radio"]) [data-role="input-row"]:not([data-is-last-row]) {
      margin-bottom: 16px;
    }

    #form [data-role="control"]:not([data-type="check-box"]):not([data-type="radio"])[data-force-mobile-rendering] [data-role="input-row"]>*+* {
      margin-top: 16px !important;
    }

    #form [data-role="control"][data-type="check-box"] [data-role="input-row"] label[data-role="choice"],
    #form [data-role="control"][data-type="radio"] [data-role="input-row"] i.checkbox-icon,
    #form [data-role="control"][data-type="radio"] [data-role="input-row"] label[data-role="choice"] {
      padding-top: 9px;
      padding-bottom: 9px;
      line-height: 1.2em;
    }

    #form div[data-role="control"] h1 {
      font-size: 2em;
    }

    #form div[data-role="control"] h2 {
      font-size: 1.8em;
    }

    #form div[data-role="control"] h3 {
      font-size: 1.5em;
    }

    #form div[data-role="control"] h4 {
      font-size: 1.2em;
    }

    #form div[data-role="control"] h5 {
      font-size: 1em;
    }

    #form div[data-role="control"] h6 {
      font-size: 0.8em;
    }

    #form div[data-role="control"] p {
      font-size: 1em;
    }

    #form div[data-role="control"] h1,
    #form div[data-role="control"] h2,
    #form div[data-role="control"] h3,
    #form div[data-role="control"] h4,
    #form div[data-role="control"] h5,
    #form div[data-role="control"] h6,
    #form div[data-role="control"]:not([data-type="html-block"]) p,
    #form div[data-role="control"][data-type="html-block"]>* {
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-type="heading"] * {
      color: #000000;
    }

    #form div[data-renderer-type="tln"]>div[data-role="input-row"] {
      margin-right: 0;
    }

    #form [data-role="control"][data-renderer-type="tlc"] [data-role="instructions"],
    #form [data-role="control"][data-renderer-type="llc"] [data-role="instructions"],
    #form [data-role="control"][data-renderer-type="rlc"] [data-role="instructions"] {
      padding-bottom: 8px !important;
    }

    #form div[data-role="control"][data-renderer-type="tln"] label[data-role="label"]+[data-role="instructions"]~div[data-role="input-row"],
    #form div[data-role="control"][data-renderer-type="tln"] div.control__label+[data-role="instructions"]+div[data-role="input-row"],
    #form div[data-role="control"][data-type="form-captcha"][data-renderer-type="tln"] label[data-role="label"]~div[data-role="input-row"],
    #form div[data-role="control"][data-renderer-type="tln"] div.control__label+[data-role="instructions"]+div[data-role="input-row"],
    #form[data-layout-type="mobile"] div[data-type="payments-selector"] div[data-ui-role="ui-element"] {
      margin-top: 8px !important;
    }

    #form div[data-role="control"][data-type="payments-selector"][data-renderer-type="tln"] label[data-role="label"] {
      padding-bottom: 8px !important;
    }

    #form div[data-type="payments-selector"]>div[data-role="nowrap"]>label {
      margin-bottom: 8px;
    }

    div[data-ui-role="ui-element"][data-type="file"]>div[data-role="upload"] {
      color: #000000;
      background-color: transparent;
    }

    #form div[data-role="control"][data-type="map"]>div[data-role="map-canvas"] {
      left: 8px;
      right: 8px;
      top: 8px;
      bottom: 8px;
    }

    #form div[data-role="control"][data-type="likert-scale"] div[data-role="label-resizer"] {
      transform: translateX(-8px);
    }

    #form div[data-ui-role="ui-element"][data-type="star-rating"] div.star[data-rating-tab-focus-state],
    #form div[data-ui-role="ui-element"][data-type="star-rating"] div.star[data-rating-tab-focus-state][data-is-checked] {
      color: #2a2a2a;
    }

    #form div[data-ui-role="ui-element"][data-type="star-rating"] div.star[data-is-hover] {
      color: #2a2a2a;
    }

    #form div[data-ui-role="ui-element"][data-type="star-rating"] div.star[data-is-checked]:not([data-is-hover]) {
      color: #2a2a2a;
    }

    #form>div[data-role="page"]>[data-role="page-header"]>div[data-role="pagination"] {
      margin-left: -20px;
      margin-right: -20px;
    }

    #form>div[data-role="page"]>[data-role="page-header"]>div[data-role="pagination"]>div[data-role="legend"] {
      margin: 0 28px 0 calc(20px + 8px);
    }

    #form>div[data-role="page"]>[data-role="page-header"]>div[data-role="pagination"] div[data-role="step"]:not([data-is-current]) {
      color: rgba(76, 76, 76, .5);
    }

    #form>div[data-role="page"]>[data-role="page-header"]>div[data-role="pagination"][data-type="steps"]>div[data-role="step"]:not([data-is-current]) {
      border-bottom-color: rgba(76, 76, 76, .5);
    }

    #form [data-role="page"] [data-role="page-footer"] [data-role="control"][data-type="form-action-bar"] {
      line-height: calc(8px + 8px + 2em + 1px + 1px + 16px + 8px);
    }

    #form [data-role="control"]:not([data-force-mobile-rendering]) [data-role="input-row"][data-fill-colspan="0"] {
      margin-right: 0;
    }

    div[data-ui-role="ui-element"][data-type="file"]>div[data-role="files-container"]>[data-role="upload"]>[data-role="size"] {
      color: rgba(76, 76, 76, .5);
    }

    div[data-ui-role="ui-element"][data-type="file"]>div[data-role="files-container"]>[data-role="upload"][data-has-error] {
      background-color: transparent;
    }

    #form div[data-role="control"] div[data-role="i123-input"][data-type="file"] [data-role="button-remove"] {
      color: rgba(76, 76, 76, .5);
    }

    #form div[data-role="control"] div[data-role="i123-input"][data-type="file"] [data-role="button-remove"]:hover {
      color: #000000;
    }

    #form div[data-role="control"][data-type="signature"] div[data-role="signature-container"]>a[data-role="clear-signature"] {
      color: #000000;
    }

    #form div[data-role="control"][data-type="signature"] div[data-role="signature-container"]:hover>a[data-role="clear-signature"] {
      color: #2a2a2a;
    }

    #form div[data-role="control"][data-type="terms-of-service"] [data-role="input-row"],
    #form div[data-role="control"][data-type="likert-scale"] [data-role="input-column"] {
      padding-top: 8px;
    }

    #form div[data-role="control"][data-type="terms-of-service"] a {
      color: #045517;
    }

    #form [data-role="container"][data-type="likert-wrapper"] [data-role="likert-header"] div[data-role="scale-column"] {
      color: #000000;
      font-family: Lato;
      font-size: 16px;
      font-weight: normal;
      font-style: normal;
      line-height: 1.2em;
    }

    #form div[data-role="control"][data-type="price"] div[data-role="price-container"] span,
    #form div[data-role="control"] div[data-role="input-container"] span {
      padding-left: 8px;
      padding-top: 1px;
    }

    #form[data-text-direction="rtl"] div[data-role="control"][data-type="price"] div[data-role="price-container"] span,
    #form[data-text-direction="rtl"] div[data-role="control"] div[data-role="input-container"] span {
      padding-right: 8px;
    }

    #form div[data-role="control"][data-type="price"] div[data-role="price-container"] input,
    #form div[data-role="control"] div[data-role="input-container"] input {
      padding-left: 49.6px;
      top: 50%;
    }

    #form[data-text-direction="rtl"] div[data-role="control"][data-type="price"] div[data-role="price-container"] input {
      padding-right: 49.6px;
    }

    #form div[data-type="payments-selector"] img+span:after {
      border-radius: 18px;
      background-color: #2a2a2a;
      border: 1px solid #2a2a2a;
    }

    #form[data-has-fixed-header] div[data-role="page"]>div[data-role="page-header"][data-has-realtime-calculations][data-has-quiz-timer]>[data-role="quiz-timer"] {
      padding-left: 20px;
    }

    #form div[data-role="page-header"] div[data-type="form-header"] {
      display: inline-block;
    }

    #form div[data-role="page-header"][data-has-realtime-calculations] div[data-type="form-header"],
    #form div[data-role="page-header"][data-has-quiz-timer][data-has-realtime-calculations] div[data-type="form-header"] {
      margin-top: 20px;
    }

    #form [data-role="container"][data-type="repeatable"] [data-type="repeatable-group"] [data-ro#form div[data-role="control"]:not([data-is-selected]):not([data-disabled]):not([data-has-errors]) input[data-role="i123-input"]:not([data-no-theme]):not([type=reset]):not([type=radio]):not([type=checkbox]):not([type=hidden]),
    #form div[data-role="control"]:notle=remove-group-button],
    #form [data-role="container"][data-type="repeatable"] [data-role="add-group-button"] {
      border-color: #a0aec0 !important;
    }

    #form [data-role="container"][data-type="repeatable"] [data-type="repeatable-group"] [data-role="remove-group-button"],
    #form [data-role="container"][data-type="repeatable"] [data-role="add-group-button"] {
      color: #a0aec0 !important;
      border-color: #a0aec0 !important;
    }

    #form [data-role="container"][data-type="repeatable"] [data-type="repeatable-group"] [data-role="remove-group-button"],
    #form [data-role="container"][data-type="repeatable"] [data-type="repeatable-group"] [data-role="remove-group-button"]:hover {
      background-color: #fcfdfc;
    }

    #form [data-role="container"][data-type="repeatable"] [data-type="repeatable-group"] [data-role="remove-group-button"]:hover i {
      color: #000000 !important;
    }

    #form [data-role="container"][data-type="repeatable"]>[data-role="body"]:before,
    #form [data-role="container"][data-type="repeatable"]>[data-role="body"]:after {
      left: 8px;
      right: 8px;
      border-top: 1px solid #a0aec0;
    }

    #form [data-role="container"][data-type="repeatable"]>[data-role="body"] [data-type="repeatable-group"]+[data-type="repeatable-group"]:before {
      left: 8px;
      right: 8px;
      border-top: 1px solid #a0aec0;
    }

    #form [data-role="container"][data-type="repeatable"] [data-role="add-group-button"] {
      padding: 8px 8px;
      font-size: 16px;
      border-width: 1px;
    }

    #form [data-role="container"][data-type="repeatable"] [data-role="add-group-button"]:hover {
      border-color: #a0aec0 !important;
      color: #a0aec0 !important;
    }

    #form [data-role="container"][data-type="repeatable"] [data-type="repeatable-group"] [data-role="remove-group-button"] {
      right: 8px;
    }

    #form [data-role="container"][data-type="repeatable"]>label[data-role="label"],
    #form [data-role="container"][data-type="repeatable"]>[data-role="instructions"] {
      margin-left: 8px;
    }

    #form[data-layout-type="mobile"] [data-role="container"][data-type="repeatable"] [data-role="add-group-button"],
    #form[data-layout-type="mobile"] [data-role="container"][data-type="repeatable"]>label[data-role="label"],
    #form[data-layout-type="mobile"] [data-role="container"][data-type="repeatable"]>[data-role="instructions"] {
      width: calc(100% - 2 * 8px);
    }

    #form [data-role="container"][data-type="repeatable"] {
      padding-top: 8px !important;
      padding-bottom: 8px !important;
    }

    #form [data-role="container"][data-type="repeatable"]>[data-role="instructions"] {
      font-size: 14px;
    }

    #form [data-role="container"][data-type="repeatable"]>[data-role="body"]:before,
    #form [data-role="container"][data-type="repeatable"]>[data-role="body"]:after,
    #form [data-role="container"][data-type="repeatable"]>[data-role="body"] [data-type="repeatable-group"]+[data-type="repeatable-group"]:before {
      height: 1px;
    }

    #form [data-role="container"][data-type="repeatable"][data-has-errors] {
      background-color: transparent;
    }

    #form [data-type="repeatable-group"][data-empty-state]>[data-role="body"] {
      border: 1px dashed #a0aec0;
      margin-left: 8px;
      margin-right: 8px;
      padding: 16px !important;
    }

    div.ui-dialog[data-dialog-role="detailed-invoice-dialog"]>.ui-body table[data-role="detailed-invoice"] td,
    div.ui-dialog[data-dialog-role="detailed-invoice-dialog"] .ui-titlebar {
      font-family: Lato;
    }

    div.ui-dialog[data-dialog-role="detailed-invoice-dialog"]>.ui-body table[data-role="detailed-invoice"] td {
      font-style: normal;
      line-height: 1.2em;
    }

    #form [data-role="page"]>[data-role="page-header"]>[data-role="control"][data-type="realtime-calculations"]:not(:hover):not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) {
      background-color: #ececec;
      font-style: normal;
      font-family: Lato;
    }

    #form [data-role="page"]>[data-role="page-header"]>[data-role="control"][data-type="realtime-calculations"]:not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) {
      font-family: Lato;
    }

    #form [data-role="page"]>[data-role="page-header"]>[data-role="control"][data-type="realtime-calculations"]:not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]):hover {
      background-color: #ececec;
    }

    #form [data-role="page"]>[data-role="page-header"]>.header-text-container {
      right: 20px
    }

    .invoice-wrapper label {
      font-family: Lato;
      font-style: normal;

      font-weight: {
          {
          form.font-weight
        }
      }

      ;
      line-height: 1.2em;
      color: #000000;
    }

    .detailed-invoice-container {
      font-family: Lato;
      font-style: normal;
      line-height: 1.2em;
      color: #000000;
    }

    div.ui-dialog[data-dialog-role="detailed-invoice-dialog"]>.ui-body table[data-role="detailed-invoice"] td,
    div.ui-dialog[data-dialog-role="detailed-invoice-dialog"] .ui-titlebar {
      font-family: Lato;
    }

    div.ui-dialog[data-dialog-role="detailed-invoice-dialog"]>.ui-body table[data-role="detailed-invoice"] td {
      font-style: normal;
      line-height: 1.2em;
    }

    #form [data-role="page"]>[data-role="page-header"]>[data-role="control"][data-type="realtime-calculations"]:not(:hover):not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]) {
      background-color: #ececec;
      font-style: normal;
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    #form [data-role="page"]>[data-role="page-header"]>[data-role="control"][data-type="realtime-calculations"]:not(.selected):not([data-is-selected]):not([data-disabled]):not([data-is-active]):not([data-has-errors]):hover {
      background-color: #ececec;
    }

    #form [data-role="page"]>[data-role="page-header"]>.header-text-container {
      right: 20px
    }

    #form .loader-container>.loader>.form-header h1 {
      font-size: 2em;
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    #form .loader-container>.loader>.form-header h2 {
      font-size: 1.8em;
    }

    #form .loader-container>.loader>.form-header h3 {
      font-size: 1.5em;
    }

    #form .loader-container>.loader>.form-header h4 {
      font-size: 1.2em;
    }

    #form .loader-container>.loader>.form-header h5 {
      font-size: 1em;
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    #form .loader-container>.loader>.form-header h6 {
      font-size: 0.8em;
    }

    #form .loader-container>.loader>.form-header p {
      font-size: 1em;
    }

    #form .loader-container>.loader>.form-header>* {
      color: #2a2a2a;
    }

    #form .loader-container>.loader>.form-header li {
      color: #000000;
    }

    #form .loader-container>.loader>.loader-text {
      font-weight: normal;
      font-style: normal;
      color: #000000;
    }

    #form[data-loader-type='editor'] div[data-role='control'][data-type='form-captcha'][data-captcha-type='none'] p {
      color: #000000;
    }

    #form[data-loader-type='editor']>div[data-role='page'] div[data-role='control'][data-type='form-captcha'][data-captcha-type='none']:not([data-disabled]):not([data-has-errors]),
    body:not([data-mouse-gesture-type]) #form[data-loader-type='editor'] [data-type='form-captcha'][data-captcha-type='none']:hover:not(.selected):not([data-is-selected]):not([data-is-drag-source]):not([data-disabled]):not([data-is-active]):not([data-has-errors]):hover {
      border-color: #a0aec0;
    }

    #form [data-role="page-footer"] .abuse-disclaimer,
    #form [data-role="page-footer"] .abuse-disclaimer a {
      color: #000000;
    }

    #form [data-role="control"].button-choices .choice-box__label {
      border: 1px solid #a0aec0;
      border-radius: 18px;
      border-width: 1px;
      background-color: transparent;
    }

    #form [data-role="control"].button-choices .choice-box:hover .choice-box__label {
      background-color: #edf2f7;
      border-color: #a0aec0;
    }

    #form [data-role="control"].button-choices .choice-box[data-is-checked="1"] .choice-box__label {
      background-color: #edf2f7;
    }

    #form [data-type="signature"] .signature__placeholder-container {
      color: #000000;
    }

    #form [data-type="signature"] .signature__placeholder-mask {
      background-color: #000000;
    }

    #form label[data-role="label"],
    #form div[data-role="label"],
    #form [data-role="instructions"] {
      text-align: left;
    }

    :root {
      --master-border-radius: 18px;
      --master-text-align: left;
      --form-width: 654px;
      --form-font-family: Lato;
      --form-font-size: 16px;
      --form-font-weight: normal;
      --form-font-style: normal;
      --form-font-line-height: 1.2em;
      --form-background-color: #fcfdfc;
      --form-background-image: url();
      --form-background-repeat: no-repeat;
      --form-background-size: cover;
      --form-background-position: center;
      --form-background-attachment: scroll;
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      --input-normal-border-color: #a0aec0;
      --input-normal-background-color: transparent;
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      --input-hover-border-color: #a0aec0;
      --input-hover-background-color: #edf2f7;
      --input-font-family: Lato;
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      --input-padding-horizontal: 8px;
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      --input-border-radius: 18px;
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      --button-font-weight: bold;
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      --button-border-width: 1px;
      --button-border-style: solid;
      --button-padding-horizontal: 30px;
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      --button-primary-normal-background-color: #045517;
      --button-primary-normal-border-color: transparent;
      --button-primary-normal-color: #ffffff;
      --button-primary-hover-background-color: #002151;
      --button-primary-hover-border-color: transparent;
      --button-primary-hover-color: #ffffff;
      --button-primary-disabled-background-color: rgba(76, 76, 76, .5);
      --button-primary-disabled-border-color: transparent;
      --button-primary-disabled-color: #ffffff;
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      --button-secondary-normal-border-color: #2a2a2a;
      --button-secondary-normal-color: #000000;
      --button-secondary-hover-background-color: #2a2a2a;
      --button-secondary-hover-border-color: transparent;
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      --button-secondary-disabled-border-color: rgba(76, 76, 76, .5);
      --button-secondary-disabled-color: rgba(76, 76, 76, .5);
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      --control-focused-border-color: transparent;
      --control-required-star-color: rgba(255, 0, 0, 1);
      --instructions-normal-color: #000000;
      --instructions-error-color: #808080;
      --instructions-hover-color: #808080;
      --instructions-selected-color: #aaaaaa;
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      --instructions-disabled-color: rgba(170, 170, 170, .5);
      --instructions-font-family: Lato;
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      --instructions-padding-top: 4px;
      --instructions-padding-bottom: 0px;
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      --instructions-margin-bottom: 0px;
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      --label-error-color: #2a2a2a;
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      --label-focused-color: #2a2a2a;
      --label-disabled-color: rgba(76, 76, 76, .5);
      --label-margin-top: 0px;
      --label-margin-bottom: 0px;
      --label-padding-top: 10px;
      --label-padding-bottom: 8px;
      --page-width: 640px;
      --page-border-width: 7px;
      --page-border-color: #4c4c4c;
      --page-border-style: none;
      --page-padding-top: 20px;
      --page-padding-bottom: 20px;
      --page-padding-left: 20px;
      --page-padding-right: 20px;
      --page-margin-top: 40px;
      --page-margin-bottom: 40px;
      --page-background-color: #fcfdfc;
      --page-background-image: url();
      --page-background-size: cover;
      --page-background-position: center;
      --page-background-attachment: scroll;
      --page-background-repeat: no-repeat;
      --page-shadow: 0px 15px 32px 0px rgba(0, 0, 0, 0.05), 0px 235px 94px 0px rgba(0, 0, 0, 0.01), 0px 368px 103px 0px rgba(0, 0, 0, 0);
      --button-primary-normal-background-color: #045517;
      --grid-pageWidth: 640;
      --grid-pageWidthWithoutPadding: 600;
      --grid-columnWidth: 14;
      --grid-columnSpacing: 16;
      --grid-spaceReservedForColumnSpacing: 290;
      --grid-paddingLeft: 20;
      --grid-paddingRight: 20;
      --grid-paddingTop: 20;
      --grid-paddingBottom: 20;
      --container-padding-horizontal: 8px;
      --container-padding-vertical: 8px;
    }
  </style>
  <div data-role="page" data-type="page" data-hash="00000006" data-type-id="90001" data-colspan="20" data-num-children="36" data-page-index="0" data-is-first-page="1" data-is-current-page="1" data-is-last-page="yes" class="page--active">
    <div data-role="page-header">
      <div data-role="control" data-type="form-header" data-hash="00000002" data-type-id="27" data-colspan="20" id="form-heading-00000002-acc" aria-labelledby="form-heading-00000002-acc" data-i18n-html="Headline" class="d-none"></div>
    </div>
    <div data-role="page-body">
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000007" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="image" data-hash="00000008" data-type-id="9" data-colspan="20" data-id="105292530">
          <div data-image-container="1"><img src="https://s3-us-west-2.amazonaws.com/userdata123/www/imagefields/103495/103495397.png?_=1730114314429" align="center"></div>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000009" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="html-block" data-hash="0000000a" data-type-id="8" data-colspan="20" id="htmlblock-0000000a-acc" aria-labelledby="htmlblock-0000000a-acc" field-name="HTML Block 3" data-id="105292531"
          data-i18n-html="control_label_105292531">
          <p style="text-align:center"><span style="font-size:24pt;color:#000000">&nbsp;<strong style="text-align:center">Used Clothes Collection</strong></span></p>
          <p style="text-align:center"><span style="font-size:24pt;color:#000000"><strong>TreeMachine Greenraiser Agreement</strong></span></p>
          <p style="color:#4c4c4c"><span style="font-size:10pt;font-family:verdana, geneva"><span style="color:#2a2a2a;font-family:Verdana, Arial, Helvetica, sans-serif;font-size:14px">Through the placement of a TreeMachine bin at your school, you
                allow USAgain to collect used clothes from your community.&nbsp; The schools are paid on a quarterly basis for the pounds collected.&nbsp;</span></span><span
              style="font-family:-apple-system, BlinkMacSystemFont, 'Segoe UI', system-ui, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Web', sans-serif;white-space-collapse:preserve;color:#2a2a2a">Collection reports are available through our
              partner portal.&nbsp;</span></p>
          <p style="color:#4c4c4c"><span style="font-size:10pt;font-family:verdana, geneva">USAgain (pronounced "use again") is a for-profit enterprise dedicated to working for PEOPLE and PLANET by extending the life of good clothes and shoes,
              keeping them out of landfills, thereby conserving natural resources and reducing the emission of greenhouse gases and other negative environmental effects caused by textile manufacturing.</span></p>
          <p style="color:#4c4c4c"><span style="font-size:10pt;font-family:verdana, geneva">For every full bin, one tree is planted.</span></p>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="0000000b" data-type-id="0" data-colspan="20" data-num-children="1">
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            data-i18n-text="control_label_105292532">School Name</label>
          <dt data-role="instructions" id="text-0000000c-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_105292532"></dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
            <div data-role="input-container" data-ui-role="ui-element" data-size="full" data-is-focused-child-element="1"><span data-role="prefix-label" id="price-0000000c-prefix-acc" style="opacity: 0.5;"></span><input type="text"
                data-role="i123-input" data-no-theme="" aria-labelledby="text-0000000c-acc" aria-describedby="text-0000000c-instr-acc" id="text-0000000c" aria-errormessage="text-0000000c-error-acc" placeholder="" style="padding-left: 8px;"></div>
          </div><label data-role="error" id="text-0000000c-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="0000000d" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="address" data-hash="0000000e" data-type-id="1" data-colspan="20" aria-labelledby="address-0000000e-acc" aria-describedby="address-0000000e-instr-acc" aria-errormessage="address-0000000e-error-acc"
          data-is-required="1" data-renderer-type="tln" data-id="105292533"><label data-role="label" id="address-0000000e-acc" data-i18n-text="control_label_105292533">Address</label>
          <dt data-role="instructions" id="address-0000000e-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_105292533"></dt>
          <div data-role="input-row" data-is-first-row="1" data-fill-colspan="0"><input type="text" data-role="i123-input" data-index="1" placeholder="Street Address" data-i18n-placeholder="textdef_24" data-size="full"></div>
          <div data-role="input-row" data-fill-colspan="0"><input type="text" data-role="i123-input" data-index="2" placeholder="Street Address Line 2" data-i18n-placeholder="textdef_25" data-size="full"></div>
          <div data-role="input-row" data-is-last-row="1" data-fill-colspan="8"><input type="text" data-role="i123-input" data-index="3" data-i18n-placeholder="textdef_26" placeholder="City" data-size="fill"><input type="text" data-role="i123-input"
              data-index="4" placeholder="State" data-i18n-placeholder="textdef_74" data-size="third"><input type="text" data-role="i123-input" data-index="5" data-i18n-placeholder="textdef_125" placeholder="Zip Code" data-size="third"></div><label
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        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000097" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="heading" data-hash="00000096" data-type-id="7" data-colspan="20" data-skip-markdown-parse="true" data-field-name="Text 5" data-id="112201742">
          <div data-skip-markdown-parse="true" id="heading-00000096-acc" aria-labelledby="heading-00000096-acc" class="text-left" data-i18n-text="control_label_html_112201742">
            <h4><b>Contact Information</b></h4>
          </div>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000099" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="heading" data-hash="00000098" data-type-id="7" data-colspan="20" data-skip-markdown-parse="true" data-field-name="Text 6" data-id="112201748">
          <div data-skip-markdown-parse="true" id="heading-00000098-acc" aria-labelledby="heading-00000098-acc" class="text-left" data-i18n-text="control_label_html_112201748">
            <h6>Please provide email addresses of 2-3 designated contacts who should receive regular updates, flyers, and important information via email.</h6>
          </div>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000094" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="name" data-hash="00000015" data-type-id="12" data-colspan="20" aria-labelledby="name-00000015-acc" aria-describedby="name-00000015-instr-acc" aria-errormessage="name-00000015-error-acc" data-is-required="1"
          data-renderer-type="tln" data-id="105292534"><label data-role="label" id="name-00000015-acc" data-i18n-text="control_label_105292534">TreeMachine Greenraiser Main Contact</label>
          <dt data-role="instructions" id="name-00000015-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_105292534"></dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="10"><input data-role="i123-input" type="text" data-index="1" data-required="true" placeholder="First*" data-i18n-placeholder="textdef_30"
              data-size="fill"><input data-role="i123-input" type="text" data-index="2" data-required="true" placeholder="Last*" data-i18n-placeholder="textdef_31" data-size="half"></div><label data-role="error" id="name-00000015-error-acc"
            data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000095" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="text" data-hash="00000017" data-type-id="23" data-colspan="20" data-is-required="1" data-renderer-type="tln" data-id="105292535"><label data-role="label" id="text-00000017-acc"
            data-i18n-text="control_label_105292535">Title</label>
          <dt data-role="instructions" id="text-00000017-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_105292535"></dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
            <div data-role="input-container" data-ui-role="ui-element" data-size="full"><span data-role="prefix-label" id="price-00000017-prefix-acc" style="opacity: 0.5;"></span><input type="text" data-role="i123-input" data-no-theme=""
                aria-labelledby="text-00000017-acc" aria-describedby="text-00000017-instr-acc" id="text-00000017" aria-errormessage="text-00000017-error-acc" placeholder="" style="padding-left: 8px;"></div>
          </div><label data-role="error" id="text-00000017-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000093" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="phone" data-hash="00000019" data-type-id="16" data-colspan="20" data-is-required="1" data-renderer-type="tln" data-id="105292536"><label data-role="label" id="phone-00000019-acc"
            data-i18n-text="control_label_105292536">Phone</label>
          <dt data-role="instructions" id="phone-00000019-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_105292536"></dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0"><input type="text" data-role="i123-input" aria-labelledby="phone-00000019-acc phone-00000019-format-acc" aria-describedby="phone-00000019-instr-acc"
              aria-errormessage="phone-00000019-error-acc" placeholder="### ### #### " data-size="full"></div><label data-role="error" id="phone-00000019-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000092" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="email" data-hash="0000001b" data-type-id="5" data-colspan="20" data-is-required="1" data-renderer-type="tln" data-id="105292537"><label data-role="label" id="email-0000001b-acc"
            data-i18n-text="control_label_105292537">Main Contact's Email</label>
          <dt data-role="instructions" id="email-0000001b-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_105292537"></dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0"><input type="email" data-role="i123-input" aria-labelledby="email-0000001b-acc" aria-describedby="email-0000001b-instr-acc"
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        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000087" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="name" data-hash="00000086" data-type-id="12" data-colspan="20" aria-labelledby="name-00000086-acc" aria-describedby="name-00000086-instr-acc" aria-errormessage="name-00000086-error-acc" data-is-required="1"
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          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="10"><input data-role="i123-input" type="text" data-index="1" data-required="true" placeholder="First*" data-i18n-placeholder="textdef_30"
              data-size="fill"><input data-role="i123-input" type="text" data-index="2" data-required="true" placeholder="Last*" data-i18n-placeholder="textdef_31" data-size="half"></div><label data-role="error" id="name-00000086-error-acc"
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        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000089" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="phone" data-hash="00000088" data-type-id="16" data-colspan="20" data-is-required="1" data-renderer-type="tln" data-id="112201709"><label data-role="label" id="phone-00000088-acc"
            data-i18n-text="control_label_112201709">Phone number</label>
          <dt data-role="instructions" id="phone-00000088-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_112201709"></dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0"><input type="text" data-role="i123-input" aria-labelledby="phone-00000088-acc phone-00000088-format-acc" aria-describedby="phone-00000088-instr-acc"
              aria-errormessage="phone-00000088-error-acc" placeholder="### ### #### " data-size="full"></div><label data-role="error" id="phone-00000088-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="0000008d" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="email" data-hash="0000008c" data-type-id="5" data-colspan="20" data-is-required="1" data-renderer-type="tln" data-id="112201716"><label data-role="label" id="email-0000008c-acc"
            data-i18n-text="control_label_112201716">Principal's Email address</label>
          <dt data-role="instructions" id="email-0000008c-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_112201716"></dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0"><input type="email" data-role="i123-input" aria-labelledby="email-0000008c-acc" aria-describedby="email-0000008c-instr-acc"
              aria-errormessage="email-0000008c-error-acc" data-size="full"></div><label data-role="error" id="email-0000008c-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000062" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="container" data-type="repeatable" data-hash="00000056" data-type-id="90003" data-colspan="20" tabindex="0" aria-labelledby="repeatable-00000056-acc repeatable-00000056-error-acc repeatable-00000056-instr-acc"
          data-show-borders="1" data-num-children="1"><label data-role="label" id="repeatable-00000056-acc">Additional Contacts</label>
          <dt data-role="instructions" aria-labelledby="repeatable-00000056-instr-acc" data-is-empty="1"></dt>
          <div data-role="body">
            <div data-role="container" data-type="repeatable-group" data-hash="00000057" data-type-id="90004" data-colspan="20" data-num-children="1" data-repeatable-index="1" data-repeatable-path="1">
              <div data-role="body">
                <div data-role="container" data-type="virtual-form-table-row" data-hash="00000058" data-type-id="0" data-colspan="20" data-num-children="1">
                  <div data-role="container" data-type="div" data-hash="00000059" data-type-id="90000" data-colspan="20" data-num-children="4">
                    <div data-role="container" data-type="virtual-form-table-row" data-hash="0000005a" data-type-id="0" data-colspan="20" data-num-children="1">
                      <div data-role="control" data-type="name" data-hash="0000005b" data-type-id="12" data-colspan="20" aria-labelledby="name-0000005b-acc" aria-describedby="name-0000005b-instr-acc" aria-errormessage="name-0000005b-error-acc"
                        data-renderer-type="tln" data-id="106637745"><label data-role="label" id="name-0000005b-acc" data-i18n-text="control_label_106637745">Name</label>
                        <dt data-role="instructions" id="name-0000005b-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_106637745"></dt>
                        <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="10"><input data-role="i123-input" type="text" data-index="1" placeholder="First" data-i18n-placeholder="textdef_30"
                            data-size="fill"><input data-role="i123-input" type="text" data-index="2" placeholder="Last" data-i18n-placeholder="textdef_31" data-size="half"></div><label data-role="error" id="name-0000005b-error-acc"
                          data-is-empty="1"></label>
                      </div>
                    </div>
                    <div data-role="container" data-type="virtual-form-table-row" data-hash="0000005c" data-type-id="0" data-colspan="20" data-num-children="1">
                      <div data-role="control" data-type="text" data-hash="0000005d" data-type-id="23" data-colspan="20" data-renderer-type="tln" data-id="106637746"><label data-role="label" id="text-0000005d-acc"
                          data-i18n-text="control_label_106637746">Title</label>
                        <dt data-role="instructions" id="text-0000005d-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_106637746"></dt>
                        <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
                          <div data-role="input-container" data-ui-role="ui-element" data-size="full"><span data-role="prefix-label" id="price-0000005d-prefix-acc" style="opacity: 0.5;"></span><input type="text" data-role="i123-input"
                              data-no-theme="" aria-labelledby="text-0000005d-acc" aria-describedby="text-0000005d-instr-acc" id="text-0000005d" aria-errormessage="text-0000005d-error-acc" placeholder="" style="padding-left: 8px;"></div>
                        </div><label data-role="error" id="text-0000005d-error-acc" data-is-empty="1"></label>
                      </div>
                    </div>
                    <div data-role="container" data-type="virtual-form-table-row" data-hash="0000005e" data-type-id="0" data-colspan="20" data-num-children="1">
                      <div data-role="control" data-type="phone" data-hash="0000005f" data-type-id="16" data-colspan="20" data-renderer-type="tln" data-id="106637747"><label data-role="label" id="phone-0000005f-acc"
                          data-i18n-text="control_label_106637747">Phone</label>
                        <dt data-role="instructions" id="phone-0000005f-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_106637747"></dt>
                        <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0"><input type="text" data-role="i123-input" aria-labelledby="phone-0000005f-acc phone-0000005f-format-acc"
                            aria-describedby="phone-0000005f-instr-acc" aria-errormessage="phone-0000005f-error-acc" placeholder="### ### #### " data-size="full"></div><label data-role="error" id="phone-0000005f-error-acc" data-is-empty="1"></label>
                      </div>
                    </div>
                    <div data-role="container" data-type="virtual-form-table-row" data-hash="00000060" data-type-id="0" data-colspan="20" data-num-children="1">
                      <div data-role="control" data-type="email" data-hash="00000061" data-type-id="5" data-colspan="20" data-renderer-type="tln" data-id="106637748"><label data-role="label" id="email-00000061-acc"
                          data-i18n-text="control_label_106637748">Additonal Contact's Email</label>
                        <dt data-role="instructions" id="email-00000061-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_106637748"></dt>
                        <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0"><input type="email" data-role="i123-input" aria-labelledby="email-00000061-acc" aria-describedby="email-00000061-instr-acc"
                            aria-errormessage="email-00000061-error-acc" data-size="full"></div><label data-role="error" id="email-00000061-error-acc" data-is-empty="1"></label>
                      </div>
                    </div>
                  </div>
                </div>
              </div><button data-role="remove-group-button" type="button"><i class="i123-close"></i></button>
            </div>
          </div><button data-role="add-group-button" type="button">Add another contact</button>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="0000001c" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="heading" data-hash="0000001d" data-type-id="7" data-colspan="20" data-skip-markdown-parse="true" data-field-name="Heading 3" data-id="105292538">
          <div data-skip-markdown-parse="true" id="heading-0000001d-acc" aria-labelledby="heading-0000001d-acc" class="text-left" data-i18n-text="control_label_html_105292538">
            <h5>USAgain's Commitment</h5>
          </div>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="0000001e" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="html-block" data-hash="0000001f" data-type-id="8" data-colspan="20" id="htmlblock-0000001f-acc" aria-labelledby="htmlblock-0000001f-acc" field-name="HTML Block 4" data-id="105292539"
          data-i18n-html="control_label_105292539">
          <ul>
            <li><span style="font-size:10pt">We monitor the collection of our bins and schedule service before they reach two-thirds of capacity to prevent overflow.</span></li>
            <li><span style="font-size:10pt">We take responsibility for the cleanliness and professional appearance of our bins and the area within ten (10) feet of our bins.</span></li>
            <li><span style="font-size:10pt">We maintain liability insurance for two million dollars ($2,000,000.00).</span></li>
          </ul>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000020" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="html-block" data-hash="00000021" data-type-id="8" data-colspan="20" id="htmlblock-00000021-acc" aria-labelledby="htmlblock-00000021-acc" field-name="HTML block 4" data-id="105292540"
          data-i18n-html="control_label_105292540">
          <p><span style="font-size:10pt;font-style:inherit;font-weight:inherit">In the event that authorization is withdrawn, we will remove our bin(s) upon </span><span style="font-size:13.3333px">receiving</span><span
              style="font-size:10pt;font-style:inherit;font-weight:inherit"> a written notice within thirty (30) business days.</span></p>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000022" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="container" data-type="div" data-hash="00000023" data-type-id="90000" data-colspan="4" data-num-children="1">
          <div data-role="container" data-type="virtual-form-table-row" data-hash="00000024" data-type-id="0" data-colspan="4" data-num-children="1">
            <div data-role="control" data-type="signature" data-hash="00000025" data-type-id="19" data-colspan="4" data-is-required="1" data-renderer-type="tln" data-id="105292541"><label data-role="label" id="signature-00000025-acc"
                data-i18n-text="control_label_105292541">Initials</label>
              <dt data-role="instructions" id="signature-00000025-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_105292541"></dt>
              <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
                <div data-role="signature-container" aria-labelledby="signature-00000025-acc signature-00000025-clear-button-acc" aria-describedby="signature-00000025-instr-acc" aria-errormessage="signature-00000025-error-acc " data-size="full">
                  <canvas width="102" height="100"></canvas>
                  <div data-role="text-baseline"></div><a data-role="clear-signature" data-i18n-text="textdef_218" id="signature-00000025-clear-button-acc" style="display: none;">Clear</a>
                  <div class="signature__placeholder-container">
                    <div class="signature__placeholder-mask"></div>
                  </div>
                </div>
              </div><label data-role="error" id="signature-00000025-error-acc" data-is-empty="1"></label>
            </div>
          </div>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000026" data-type-id="0" data-colspan="20" data-num-children="2">
        <div data-role="container" data-type="div" data-hash="00000027" data-type-id="90000" data-colspan="10" data-num-children="2">
          <div data-role="container" data-type="virtual-form-table-row" data-hash="0000006b" data-type-id="0" data-colspan="10" data-num-children="1">
            <div data-role="control" data-type="image" data-hash="0000006a" data-type-id="9" data-colspan="10" data-id="111513099">
              <div data-image-container="1"><img src="https://s3-us-west-2.amazonaws.com/userdata123/www/imagefields/111513/111513099.png?_=1730114314466" align="center"></div>
            </div>
          </div>
          <div data-role="container" data-type="virtual-form-table-row" data-hash="0000002a" data-type-id="0" data-colspan="10" data-num-children="1">
            <div data-role="control" data-type="drop-down" data-hash="0000002b" data-type-id="4" data-colspan="10" data-is-required="1" data-renderer-type="tln" data-id="105292543"><label data-role="label" id="dropdown-0000002b-acc"
                data-i18n-text="control_label_105292543">Number of TreeMachines (Bins)</label>
              <dt data-role="instructions" id="dropdown-0000002b-instr-acc" data-i18n-text="control_instructions_105292543">We recommend starting with minimum two (2) TreeMachines for a school with less than 500 students and to add one (1)
                TreeMachine for every additional 250 students.</dt>
              <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
                <div data-ui-role="ui-element" data-type="dropdown" data-role="i123-input" aria-labelledby="dropdown-0000002b-acc" aria-describedby="dropdown-0000002b-instr-acc" aria-errormessage="dropdown-0000002b-error-acc" data-size="full">
                  <select>
                    <option value="">Please select</option>
                    <option value="Place 1 TreeMachine (4'x4' footprint)" data-index="0">Place 1 TreeMachine (4'x4' footprint)</option>
                    <option value="Place 2 TreeMachines (4'x8' footprint)" data-index="1">Place 2 TreeMachines (4'x8' footprint)</option>
                    <option value="Place 3 TreeMachines (4'x12' footprint)" data-index="2">Place 3 TreeMachines (4'x12' footprint)</option>
                    <option value="Place 4 TreeMachines (4'x16' footprint)" data-index="3">Place 4 TreeMachines (4'x16' footprint)</option>
                  </select>
                  <div data-role="dropdown-skin">Please select</div>
                </div>
              </div><label data-role="error" id="dropdown-0000002b-error-acc" data-is-empty="1"></label>
            </div>
          </div>
        </div>
        <div data-role="control" data-type="image" data-hash="0000002c" data-type-id="9" data-colspan="10" data-id="105292544">
          <div data-image-container="1"><img src="https://s3-us-west-2.amazonaws.com/userdata123/www/imagefields/105292/105292544.png?_=1730114314468" align="center"></div>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="0000002d" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="textarea" data-hash="0000002e" data-type-id="24" data-colspan="20" data-renderer-type="tln" data-id="105292545"><label data-role="label" id="textarea-0000002e-acc"
            data-i18n-text="control_label_105292545">Describe in detail where your TreeMachine needs to be placed.</label>
          <dt data-role="instructions" id="textarea-0000002e-instr-acc" data-i18n-text="control_instructions_105292545">Location must be accessible at all times.&nbsp; Selecting an area behind gates and/or hour restrictions will require further
            review. Most schools place at student pickup/dropoff area.</dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0" data-cloned-value=""><textarea data-role="i123-input" id="textarea-0000002e" aria-labelledby="textarea-0000002e-acc"
              aria-describedby="textarea-0000002e-instr-acc" aria-errormessage="textarea-0000002e-error-acc" rows="3" data-size="full"></textarea></div><label data-role="error" id="textarea-0000002e-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="0000002f" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="file" data-hash="00000030" data-type-id="6" data-colspan="20" data-renderer-type="tln" data-id="105292546"><label data-role="label" id="file-00000030-acc" data-i18n-text="control_label_105292546">Area
            Placement Picture</label>
          <dt data-role="instructions" id="file-00000030-instr-acc" data-i18n-text="control_instructions_105292546">Visibility and accessibility is key to having a productive TreeMachine! Upon identifying where in your parking lot you would like your
            TreeMachine placed, back up 8-10 feet from the area and take a picture. This will help our drivers get the placement right.</dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
            <div data-ui-role="ui-element" data-type="file" data-num-files="0" data-role="i123-input" type="file" data-is-multiple="" data-size="full">
              <div data-role="files-container"></div>
              <div data-role="abort-all-uploads" data-i18n-text="textdef_217">Delete all uploads</div>
              <div data-role="upload-overlay" aria-labelledby="file-placeholder-00000030-acc"><input type="file" aria-labelledby="file-00000030-acc file-control-placeholder-acc" aria-describedby="file-00000030-instr-acc"
                  aria-errormessage="file-00000030-error-acc" multiple="">
                <div data-role="placeholder" data-i18n-text="textdef_216" id="file-placeholder-00000030-acc">Choose files or drag here</div>
              </div>
            </div>
          </div><label data-role="error" id="file-00000030-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000082" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="file" data-hash="00000081" data-type-id="6" data-colspan="20" data-renderer-type="tln" data-id="111514383"><label data-role="label" id="file-00000081-acc" data-i18n-text="control_label_111514383">Google
            Aerial Picture</label>
          <dt data-role="instructions" id="file-00000081-instr-acc" data-i18n-text="control_instructions_111514383">Please mark location on aerial map.</dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
            <div data-ui-role="ui-element" data-type="file" data-num-files="0" data-role="i123-input" type="file" data-is-multiple="" data-size="full">
              <div data-role="files-container"></div>
              <div data-role="abort-all-uploads" data-i18n-text="textdef_217">Delete all uploads</div>
              <div data-role="upload-overlay" aria-labelledby="file-placeholder-00000081-acc"><input type="file" aria-labelledby="file-00000081-acc file-control-placeholder-acc" aria-describedby="file-00000081-instr-acc"
                  aria-errormessage="file-00000081-error-acc" multiple="">
                <div data-role="placeholder" data-i18n-text="textdef_216" id="file-placeholder-00000081-acc">Choose files or drag here</div>
              </div>
            </div>
          </div><label data-role="error" id="file-00000081-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000031" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="drop-down" data-hash="00000032" data-type-id="4" data-colspan="20" data-is-required="1" data-renderer-type="tln" data-id="105292547"><label data-role="label" id="dropdown-00000032-acc"
            data-i18n-text="control_label_105292547">Is the area behind a locked gate?</label>
          <dt data-role="instructions" id="dropdown-00000032-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_105292547"></dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
            <div data-ui-role="ui-element" data-type="dropdown" data-role="i123-input" aria-labelledby="dropdown-00000032-acc" aria-describedby="dropdown-00000032-instr-acc" aria-errormessage="dropdown-00000032-error-acc" data-size="full"><select>
                <option value="">Please select</option>
                <option value="Yes" data-index="0">Yes</option>
                <option value="No" data-index="1">No</option>
              </select>
              <div data-role="dropdown-skin">Please select</div>
            </div>
          </div><label data-role="error" id="dropdown-00000032-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000033" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="time" data-hash="00000034" data-type-id="25" data-colspan="20" aria-labelledby="time-00000034-acc time-00000034-hour time-00000034-minute time-00000034-second time-00000034-am-pm"
          aria-describedby="time-00000034-instr-acc" aria-errormessage="time-00000034-error-acc" data-is-required="1" data-renderer-type="tln" data-id="105292548" data-is-hidden=""><label data-role="label" id="time-00000034-acc"
            data-i18n-text="control_label_105292548">From</label>
          <dt data-role="instructions" id="time-00000034-instr-acc" data-i18n-text="control_instructions_105292548">What are the hours the gates are unlocked</dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
            <div data-ui-role="ui-element" data-type="time" tabindex="0" data-role="i123-input" aria-live="assertive" role="alert" data-size="full">
              <div data-role="time-wrapper">
                <div data-role="date-part" data-part="hour-12" aria-labelledby="date-00000034-hour-12" data-is-null="" data-i18n-text="textdef_65" id="time-00000034-hour" data-is-focused="data-is-focused">HH</div>:<div data-role="date-part"
                  data-part="minute" aria-labelledby="date-00000034-minute" data-is-null="" data-i18n-text="textdef_66" id="time-00000034-minute">MM</div>
                <div data-role="date-part" data-part="am-pm" aria-labelledby="date-00000034-am-pm" data-is-null="" id="time-00000034-am-pm">AM</div>
              </div>
              <div data-role="expander" role="application"></div>
            </div>
          </div><label data-role="error" id="time-00000034-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000035" data-type-id="0" data-colspan="20" data-num-children="1">
        <div data-role="control" data-type="time" data-hash="00000036" data-type-id="25" data-colspan="20" aria-labelledby="time-00000036-acc time-00000036-hour time-00000036-minute time-00000036-second time-00000036-am-pm"
          aria-describedby="time-00000036-instr-acc" aria-errormessage="time-00000036-error-acc" data-is-required="1" data-renderer-type="tln" data-id="105292549" data-is-hidden=""><label data-role="label" id="time-00000036-acc"
            data-i18n-text="control_label_105292549">To</label>
          <dt data-role="instructions" id="time-00000036-instr-acc" data-is-empty="1" data-i18n-text="control_instructions_105292549"></dt>
          <div data-role="input-row" data-is-first-row="1" data-is-last-row="1" data-fill-colspan="0">
            <div data-ui-role="ui-element" data-type="time" tabindex="0" data-role="i123-input" aria-live="assertive" role="alert" data-size="full">
              <div data-role="time-wrapper">
                <div data-role="date-part" data-part="hour-12" aria-labelledby="date-00000036-hour-12" data-is-null="" data-i18n-text="textdef_65" id="time-00000036-hour" data-is-focused="data-is-focused">HH</div>:<div data-role="date-part"
                  data-part="minute" aria-labelledby="date-00000036-minute" data-is-null="" data-i18n-text="textdef_66" id="time-00000036-minute">MM</div>
                <div data-role="date-part" data-part="am-pm" aria-labelledby="date-00000036-am-pm" data-is-null="" id="time-00000036-am-pm">AM</div>
              </div>
              <div data-role="expander" role="application"></div>
            </div>
          </div><label data-role="error" id="time-00000036-error-acc" data-is-empty="1"></label>
        </div>
      </div>
      <div data-role="container" data-type="virtual-form-table-row" data-hash="00000037" data-type-id="0" data-colspan="20" data-num-children="1">
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            <h5>Payment Information</h5>
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          data-i18n-html="control_label_105292551">
          <p><span style="font-size:10pt">USAgain shall pay the Grantor $0.02&nbsp;per pound of clothes and shoes collected, provided that no other clothing collection bins are present on the premises. Disbursments are made on a quarterly basis to
              schools that reach above the threshold of $20.00, if the&nbsp;</span><span style="font-size:13.3333px">threshold is not met, the amount will roll over to the following&nbsp;</span><span style="font-size:13.3333px">quarterly
              payout.&nbsp;</span></p>
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                    In consideration of the fees and other covenants contained herein the parties agree to be bound by this Agreement. Grantor, as evidenced by their signature below, hereby grants USAgain (the Grantee) an exclusive right, license and
                    permission to install and operate clothes collection bins at the mutually agreed upon location(s) listed in this Agreement.</span></p>
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                <option value="Miranda" data-index="0">Miranda</option>
                <option value="Zabrina" data-index="1">Zabrina</option>
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Text Content

 Used Clothes Collection

TreeMachine Greenraiser Agreement

Through the placement of a TreeMachine bin at your school, you allow USAgain to
collect used clothes from your community.  The schools are paid on a quarterly
basis for the pounds collected. Collection reports are available through our
partner portal. 

USAgain (pronounced "use again") is a for-profit enterprise dedicated to working
for PEOPLE and PLANET by extending the life of good clothes and shoes, keeping
them out of landfills, thereby conserving natural resources and reducing the
emission of greenhouse gases and other negative environmental effects caused by
textile manufacturing.

For every full bin, one tree is planted.

School Name

Address




CONTACT INFORMATION

PLEASE PROVIDE EMAIL ADDRESSES OF 2-3 DESIGNATED CONTACTS WHO SHOULD RECEIVE
REGULAR UPDATES, FLYERS, AND IMPORTANT INFORMATION VIA EMAIL.

TreeMachine Greenraiser Main Contact

Title

Phone

Main Contact's Email

Principal Contact Information

Phone number

Principal's Email address

Additional Contacts
Name

Title

Phone

Additonal Contact's Email

Add another contact

USAGAIN'S COMMITMENT

 * We monitor the collection of our bins and schedule service before they reach
   two-thirds of capacity to prevent overflow.
 * We take responsibility for the cleanliness and professional appearance of our
   bins and the area within ten (10) feet of our bins.
 * We maintain liability insurance for two million dollars ($2,000,000.00).

In the event that authorization is withdrawn, we will remove our bin(s) upon
receiving a written notice within thirty (30) business days.

Initials

Clear

Number of TreeMachines (Bins)We recommend starting with minimum two (2)
TreeMachines for a school with less than 500 students and to add one (1)
TreeMachine for every additional 250 students.
Please selectPlace 1 TreeMachine (4'x4' footprint)Place 2 TreeMachines (4'x8'
footprint)Place 3 TreeMachines (4'x12' footprint)Place 4 TreeMachines (4'x16'
footprint)
Please select

Describe in detail where your TreeMachine needs to be placed.Location must be
accessible at all times.  Selecting an area behind gates and/or hour
restrictions will require further review. Most schools place at student
pickup/dropoff area.

Area Placement PictureVisibility and accessibility is key to having a productive
TreeMachine! Upon identifying where in your parking lot you would like your
TreeMachine placed, back up 8-10 feet from the area and take a picture. This
will help our drivers get the placement right.
Delete all uploads
Choose files or drag here
Google Aerial PicturePlease mark location on aerial map.
Delete all uploads
Choose files or drag here
Is the area behind a locked gate?
Please selectYesNo
Please select
FromWhat are the hours the gates are unlocked
HH
:
MM
AM

To
HH
:
MM
AM


PAYMENT INFORMATION

USAgain shall pay the Grantor $0.02 per pound of clothes and shoes collected,
provided that no other clothing collection bins are present on the premises.
Disbursments are made on a quarterly basis to schools that reach above the
threshold of $20.00, if the threshold is not met, the amount will roll over to
the following quarterly payout. 

Select, If you would like the payment to be addressed to a different name other
than your school
Payment Name

Address



E-CheckPlease provide an email address where we can send your check to. Check
can be printed for deposit.

If ACH is your prefered method of payment, please provide information below.

Terms of Service

I have read and understand the entirety of this Agreement, including the Terms
and Conditions. In consideration of the fees and other covenants contained
herein the parties agree to be bound by this Agreement. Grantor, as evidenced by
their signature below, hereby grants USAgain (the Grantee) an exclusive right,
license and permission to install and operate clothes collection bins at the
mutually agreed upon location(s) listed in this Agreement.

Signature

Clear

Who did you meet with?Please select the representative that you meet with.
Please selectMirandaZabrinaI did not have a meeting
Please select
Date
MM
/
DD
/
YYYY

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