{"id":1735,"date":"2020-09-25T16:12:14","date_gmt":"2020-09-25T16:12:14","guid":{"rendered":"https:\/\/lifecoverplus.com\/?page_id=1735"},"modified":"2023-04-12T19:19:19","modified_gmt":"2023-04-12T19:19:19","slug":"life-insurance-apply","status":"publish","type":"page","link":"https:\/\/lifecoverplus.com\/life-insurance-apply\/","title":{"rendered":"Life Insurance Apply"},"content":{"rendered":"\n\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/lifecoverplus.com\/wp-content\/uploads\/2020\/09\/logo.png\" alt=\"logo\" itemprop=\"image\" height=\"51\" width=\"249\" title=\"logo\" onerror=\"this.style.display='none'\"  \/>\n<h1>\n\t\tCompare Life Insurance Quotes\n\t<\/h1>\n\t<h2>Get your free no obligation quote now<\/h2>\n\t<style>.vmform-wrapper {display: none}.vmform-content>.vmform-actions>.vmform-button-next{display: none}<\/style><div class=\"vmform-wrapper\" id=\"vmform-wrapper-1739\"><form class=\"vmform vm-reset\t\tvmform-theme-thin\t\tvmform-view-type-steps\t\tvmform-layout-type-\t\tvmform-input-item-align-left\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\tid=\"vmform\"\tdata-formid=\"1739\"\tdata-formname=\"Life Insurance Multi Step Light\"\tdata-integration-type=\"\"\tdata-form-focusonerror=\"1\"\tdata-form-view-type=\"steps\"\t\t\tdata-form-step-change-action=\"click\"\t\tdata-form-step-change-animation=\"\"\t\t\t\tdata-form-show-check-icon-in-section-bar=\"\"\tdata-auto-disable-buttons=\"\"\tdata-form-compliance-certification-id=\"\"\tdata-gtag-events=\"\"\tdata-gtag-conversion-identifier=\"\"\tdata-uas-register-process=\"required\"\tdata-uas-login-process=\"required\"\tdata-form-version=\"VM 4.9.7\">\t\t\t\t\t<a class=\"vmform-anchor\" data-jump=\"top\"\t\thref=\"\"><\/a>\t\t<div class=\"vmform-loading-wrapper\t\t\t\t\t\t\t\t\t\t\" style=\"display:none\">\t\t<div class=\"vmform-loading\">\t\t\t<div class=\"vmform-loading-title\"><\/div>\t\t\t<img decoding=\"async\" class=\"vmform-loading-img\" src=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/loading.gif\" \/>\t\t\t<div class=\"vmform-loading-text\">Loading, Please wait...<\/div>\t\t<\/div>\t<\/div>\t<div class=\"vmform-content\">\t\t\t<div class=\"vmform-message vmform-message-at-top\" style=\"display:none\">\t\t<p class=\"vmform-message-title\">Error<\/p>\t\t<p class=\"vmform-message-content\">Error!<\/p>\t<\/div>\t\t<div class=\"vmform-progress-bar-container \">\t<div class=\"vmform-progress-bar-itself vmform-numbers-bar\">\t\t<div class=\"vmform-numbers-bar-line\">\t\t\t<div class=\"vmform-numbers-bar-line-inner\"><\/div>\t\t<\/div>\t\t\t\t  <div class=\"vmform-numbers-bar-number\" style=\"left: 10%\">\t\t    1\t\t    <span class=\"vmform-numbers-bar-title\"><\/span>\t\t  <\/div>\t\t\t\t  <div class=\"vmform-numbers-bar-number\" style=\"left: 30%\">\t\t    2\t\t    <span class=\"vmform-numbers-bar-title\"><\/span>\t\t  <\/div>\t\t\t\t  <div class=\"vmform-numbers-bar-number\" style=\"left: 50%\">\t\t    3\t\t    <span class=\"vmform-numbers-bar-title\"><\/span>\t\t  <\/div>\t\t\t\t  <div class=\"vmform-numbers-bar-number\" style=\"left: 70%\">\t\t    4\t\t    <span class=\"vmform-numbers-bar-title\"><\/span>\t\t  <\/div>\t\t\t\t  <div class=\"vmform-numbers-bar-number\" style=\"left: 90%\">\t\t    5\t\t    <span class=\"vmform-numbers-bar-title\"><\/span>\t\t  <\/div>\t\t\t\t<\/div><div class=\"vmform-progress-bar-divider\"><\/div><\/div>\t\t<div class=\"vmform-steps \t\t\t\t\t\t\t\t\t\t\t\">\t\t\t\t\t\t<div\t\t\t\t\tclass=\"vmform-step\t\t\t\t\t\tvmform-step-0\t\t\t\t\t\tvmform-step-active\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\t\t\t\t\t\tdata-step-change-action=\"click\"\t\t\t\t\t\tdata-vmform-hide-next-button=\"\"\t\t\t\t\t\tdata-vmform-step=\"0\">\t\t\t\t\t\t\t\t\t\t <div class=\"vmform-step-content\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"vmform-row vmform-cf \">\t\t\t\t\t\t<div class=\"vmform-row-content\">\t\t\t\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-joint_application\t\t\tvmform-field-type-radio\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\tvmform-column-last\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Cover for?\"\t\t\t\t\t>Cover for?<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk vmform-hidden\">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf vmform-ios-select-box\">\t\t\t<div class=\"vmform-radio-group vmform-display-type-image vmform-display-type-image-show-sublabel vmform-display-type-image-sublabel-at-outside vmform-display-type-image-sublabel-at-bottom\" id=\"vmform-radio-group-112\"><div class=\"vmform-radio-item\" tabindex=0><div class=\"vmform-radio-item-image-box vmform-radio-item-putbg hvr-grow\"><div class=\"vmform-radio-item-image\"  data-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\" ><\/div><\/div><input type=\"radio\" class=\"vmform-radio-item-radio \" name=\"joint_application\" value=\"Just me\" checked=\"1\" id=\"vmform-joint_application-1\" \/><label type=\"radio\" class=\"vmform-radio-item-label\" for=\"vmform-joint_application-1\" data-label-desktop=\"Just me\" data-label-tablet=\"Just me\" data-label-mobile=\"Just me\"  ><span>Just me<\/span><\/label><\/div><div class=\"vmform-radio-item\" tabindex=0><div class=\"vmform-radio-item-image-box vmform-radio-item-putbg hvr-grow\"><div class=\"vmform-radio-item-image\"  data-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\" ><\/div><\/div><input type=\"radio\" class=\"vmform-radio-item-radio \" name=\"joint_application\" value=\"Me and my partner\" id=\"vmform-joint_application-2\" \/><label type=\"radio\" class=\"vmform-radio-item-label\" for=\"vmform-joint_application-2\" data-label-desktop=\"Joint\" data-label-tablet=\"Joint\" data-label-mobile=\"Joint\"  ><span>Joint<\/span><\/label><\/div><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t\t\t<\/div>\t\t\t\t\t<\/div>\t\t\t\t\t<div class=\"vmform-row vmform-cf vmform-row-alt\">\t\t\t\t\t\t<div class=\"vmform-row-content\">\t\t\t<input class=\"vmform-apply-convert\" type=\"hidden\" name=\"age\" data-convert_rule=\"date_to_age\" data-convert_source_1=\"103\" \/>\t\t\t<\/div>\t\t\t\t\t<\/div>\t\t\t\t\t<div class=\"vmform-row vmform-cf \">\t\t\t\t\t\t<div class=\"vmform-row-content\">\t\t\t\t\t\t<\/div>\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t<div\t\t\t\t\tclass=\"vmform-step\t\t\t\t\t\tvmform-step-1\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\t\t\t\t\t\tdata-step-change-action=\"click\"\t\t\t\t\t\tdata-vmform-hide-next-button=\"\"\t\t\t\t\t\tdata-vmform-step=\"1\">\t\t\t\t\t\t\t\t\t\t <div class=\"vmform-step-content\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"vmform-row vmform-cf \">\t\t\t\t\t\t<div class=\"vmform-row-content\">\t\t\t\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-insurance_type\t\t\tvmform-field-type-radio\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\t\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Type of Cover?\"\t\t\t\t\t>Type of Cover?<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf vmform-ios-select-box\">\t\t\t<div class=\"vmform-radio-group vmform-display-type-image vmform-display-type-image-show-sublabel vmform-display-type-image-sublabel-at-outside vmform-display-type-image-sublabel-at-bottom\" id=\"vmform-radio-group-105\"><div class=\"vmform-radio-item\" tabindex=0><div class=\"vmform-radio-item-image-box vmform-radio-item-putbg hvr-grow\"><div class=\"vmform-radio-item-image\"  data-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\" ><\/div><\/div><input type=\"radio\" class=\"vmform-radio-item-radio \" name=\"insurance_type\" value=\"Life Insurance only\" checked=\"1\" id=\"vmform-insurance_type-1\" \/><label type=\"radio\" class=\"vmform-radio-item-label\" for=\"vmform-insurance_type-1\" data-label-desktop=\"Life Insurance\" data-label-tablet=\"Life Insurance\" data-label-mobile=\"Life Insurance\"  ><span>Life Insurance<\/span><\/label><\/div><div class=\"vmform-radio-item\" tabindex=0><div class=\"vmform-radio-item-image-box vmform-radio-item-putbg hvr-grow\"><div class=\"vmform-radio-item-image\"  data-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\" ><\/div><\/div><input type=\"radio\" class=\"vmform-radio-item-radio \" name=\"insurance_type\" value=\"Life Insurance with Critical Illness\" id=\"vmform-insurance_type-2\" \/><label type=\"radio\" class=\"vmform-radio-item-label\" for=\"vmform-insurance_type-2\" data-label-desktop=\"Critical Illness\" data-label-tablet=\"Critical Illness\" data-label-mobile=\"Critical Illness\"  ><span>Critical Illness<\/span><\/label><\/div><div class=\"vmform-radio-item\" tabindex=0><div class=\"vmform-radio-item-image-box vmform-radio-item-putbg hvr-grow\"><div class=\"vmform-radio-item-image\"  data-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\" ><\/div><\/div><input type=\"radio\" class=\"vmform-radio-item-radio \" name=\"insurance_type\" value=\"Mortgage Life Insurance\" id=\"vmform-insurance_type-3\" \/><label type=\"radio\" class=\"vmform-radio-item-label\" for=\"vmform-insurance_type-3\" data-label-desktop=\"Mortgage\" data-label-tablet=\"Mortgage\" data-label-mobile=\"Mortgage\"  ><span>Mortgage<\/span><\/label><\/div><div class=\"vmform-radio-item\" tabindex=0><div class=\"vmform-radio-item-image-box vmform-radio-item-putbg hvr-grow\"><div class=\"vmform-radio-item-image\"  data-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\" ><\/div><\/div><input type=\"radio\" class=\"vmform-radio-item-radio \" name=\"insurance_type\" value=\"Whole of Life\" id=\"vmform-insurance_type-4\" \/><label type=\"radio\" class=\"vmform-radio-item-label\" for=\"vmform-insurance_type-4\" data-label-desktop=\"Whole of Life\" data-label-tablet=\"Whole of Life\" data-label-mobile=\"Whole of Life\"  ><span>Whole of Life<\/span><\/label><\/div><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-cover_amount\t\t\tvmform-field-type-select\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\t\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Amount of Cover?\"\t\t\t\t\t>Amount of Cover?<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf vmform-ios-select-box\">\t\t\t<div class=\"vmform-select-wrap \"><select id=\"vmform-field-id-106\" class=\"vmform-select \" name=\"cover_amount\" style=\"width: 100%\"  ><option value=\"10000\"  >\u00a310,000<\/option><option value=\"15000\"  >\u00a315,000<\/option><option value=\"20000\"  >\u00a320,000<\/option><option value=\"25000\"  >\u00a325,000<\/option><option value=\"30000\"  >\u00a330,000<\/option><option value=\"35000\"  >\u00a335,000<\/option><option value=\"40000\"  >\u00a340,000<\/option><option value=\"45000\"  >\u00a345,000<\/option><option value=\"50000\"  >\u00a350,000<\/option><option value=\"55000\"  >\u00a355,000<\/option><option value=\"60000\"  >\u00a360,000<\/option><option value=\"65000\"  >\u00a365,000<\/option><option value=\"70000\"  >\u00a370,000<\/option><option value=\"75000\"  >\u00a375,000<\/option><option value=\"80000\"  >\u00a380,000<\/option><option value=\"85000\"  >\u00a385,000<\/option><option value=\"90000\"  >\u00a390,000<\/option><option value=\"95000\"  >\u00a395,000<\/option><option value=\"100000\"  >\u00a3100,000<\/option><option value=\"105000\"  >\u00a3105,000<\/option><option value=\"110000\"  >\u00a3110,000<\/option><option value=\"115000\"  >\u00a3115,000<\/option><option value=\"120000\"  >\u00a3120,000<\/option><option value=\"125000\"  >\u00a3125,000<\/option><option value=\"130000\"  >\u00a3130,000<\/option><option value=\"135000\"  >\u00a3135,000<\/option><option value=\"140000\"  >\u00a3140,000<\/option><option value=\"145000\"  >\u00a3145,000<\/option><option value=\"150000\" selected=\"1\"  >\u00a3150,000<\/option><option value=\"155000\"  >\u00a3155,000<\/option><option value=\"160000\"  >\u00a3160,000<\/option><option value=\"165000\"  >\u00a3165,000<\/option><option value=\"170000\"  >\u00a3170,000<\/option><option value=\"175000\"  >\u00a3175,000<\/option><option value=\"180000\"  >\u00a3180,000<\/option><option value=\"185000\"  >\u00a3185,000<\/option><option value=\"190000\"  >\u00a3190,000<\/option><option value=\"195000\"  >\u00a3195,000<\/option><option value=\"200000\"  >\u00a3200,000<\/option><option value=\"210000\"  >\u00a3210,000<\/option><option value=\"220000\"  >\u00a3220,000<\/option><option value=\"230000\"  >\u00a3230,000<\/option><option value=\"240000\"  >\u00a3240,000<\/option><option value=\"250000\"  >\u00a3250,000<\/option><option value=\"260000\"  >\u00a3260,000<\/option><option value=\"270000\"  >\u00a3270,000<\/option><option value=\"280000\"  >\u00a3280,000<\/option><option value=\"290000\"  >\u00a3290,000<\/option><option value=\"300000\"  >\u00a3300,000<\/option><option value=\"325000\"  >\u00a3325,000<\/option><option value=\"350000\"  >\u00a3350,000<\/option><option value=\"375000\"  >\u00a3375,000<\/option><option value=\"400000\"  >\u00a3400,000<\/option><option value=\"425000\"  >\u00a3425,000<\/option><option value=\"450000\"  >\u00a3450,000<\/option><option value=\"475000\"  >\u00a3475,000<\/option><option value=\"500000\"  >\u00a3500,000<\/option><option value=\"525000\"  >\u00a3525,000<\/option><option value=\"550000\"  >\u00a3550,000<\/option><option value=\"575000\"  >\u00a3575,000<\/option><option value=\"600000\"  >\u00a3600,000<\/option><option value=\"650000\"  >\u00a3650,000<\/option><option value=\"700000\"  >\u00a3700,000<\/option><option value=\"750000\"  >\u00a3750,000<\/option><option value=\"800000\"  >\u00a3800,000<\/option><option value=\"850000\"  >\u00a3850,000<\/option><option value=\"900000\"  >\u00a3900,000<\/option><option value=\"950000\"  >\u00a3950,000<\/option><option value=\"1000000\"  >\u00a31,000,000<\/option><option value=\"1100000\"  >\u00a31,100,000<\/option><option value=\"1200000\"  >\u00a31,200,000<\/option><option value=\"1300000\"  >\u00a31,300,000<\/option><option value=\"1400000\"  >\u00a31,400,000<\/option><option value=\"1500000\"  >\u00a31,500,000<\/option><\/select><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-cover_length\t\t\tvmform-field-type-select\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\tvmform-column-last\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Cover Duration?\"\t\t\t\t\t>Cover Duration?<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf vmform-ios-select-box\">\t\t\t<div class=\"vmform-select-wrap \"><select id=\"vmform-field-id-107\" class=\"vmform-select \" name=\"cover_length\" style=\"width: 100%\"  ><option value=\"1\"  >1 year<\/option><option value=\"2\"  >2 years<\/option><option value=\"3\"  >3 years<\/option><option value=\"4\"  >4 years<\/option><option value=\"5\"  >5 years<\/option><option value=\"6\"  >6 years<\/option><option value=\"7\"  >7 years<\/option><option value=\"8\"  >8 years<\/option><option value=\"9\"  >9 years<\/option><option value=\"10\"  >10 years<\/option><option value=\"11\"  >11 years<\/option><option value=\"12\"  >12 years<\/option><option value=\"13\"  >13 years<\/option><option value=\"14\"  >14 years<\/option><option value=\"15\"  >15 years<\/option><option value=\"16\"  >16 years<\/option><option value=\"17\"  >17 years<\/option><option value=\"18\"  >18 years<\/option><option value=\"19\"  >19 years<\/option><option value=\"20\" selected=\"1\"  >20 years<\/option><option value=\"21\"  >21 years<\/option><option value=\"22\"  >22 years<\/option><option value=\"23\"  >23 years<\/option><option value=\"24\"  >24 years<\/option><option value=\"25\"  >25 years<\/option><option value=\"26\"  >26 years<\/option><option value=\"27\"  >27 years<\/option><option value=\"28\"  >28 years<\/option><option value=\"29\"  >29 years<\/option><option value=\"30\"  >30 years<\/option><option value=\"31\"  >31 years<\/option><option value=\"32\"  >32 years<\/option><option value=\"33\"  >33 years<\/option><option value=\"34\"  >34 years<\/option><option value=\"35\"  >35 years<\/option><option value=\"36\"  >36 years<\/option><option value=\"37\"  >37 years<\/option><option value=\"38\"  >38 years<\/option><option value=\"39\"  >39 years<\/option><option value=\"40\"  >40 years<\/option><option value=\"41\"  >41 years<\/option><option value=\"42\"  >42 years<\/option><option value=\"43\"  >43 years<\/option><option value=\"44\"  >44 years<\/option><option value=\"45\"  >45 years<\/option><option value=\"46\"  >46 years<\/option><option value=\"47\"  >47 years<\/option><option value=\"48\"  >48 years<\/option><option value=\"49\"  >49 years<\/option><option value=\"50\"  >50 years<\/option><\/select><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t\t\t<\/div>\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t<div\t\t\t\t\tclass=\"vmform-step\t\t\t\t\t\tvmform-step-2\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\t\t\t\t\t\tdata-step-change-action=\"click\"\t\t\t\t\t\tdata-vmform-hide-next-button=\"\"\t\t\t\t\t\tdata-vmform-step=\"2\">\t\t\t\t\t\t\t\t\t\t <div class=\"vmform-step-content\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"vmform-row vmform-cf \">\t\t\t\t\t\t<div class=\"vmform-row-content\">\t\t\t\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-smoker\t\t\tvmform-field-type-radio\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\tvmform-column-last\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Do you smoke?\"\t\t\t\t\t>Do you smoke?<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf vmform-ios-select-box\">\t\t\t<div class=\"vmform-radio-group vmform-display-type-image vmform-display-type-image-show-sublabel vmform-display-type-image-sublabel-at-outside vmform-display-type-image-sublabel-at-bottom\" id=\"vmform-radio-group-109\"><div class=\"vmform-radio-item\" tabindex=0><div class=\"vmform-radio-item-image-box vmform-radio-item-putbg \"><div class=\"vmform-radio-item-image\"  data-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\" ><\/div><\/div><input type=\"radio\" class=\"vmform-radio-item-radio \" name=\"smoker\" value=\"No\" checked=\"1\" id=\"vmform-smoker-1\" \/><label type=\"radio\" class=\"vmform-radio-item-label\" for=\"vmform-smoker-1\" data-label-desktop=\"No\" data-label-tablet=\"No\" data-label-mobile=\"No\"  ><span>No<\/span><\/label><\/div><div class=\"vmform-radio-item\" tabindex=0><div class=\"vmform-radio-item-image-box vmform-radio-item-putbg \"><div class=\"vmform-radio-item-image\"  data-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-tablet-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-selected=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\"  data-mobile-image-hover=\"https:\/\/lifecoverplus.com\/wp-content\/plugins\/vmforms\/\/public\/static\/default.png\" ><\/div><\/div><input type=\"radio\" class=\"vmform-radio-item-radio \" name=\"smoker\" value=\"Yes\" id=\"vmform-smoker-2\" \/><label type=\"radio\" class=\"vmform-radio-item-label\" for=\"vmform-smoker-2\" data-label-desktop=\"Yes\" data-label-tablet=\"Yes\" data-label-mobile=\"Yes\"  ><span>Yes<\/span><\/label><\/div><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t\t\t<\/div>\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t<div\t\t\t\t\tclass=\"vmform-step\t\t\t\t\t\tvmform-step-3\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\t\t\t\t\t\tdata-step-change-action=\"click\"\t\t\t\t\t\tdata-vmform-hide-next-button=\"\"\t\t\t\t\t\tdata-vmform-step=\"3\">\t\t\t\t\t\t\t\t\t\t <div class=\"vmform-step-content\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"vmform-row vmform-cf \">\t\t\t\t\t\t<div class=\"vmform-row-content\">\t\t\t\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-first_name\t\t\tvmform-field-type-text\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\t\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"First name\"\t\t\t\t\t>First name<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf \">\t\t\t<div class=\"vmform-input-wrap  \"><input id=\"vmform-field-id-97\" class=\"vmform-input \" type=\"text\" name=\"first_name\" maxlength=\"30\" placeholder=\"First name\" data-field-id=\"97\" data-address-lookup-manually-text=\"Enter Address Manually\" \/><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-last_name\t\t\tvmform-field-type-text\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\t\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Last name\"\t\t\t\t\t>Last name<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf \">\t\t\t<div class=\"vmform-input-wrap  \"><input id=\"vmform-field-id-98\" class=\"vmform-input \" type=\"text\" name=\"last_name\" maxlength=\"30\" placeholder=\"Last name\" data-field-id=\"98\" data-address-lookup-manually-text=\"Enter Address Manually\" \/><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-dob\t\t\tvmform-field-type-date-3\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\t\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Date of birth\"\t\t\t\t\t>Date of birth<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf \">\t\t\t<div class=\"vmform-date-inner   \"><div class=\"vmform-date-inner-d vmform-ios-select-box\"><select class=\"vmform-date-select vmfrom-date-inner-3-item vmform-date-inner-3-d vmform-untouched \" name=\"dob-date-3-d\" style=\"width: 100%\"  ><option value=\"\">Day<\/option><option value=\"01\" selected=\"1\"  >1<\/option><option value=\"02\"  >2<\/option><option value=\"03\"  >3<\/option><option value=\"04\"  >4<\/option><option value=\"05\"  >5<\/option><option value=\"06\"  >6<\/option><option value=\"07\"  >7<\/option><option value=\"08\"  >8<\/option><option value=\"09\"  >9<\/option><option value=\"10\"  >10<\/option><option value=\"11\"  >11<\/option><option value=\"12\"  >12<\/option><option value=\"13\"  >13<\/option><option value=\"14\"  >14<\/option><option value=\"15\"  >15<\/option><option value=\"16\"  >16<\/option><option value=\"17\"  >17<\/option><option value=\"18\"  >18<\/option><option value=\"19\"  >19<\/option><option value=\"20\"  >20<\/option><option value=\"21\"  >21<\/option><option value=\"22\"  >22<\/option><option value=\"23\"  >23<\/option><option value=\"24\"  >24<\/option><option value=\"25\"  >25<\/option><option value=\"26\"  >26<\/option><option value=\"27\"  >27<\/option><option value=\"28\"  >28<\/option><option value=\"29\"  >29<\/option><option value=\"30\"  >30<\/option><option value=\"31\"  >31<\/option><\/select>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"vmform-date-inner-m vmform-ios-select-box\"><select class=\"vmform-date-select vmfrom-date-inner-3-item vmform-date-inner-3-m vmform-untouched \" name=\"dob-date-3-m\" style=\"width: 100%\" data-placeholder=\"Month\"  ><option value=\"\">Month<\/option><option value=\"01\" selected=\"1\"  >Jan<\/option><option value=\"02\"  >Feb<\/option><option value=\"03\"  >Mar<\/option><option value=\"04\"  >Apr<\/option><option value=\"05\"  >May<\/option><option value=\"06\"  >Jun<\/option><option value=\"07\"  >Jul<\/option><option value=\"08\"  >Aug<\/option><option value=\"09\"  >Sep<\/option><option value=\"10\"  >Oct<\/option><option value=\"11\"  >Nov<\/option><option value=\"12\"  >Dec<\/option><\/select>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"vmform-date-inner-y vmform-ios-select-box\"><select class=\"vmform-date-select vmfrom-date-inner-3-item vmform-date-inner-3-y vmform-untouched \" name=\"dob-date-3-y\" style=\"width: 100%\"  ><option value=\"\">Year<\/option><option value=\"2006\"  >2006<\/option><option value=\"2005\"  >2005<\/option><option value=\"2004\"  >2004<\/option><option value=\"2003\"  >2003<\/option><option value=\"2002\"  >2002<\/option><option value=\"2001\"  >2001<\/option><option value=\"2000\"  >2000<\/option><option value=\"1999\"  >1999<\/option><option value=\"1998\"  >1998<\/option><option value=\"1997\"  >1997<\/option><option value=\"1996\"  >1996<\/option><option value=\"1995\"  >1995<\/option><option value=\"1994\"  >1994<\/option><option value=\"1993\"  >1993<\/option><option value=\"1992\"  >1992<\/option><option value=\"1991\"  >1991<\/option><option value=\"1990\"  >1990<\/option><option value=\"1989\"  >1989<\/option><option value=\"1988\"  >1988<\/option><option value=\"1987\"  >1987<\/option><option value=\"1986\"  >1986<\/option><option value=\"1985\"  >1985<\/option><option value=\"1984\"  >1984<\/option><option value=\"1983\"  >1983<\/option><option value=\"1982\"  >1982<\/option><option value=\"1981\"  >1981<\/option><option value=\"1980\"  >1980<\/option><option value=\"1979\"  >1979<\/option><option value=\"1978\"  >1978<\/option><option value=\"1977\"  >1977<\/option><option value=\"1976\"  >1976<\/option><option value=\"1975\"  >1975<\/option><option value=\"1974\"  >1974<\/option><option value=\"1973\"  >1973<\/option><option value=\"1972\"  >1972<\/option><option value=\"1971\"  >1971<\/option><option value=\"1970\" selected=\"1\"  >1970<\/option><option value=\"1969\"  >1969<\/option><option value=\"1968\"  >1968<\/option><option value=\"1967\"  >1967<\/option><option value=\"1966\"  >1966<\/option><option value=\"1965\"  >1965<\/option><option value=\"1964\"  >1964<\/option><option value=\"1963\"  >1963<\/option><option value=\"1962\"  >1962<\/option><option value=\"1961\"  >1961<\/option><option value=\"1960\"  >1960<\/option><option value=\"1959\"  >1959<\/option><option value=\"1958\"  >1958<\/option><option value=\"1957\"  >1957<\/option><option value=\"1956\"  >1956<\/option><option value=\"1955\"  >1955<\/option><option value=\"1954\"  >1954<\/option><option value=\"1953\"  >1953<\/option><option value=\"1952\"  >1952<\/option><option value=\"1951\"  >1951<\/option><option value=\"1950\"  >1950<\/option><option value=\"1949\"  >1949<\/option><option value=\"1948\"  >1948<\/option><option value=\"1947\"  >1947<\/option><option value=\"1946\"  >1946<\/option><option value=\"1945\"  >1945<\/option><option value=\"1944\"  >1944<\/option><\/select>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-email\t\t\tvmform-field-type-text\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\t\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Email\"\t\t\t\t\t>Email<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf \">\t\t\t<div class=\"vmform-input-wrap  \"><input id=\"vmform-field-id-99\" class=\"vmform-input \" type=\"email\" name=\"email\" placeholder=\"Your email\" data-field-id=\"99\" data-address-lookup-manually-text=\"Enter Address Manually\" \/><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-telephone\t\t\tvmform-field-type-text\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\tvmform-column-last\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Telephone No.\"\t\t\t\t\t>Telephone No.<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf \">\t\t\t<div class=\"vmform-input-wrap  \"><input id=\"vmform-field-id-100\" class=\"vmform-input \" type=\"tel\" name=\"telephone\" placeholder=\"Your telephone number\" data-field-id=\"100\" data-address-lookup-manually-text=\"Enter Address Manually\" \/><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t\t\t<\/div>\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t<div\t\t\t\t\tclass=\"vmform-step\t\t\t\t\t\tvmform-step-4\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\t\t\t\t\t\tdata-step-change-action=\"click\"\t\t\t\t\t\tdata-vmform-hide-next-button=\"\"\t\t\t\t\t\tdata-vmform-step=\"4\">\t\t\t\t\t\t\t\t\t\t <div class=\"vmform-step-content\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"vmform-row vmform-cf \">\t\t\t\t\t\t<div class=\"vmform-row-content\">\t\t\t\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-address_line_1\t\t\tvmform-field-type-text\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\t\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Address line 1\"\t\t\t\t\t>Address line 1<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf \">\t\t\t<div class=\"vmform-input-wrap  \"><input id=\"vmform-field-id-108\" class=\"vmform-input \" type=\"text\" name=\"address_line_1\" maxlength=\"95\" placeholder=\"1st line of address\" data-field-id=\"108\" data-address-lookup-link=\"102\" data-address-lookup-manually-text=\"Enter Address Manually\" \/><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-postcode\t\t\tvmform-field-type-text\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\tvmform-column-last\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\t\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Postcode\"\t\t\t\t\t>Postcode<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk \">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf \">\t\t\t<div class=\"vmform-input-wrap  \"><input id=\"vmform-field-id-102\" class=\"vmform-input \" type=\"text\" name=\"postcode\" maxlength=\"8\" placeholder=\"Your postcode\" data-field-id=\"102\" data-address-lookup-link=\"108\" data-address-lookup-manually-text=\"Enter Address Manually\" \/><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t\t\t<\/div>\t\t\t\t\t<\/div>\t\t\t\t\t<div class=\"vmform-row vmform-cf vmform-row-alt\">\t\t\t\t\t\t<div class=\"vmform-row-content\">\t\t\t\t<div class=\"vmform-field\t\t\tvmform-cf\t\t\tvmform-field-key-mobile\t\t\tvmform-field-type-text\t\t\tvmform-field-align-\t\t\tvmform-field-item-align-\t\t\tvmform-width-1\t\t\tvmform-tablet-width-\t\t\tvmform-mobile-width-1\t\t\tvmform-column-last\t\t\t\t\t\tvmform-field-label-top\t\t\tvmform-tablet-field-label-\t\t\tvmform-mobile-field-label-\t\t\tvmform-field-hide-optional\t\t\tvmform-untouched \t\t\t\t\t\t\t\t\t\"\t\t>\t\t\t\t\t<label class=\"vmform-label\">\t\t\t\t<div class=\"vmform-label-line\">\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-label-text\"\t\t\t\t\t\tdata-vm-old-label=\"\"\t\t\t\t\t\tdata-vm-label=\"Telephone number 2\"\t\t\t\t\t>Telephone number 2<\/span>\t\t\t\t\t\t\t\t\t\t\t<span class=\"vmform-asterisk vmform-hidden\">*<\/span>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t<\/label>\t\t\t\t\t\t<div class=\"vmform-control vmform-cf \">\t\t\t<div class=\"vmform-input-wrap  \"><input id=\"vmform-field-id-101\" class=\"vmform-input \" type=\"tel\" name=\"mobile\" data-field-id=\"101\" data-address-lookup-manually-text=\"Enter Address Manually\" \/><\/div>\t\t\t\t\t<\/div>\t\t<div class=\"vmform-error\" style=\"display:none\">\t\t\t\t<span class=\"dashicons dashicons-warning\"><\/span>\t\t\t\t<span class=\"vmform-error-text\">field error!<\/span>\t\t\t<\/div>\t\t\t\t\t\t\t<\/div>\t\t\t<\/div>\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t<\/div>\t\t\t\t\t\t\t\t<div class=\"\t\t\tvmform-actions \t\t\tvmform-actions-button-order-back_next \t\t\tvmform-actions-button-alignment- \t\t\tvmform-actions-button-position-center\t\t\">\t\t\t\t\t\t<input type=\"hidden\" name=\"vmform_formid\" value=\"1739\" \/>\t\t\t<input type=\"hidden\" name=\"affiliate_campaign_id\" value=\"350\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_hash\" value=\"F83D9\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_step\" value=\"0\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_ip\" value=\"35.89.230.114\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_useragent\" value=\"FriendlyCrawler\/Nutch-1.20-SNAPSHOT\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_tracking\" value=\"\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_mi_tracking\" value=\"\" \/>\t\t\t\t\t\t<input type=\"hidden\" name=\"vmform_siteid\" value=\"1717\" \/>\t\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"vmform_adid\" value=\"\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_lp1id\" value=\"\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_lp2id\" value=\"\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_mi_adid\" value=\"\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_mi_adgroupid\" value=\"\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_mi_keywordid\" value=\"\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_mi_extensionid\" value=\"\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_mi_matchtype\" value=\"\" \/>\t\t\t<input type=\"hidden\" name=\"vmform_mi_device\" value=\"\" \/>\t\t\t\t\t\t\t\t\t<button name=\"vmform_next\" value=\"1\" class=\"vmform-button vmform-button-next  vmform-button-type-text vmform-button-type-icon-at-left \"  ><span class=\"vmform-button-text\">Next<\/span><\/button><button id=\"vmform_submit_btn\" type=\"submit\" name=\"vmform_submit\" value=\"1\" class=\"vmform-button vmform-button-submit  vmform-button-type-text vmform-button-type-icon-at-left \" style=\"display:none\"  ><span class=\"vmform-button-text\">GET MY FREE QUOTE<\/span><\/button>\t\t<\/div>\t\t\t\t\t<div class=\"vmform-disclaimer vv-disclaimer vmform-disclaimer-at-bottom\"\t\tstyle=\"display:none\"\t\tdata-disclaimer-popup-close-position=\"\"\t\t>\t\tBy clicking \"GET MY FREE QUOTE\" you agree to be contacted by telephone, email and electronic messaging by an <a href=\"#\" class=\"vmform-apply-modaal-buyers\">FCA authorised insurance firm<\/a> to provide the comparison service and confirm that you have read and agreed to our <a  class=\"vmform-apply-modaal\"  href=\"https:\/\/lifecoverplus.com\/terms-and-conditions\/\">Terms & Conditions<\/a> and our <a  class=\"vmform-apply-modaal\"  href=\"https:\/\/lifecoverplus.com\/privacy-policy\/\">Privacy Policy<\/a>.\t<\/div>\t\t\t\t\t\t\t\t<div id=\"vmform-disclaimer-buyers\">Our FCA authorised brokers include Visionary Markets Ltd and Reassured Limited, the UK's largest and award-winning life insurance broker.<\/div>\t\t\t\t<div class=\"vmform-interject-trigger\">\t\t\t\t<a href=\"#vmform-interject-popup-content\" class=\"vmform-apply-modaal\"> <\/a>\t\t\t\t<div id=\"vmform-interject-popup-content\"><\/div>\t\t<\/div>\t<\/div>\t<script>\t\tif(typeof all_campaign_data == 'undefined') var all_campaign_data = {};\t\tif(typeof all_campaign_layout == 'undefined') var all_campaign_layout = {};\t\tif(typeof all_campaign_settings == 'undefined') var all_campaign_settings = {};\t\tall_campaign_data[1739] = {\"campaign_name\":\"Life Insurance\",\"campaign_disclaimer\":\"<p>By clicking \\\"{{BUTTON}}\\\" you agree to be contacted by telephone, email and electronic messaging by an <a href=\\\"{{BUYERS}}\\\">FCA authorised insurance firm<\/a>&nbsp;to provide the comparison service and confirm that you have read and agreed to our <a href=\\\"{{TC_LINK}}\\\">Terms &amp; Conditions<\/a> and our <a href=\\\"{{PP_LINK}}\\\">Privacy Policy.<\/a><\/p>\",\"campaign_disclaimer_buyers\":\"<p><span style=\\\"font-size: 14pt;\\\">Our FCA authorised brokers include Reassured Limited, the UK\\'s largest and award-winning life insurance broker.<\/span><\/p>\",\"disclaimer\":\"By clicking \\\"{{BUTTON}}\\\" you agree to be contacted by telephone, email and electronic messaging by an FCA authorised insurance firm to provide the comparison service and confirm that you have read and agreed to our Terms & Conditions and our Privacy Policy.\",\"disclaimer_buyers\":\"Our FCA authorised brokers include Visionary Markets Ltd and Reassured Limited, the UK\\'s largest and award-winning life insurance broker.\",\"disclaimer_firm_wording\":\"FCA authorised insurance firm\",\"fields\":{\"joint_application\":{\"id\":112,\"key\":\"joint_application\",\"type\":\"radio\",\"label\":\"Who is the cover for?\",\"text_format\":\"\",\"placeholder\":\"\",\"options\":{\"Just me\":\"Just me\",\"Me and my partner\":\"Me and my partner\"},\"description\":\"\",\"default\":\"Just me\",\"min_value\":null,\"max_value\":null,\"can_use_slider\":0,\"slider_step\":null,\"allow_custom_options\":null,\"only_value_lookup\":null,\"allow_value_rule\":null,\"apply_value_rule\":null,\"rounding_value\":null,\"rounding_type\":\"\",\"address_lookup\":\"\",\"address_lookup_link\":null,\"allow_interject\":0,\"fieldset\":\"\",\"required\":0,\"hidden\":0,\"year_range\":\"\",\"max_length\":null,\"convert_rule\":\"\",\"convert_source_1\":null,\"convert_source_2\":null,\"combine_rule\":\"\",\"combine_source_1\":null,\"combine_source_2\":null,\"validation_bind_to\":0,\"notes\":\"\"},\"insurance_type\":{\"id\":105,\"key\":\"insurance_type\",\"type\":\"select\",\"label\":\"Type of insurance\",\"text_format\":\"\",\"placeholder\":\"\",\"options\":{\"Life Insurance only\":\"Life Insurance only\",\"Life Insurance with Critical Illness\":\"Life Insurance with Critical Illness\",\"Mortgage Life Insurance\":\"Mortgage Life Insurance\",\"Whole of Life\":\"Whole of Life\"},\"description\":\"<p><strong>Life Insurance<\/strong> - The insured sum is paid out if you die during the term of the policy.<\/p>rn<br>rn<p><strong>Life Insurance with Critical Illness<\/strong> - As above but also pays out on diagnosis of certain medical conditions as laid out in the policy, i.e. heart attack, some cancers, stroke etc.<\/p>rn<br>rn<p><strong>Whole of Life<\/strong> - A plan that covers you for the rest of your life instead of a set term.<\/p>rn<br>rn<p><strong>Mortgage Life Insurance<\/strong> - The amount of cover reduces over the policy term, usually in line with your outstanding mortgage balance.<\/p>\",\"default\":\"Life Insurance only\",\"min_value\":0,\"max_value\":0,\"can_use_slider\":0,\"slider_step\":0,\"allow_custom_options\":1,\"only_value_lookup\":1,\"allow_value_rule\":0,\"apply_value_rule\":0,\"rounding_value\":0,\"rounding_type\":\"\",\"address_lookup\":\"\",\"address_lookup_link\":0,\"allow_interject\":0,\"fieldset\":\"\",\"required\":1,\"hidden\":0,\"year_range\":\"\",\"max_length\":null,\"convert_rule\":\"\",\"convert_source_1\":0,\"convert_source_2\":0,\"combine_rule\":\"\",\"combine_source_1\":0,\"combine_source_2\":0,\"validation_bind_to\":null,\"notes\":\"\"},\"cover_amount\":{\"id\":106,\"key\":\"cover_amount\",\"type\":\"select\",\"label\":\"Amount of 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80\"}],\"server_side_validation\":false},\"smoker\":{\"id\":109,\"key\":\"smoker\",\"type\":\"radio\",\"text_format\":null,\"required\":1,\"year_range\":\"\",\"max_length\":null,\"rules\":[],\"server_side_validation\":false},\"telephone\":{\"id\":100,\"key\":\"telephone\",\"type\":\"text\",\"text_format\":\"tel\",\"required\":1,\"year_range\":\"\",\"max_length\":null,\"rules\":[{\"name\":\"telephone_regex_function\",\"type\":\"Function\",\"regex\":\"\",\"date_range\":\"\",\"function\":\"telephone_regex_function\",\"message\":\"Please enter your correct telephone number, our broker will call you with your quotes.\"}],\"server_side_validation\":true},\"mobile\":{\"id\":101,\"key\":\"mobile\",\"type\":\"text\",\"text_format\":\"tel\",\"required\":0,\"year_range\":\"\",\"max_length\":null,\"rules\":[{\"name\":\"telephone_regex_function\",\"type\":\"Function\",\"regex\":\"\",\"date_range\":\"\",\"function\":\"telephone_regex_function\",\"message\":\"Please enter your correct telephone number, our broker will call you with your quotes.\"}],\"server_side_validation\":true},\"email\":{\"id\":99,\"key\":\"email\",\"type\":\"text\",\"text_format\":\"email\",\"required\":1,\"year_range\":\"\",\"max_length\":null,\"rules\":[{\"name\":\"email\",\"type\":\"Regex\",\"regex\":\"\/^([_a-z0-9-]+)(\\\\.[_a-z0-9-]+)*@([a-z0-9-]+)(\\\\.[a-z0-9-]+)*(\\\\.[a-z]{2,})$\/i\",\"date_range\":\"\",\"function\":\"\",\"message\":\"Please enter a valid email address\"}],\"server_side_validation\":true},\"age\":{\"id\":265,\"key\":\"age\",\"type\":\"convert\",\"text_format\":null,\"required\":0,\"year_range\":\"\",\"max_length\":null,\"rules\":[],\"server_side_validation\":false},\"full_name\":{\"id\":407,\"key\":\"full_name\",\"type\":\"combine\",\"text_format\":\"\",\"required\":1,\"year_range\":\"\",\"max_length\":null,\"rules\":[{\"name\":\"Full 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.vmform-field-with-validated .vmform-date-inner.vmform-apply-3datemaskslash.vmform-apply-3datemaskslash-focus,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-validated textarea:focus{  background-color: rgba(,,,);  border-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-field-with-error input.vmform-input,#vmform-wrapper-1739 .vmform .vmform-field-with-error input.vmform-date-inner-3-d,#vmform-wrapper-1739 .vmform .vmform-field-with-error input.vmform-date-inner-3-m,#vmform-wrapper-1739 .vmform .vmform-field-with-error input.vmform-date-inner-3-y,#vmform-wrapper-1739 .vmform .vmform-field-with-error select,#vmform-wrapper-1739 .vmform .vmform-field-with-error .select2-container .select2-selection--single,#vmform-wrapper-1739 .vmform .vmform-field-with-error .vmform-date-inner.vmform-apply-3datemaskslash,#vmform-wrapper-1739 .vmform .vmform-field-with-error textarea{  background-color: #FFFFFF;  border-color: #c60f13;}#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error input.vmform-input:hover,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error input.vmform-date-inner-3-d:hover,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error input.vmform-date-inner-3-m:hover,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error input.vmform-date-inner-3-y:hover,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error select:hover,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error .select2-container .select2-selection--single:hover,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error .vmform-date-inner.vmform-apply-3datemaskslash.vmform-apply-3datemaskslash-hover,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error textarea:hover{  background-color: #FFFFFF;  border-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-field-with-error input.vmform-input:focus,#vmform-wrapper-1739 .vmform .vmform-field-with-error 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input.vmform-date-inner-3-y:focus,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error select:focus,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error .select2-container .select2-selection--single:focus,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error .vmform-date-inner.vmform-apply-3datemaskslash.vmform-apply-3datemaskslash-focus,#vmform-wrapper-1739.vmform-notouch .vmform .vmform-field-with-error textarea:focus{  background-color: #FFFFFF;  border-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-input-wrap.vmform-input-wrap-with-icon .vmform-input,#vmform-wrapper-1739 .vmform .vmform-input-wrap.vmform-input-wrap-with-icon .vmform-textarea,#vmform-wrapper-1739 .vmform .vmform-date-inner-with-icon .vmform-input,#vmform-wrapper-1739 .vmform .vmform-date-inner-with-icon .vmform-date-select,#vmform-wrapper-1739 .vmform .vmform-date-inner-with-icon .select2-selection--single .select2-selection__rendered,#vmform-wrapper-1739 .vmform .vmform-select-wrap.vmform-select-wrap-with-icon .vmform-select,#vmform-wrapper-1739 .vmform .vmform-select-wrap.vmform-select-wrap-with-icon .select2-selection--single .select2-selection__rendered{  padding-left: 56px;  padding-right: 56px;}#vmform-wrapper-1739 .vmform .vmform-input-wrap.vmform-input-wrap-with-password-icon .vmform-input{  padding-right: 56px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-input-wrap.vmform-input-wrap-with-icon .vmform-input,  #vmform-wrapper-1739 .vmform .vmform-input-wrap.vmform-input-wrap-with-icon .vmform-textarea,  #vmform-wrapper-1739 .vmform .vmform-date-inner-with-icon .vmform-input,  #vmform-wrapper-1739 .vmform .vmform-date-inner-with-icon .vmform-date-select,  #vmform-wrapper-1739 .vmform .vmform-date-inner-with-icon .select2-selection--single .select2-selection__rendered,  #vmform-wrapper-1739 .vmform .vmform-select-wrap .vmform-select,  #vmform-wrapper-1739 .vmform .vmform-select-wrap .select2-selection--single .select2-selection__rendered  {    padding-left: px;    padding-right: px;  }  #vmform-wrapper-1739 .vmform .vmform-input-wrap.vmform-input-wrap-with-password-icon .vmform-input  {    padding-right: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-input-wrap.vmform-input-wrap-with-icon .vmform-input,  #vmform-wrapper-1739 .vmform .vmform-input-wrap.vmform-input-wrap-with-icon .vmform-textarea,  #vmform-wrapper-1739 .vmform .vmform-date-inner-with-icon .vmform-input,  #vmform-wrapper-1739 .vmform .vmform-date-inner-with-icon .vmform-date-select,  #vmform-wrapper-1739 .vmform .vmform-date-inner-with-icon .select2-selection--single .select2-selection__rendered,  #vmform-wrapper-1739 .vmform .vmform-select-wrap .vmform-select,  #vmform-wrapper-1739 .vmform .vmform-select-wrap .select2-selection--single .select2-selection__rendered  {    padding-left: px;    padding-right: px;  }  #vmform-wrapper-1739 .vmform .vmform-input-wrap.vmform-input-wrap-with-password-icon .vmform-input  {    padding-right: px;  }}#vmform-wrapper-1739 .vmform .vmform-input-number-wrap.vmform-input-number-wrap-gbp .vmform-input-number-prepend{  line-height: 56px;  font-size: 19px;  font-weight: normal;  font-family: Nunito;  color: #155577;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-input-number-wrap.vmform-input-number-wrap-gbp .vmform-input-number-prepend{    line-height: px;    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-input-number-wrap.vmform-input-number-wrap-gbp .vmform-input-number-prepend{    line-height: px;    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-input-number-wrap.vmform-input-number-wrap-gbp.vmform-input-wrap.vmform-input-wrap-with-icon .vmform-input{  padding-left: 76px;  padding-right: 76px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-input-number-wrap.vmform-input-number-wrap-gbp.vmform-input-wrap.vmform-input-wrap-with-icon .vmform-input{    padding-left: 76px;    padding-right: 76px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-input-number-wrap.vmform-input-number-wrap-gbp.vmform-input-wrap.vmform-input-wrap-with-icon .vmform-input{    padding-left: 76px;    padding-right: 76px;  }}#vmform-wrapper-1739 .vmform .vmform-field .select2-container{  height: 56px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .select2-container{    height: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .select2-container{    height: px;  }}#vmform-wrapper-1739 .vmform .vmform-field .select2-selection--single .select2-selection__rendered{  line-height: 54px;  text-align: left;  color: #155577;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .select2-selection--single .select2-selection__rendered{    line-height: 54px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .select2-selection--single .select2-selection__rendered{    line-height: 54px;  }}#vmform-wrapper-1739 .vmform .vmform-field .select2-selection--single .select2-selection__arrow{  height: 52px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .select2-selection--single .select2-selection__arrow{    height: 52px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .select2-selection--single .select2-selection__arrow{    height: 52px;  }}.vmform-select2-dropdown .select2-results__option,#vmform-wrapper-1739 .vmform .select2-results__option{  font-size: 19px;  line-height: 1.5;  padding: 6px;}@media (max-width: 991.98px) {  .vmform-select2-dropdown .select2-results__option,  #vmform-wrapper-1739 .vmform .select2-results__option{    font-size: px;  }}@media (max-width: 767.98px) {  .vmform-select2-dropdown .select2-results__option,  #vmform-wrapper-1739 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color: ;}#vmform-wrapper-1739 .vmform .vmform-field .vmform-checkbox,#vmform-wrapper-1739 .vmform .vmform-field .vmform-radio-item-checkbox,#vmform-wrapper-1739 .vmform .vmform-field .vmform-radio-item-radio{  width: 27px;  height: 27px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .vmform-checkbox,  #vmform-wrapper-1739 .vmform .vmform-field .vmform-radio-item-checkbox,  #vmform-wrapper-1739 .vmform .vmform-field .vmform-radio-item-radio  {    width: 27px;    height: 27px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .vmform-checkbox,  #vmform-wrapper-1739 .vmform .vmform-field .vmform-radio-item-checkbox,  #vmform-wrapper-1739 .vmform .vmform-field .vmform-radio-item-radio  {    width: 27px;    height: 27px;  }}#vmform-wrapper-1739 .vmform .vmform-display-type-svg.vmform-radio-item .vmform-radio-item-label{  line-height: 56px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-display-type-svg.vmform-radio-item .vmform-radio-item-label{    line-height: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-display-type-svg.vmform-radio-item .vmform-radio-item-label{    line-height: px;  }}#vmform-wrapper-1739 .vmform .vmform-display-type-svg .vmform-radio-item-checkbox{  background: url('data:image\/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxMDAlIiBoZWlnaHQ9IjEwMCUiIHZpZXdCb3g9IjAgMCAyMCAyMCI+PHBhdGggZD0iTS41LjVoMTl2MTlILjV6IiBmaWxsPSJub25lIiBzdHJva2U9InJnYmEoMjEsODUsMTE5LDEpIiBzdHJva2Utd2lkdGg9IjEiPjwvcGF0aD48L3N2Zz4=') center no-repeat;}#vmform-wrapper-1739 .vmform .vmform-display-type-svg .vmform-radio-item-checkbox:checked{  background: url('data:image\/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxMDAlIiBoZWlnaHQ9IjEwMCUiIHZpZXdCb3g9IjAgMCAyMCAyMCI+PGcgZmlsbD0ibm9uZSI+PHBhdGggZmlsbD0icmdiYSgyMSw4NSwxMTksMSkiIGQ9Ik0xNC4wNSA1LjM0bDEuMzQuOTQtNS44MSA4LjM4SDguMjRMNSAxMC4xMmwxLjM0LTEuMjUgMi41NyAyLjR6Ii8+PHBhdGggc3Ryb2tlPSJyZ2JhKDIxLDg1LDExOSwxKSIgc3Ryb2tlLXdpZHRoPSIxIiBkPSJNLjUuNWgxOXYxOUguNXoiLz48L2c+PC9zdmc+') center no-repeat;}#vmform-wrapper-1739 .vmform .vmform-display-type-svg .vmform-radio-item-radio,#vmform-wrapper-1739 .vmform .vmform-display-type-svg .vmform-radio-item-checkbox-circle{  background: url('data:image\/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxMDAlIiBoZWlnaHQ9IjEwMCUiIHZpZXdCb3g9IjAgMCAyMCAyMCI+PHBhdGggZD0iTTEwIC41QTkuNDk4IDkuNDk4IDAgMCAwIC41IDEwYzAgNS4yNDggNC4yNTIgOS41IDkuNSA5LjVzOS41LTQuMjUyIDkuNS05LjVTMTUuMjQ4LjUgMTAgLjV6IiBmaWxsPSJub25lIiBzdHJva2U9InJnYmEoMjEsODUsMTE5LDEpIiBzdHJva2Utd2lkdGg9IjEiPjwvcGF0aD48L3N2Zz4=') center no-repeat;  border-radius: 50%;}#vmform-wrapper-1739 .vmform .vmform-display-type-svg .vmform-radio-item-radio:checked,#vmform-wrapper-1739 .vmform .vmform-display-type-svg .vmform-radio-item-checkbox-circle:checked{  background: url('data:image\/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxMDAlIiBoZWlnaHQ9IjEwMCUiIHZpZXdCb3g9IjAgMCAyMCAyMCI+PGcgZmlsbD0ibm9uZSI+PHBhdGggc3Ryb2tlPSJyZ2JhKDIxLDg1LDExOSwxKSIgc3Ryb2tlLXdpZHRoPSIxIiBkPSJNMTAgMWMtNC45NzIgMC05IDQuMDI4LTkgOXM0LjAyOCA5IDkgOSA5LTQuMDI4IDktOS00LjAyOC05LTktOXoiLz48Y2lyY2xlIGN4PSIxMCIgY3k9IjEwIiByPSI1IiBmaWxsPSJyZ2JhKDIxLDg1LDExOSwxKSIvPjwvZz48L3N2Zz4=') center no-repeat;}#vmform-wrapper-1739 .vmform .vmform-display-type-svg .vmform-radio-item-radio-square{  background: url('data:image\/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxMDAlIiBoZWlnaHQ9IjEwMCUiIHZpZXdCb3g9IjAgMCAyMCAyMCI+PHBhdGggZD0iTS41LjVoMTl2MTlILjV6IiBmaWxsPSJub25lIiBzdHJva2U9InJnYmEoMjEsODUsMTE5LDEpIiBzdHJva2Utd2lkdGg9IjEiPjwvcGF0aD48L3N2Zz4=') center no-repeat;  border-radius: unset;}#vmform-wrapper-1739 .vmform .vmform-display-type-svg .vmform-radio-item-radio-square:checked{  background: url('data:image\/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxMDAlIiBoZWlnaHQ9IjEwMCUiIHZpZXdCb3g9IjAgMCAyMCAyMCI+PGcgZmlsbD0ibm9uZSI+PHBhdGggZmlsbD0icmdiYSgyMSw4NSwxMTksMSkiIGQ9Ik0xNC4wNSA1LjM0bDEuMzQuOTQtNS44MSA4LjM4SDguMjRMNSAxMC4xMmwxLjM0LTEuMjUgMi41NyAyLjR6Ii8+PHBhdGggc3Ryb2tlPSJyZ2JhKDIxLDg1LDExOSwxKSIgc3Ryb2tlLXdpZHRoPSIxIiBkPSJNLjUuNWgxOXYxOUguNXoiLz48L2c+PC9zdmc+') center no-repeat;  border-radius: unset;}#vmform-wrapper-1739 .vmform .vmform-radio-group{    text-align: left;  }#vmform-wrapper-1739 .vmform .vmform-message{  background-color: #c60f13;  border-width: 0px;  border-color: #CCCCCC;  border-radius: 3px;  padding-top: px;  padding-bottom: px;  padding-left: px;  padding-right:px;  margin-top: px;  margin-bottom: px;  margin-left: px;  margin-right:px;}#vmform-wrapper-1739 .vmform .vmform-message p.vmform-message-title{  font-family: Nunito;  font-size: 12px;  font-weight: normal;  color: ;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-message p.vmform-message-title{    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-message p.vmform-message-title{    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-message p.vmform-message-content{  font-family: Nunito;  font-size: 12px;  font-weight: normal;  color: ;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-message p.vmform-message-content  {    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-message p.vmform-message-content  {    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-field .vmform-error{  background-color: #c60f13;  font-family: Nunito;  font-size: 12px;  font-weight: normal;  color: ;  border-width: 0px;  border-color: #CCCCCC;  border-radius: 3px;  text-align: ;}#vmform-wrapper-1739 .vmform .vmform-field .vmform-error .dashicons{  font-size: 15.96px;  width: 15.96px;  height: 15.96px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .vmform-error  {    font-size: px;  }  #vmform-wrapper-1739 .vmform .vmform-field .vmform-error .dashicons{    font-size: 15.96px;    width: 15.96px;    height: 15.96px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-field .vmform-error  {    font-size: px;  }  #vmform-wrapper-1739 .vmform .vmform-field .vmform-error .dashicons{    font-size: 15.96px;    width: 15.96px;    height: 15.96px;  }}#vmform-wrapper-1739 .vmform .vmform-indicator{  top: 18px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-indicator{    top: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-indicator{    top: px;  }}#vmform-wrapper-1739 .vmform .vmform-indicator .dashicons{  width: px;  height: px;  font-size: px;  line-height: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-indicator .dashicons{    width: px;    height: px;    font-size: px;    line-height: px;    }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-indicator .dashicons{    width: px;    height: px;    font-size: px;    line-height: px;  }}#vmform-wrapper-1739 .vmform .vmform-indicator .vmform-indicator-image{  width: px;  height: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-indicator .vmform-indicator-image{    width: px;    height: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-indicator .vmform-indicator-image{    width: px;    height: px;  }}#vmform-wrapper-1739 .vmform .vmform-button-submit{  width: 50%;  height: px;  color: #FFFFFF;  background-color: #ff931e;  font-size: 22px;  font-weight: 600;  border-style: solid;  border-width: 0px;  border-color: #de821c;  border-radius: 60px;  font-family: Nunito,Nunito;  padding-top: px;  padding-bottom: px;  padding-right: px;  padding-left: px;  box-shadow: px px rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-button-submit.vmform-button-type-image .vmform-button-image{  border-radius: 0px;}#vmform-wrapper-1739 .vmform .vmform-button-submit.vmform-button-type-icon .vmform-button-icon{  width: 24px;  height: 24px;  padding-top: px;  padding-bottom: px;  padding-right: px;  padding-left: px;  background-color: transparent;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-submit.vmform-button-type-icon .vmform-button-icon{    width: px;    height: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-submit.vmform-button-type-icon .vmform-button-icon{    width: px;    height: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}#vmform-wrapper-1739 .vmform .vmform-button-submit.vmform-button-type-icon:hover .vmform-button-icon{  background-color: transparent;}#vmform-wrapper-1739 .vmform .vmform-button-submit.vmform-button-type-icon .vmform-button-text{  padding-top: px;  padding-bottom: px;  padding-right: px;  padding-left: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-submit.vmform-button-type-icon .vmform-button-text{    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-submit.vmform-button-type-icon .vmform-button-text{    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}#vmform-wrapper-1739 .vmform .vmform-button-submit:disabled,#vmform-wrapper-1739 .vmform .vmform-button-submit[disabled]{  color: #FFFFFF!important;  background-color: #CCCCCC!important;  border-color: #CCCCCC!important;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-submit{    width: ;    height: px;    font-size: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-submit{    width: 90%;    height: px;    font-size: 22px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}        #vmform-wrapper-1739.vmform-notouch .vmform .vmform-button-submit:hover{          color: ;          background-color: #de821c;          border-color: ;        }    #vmform-wrapper-1739 .vmform .vmform-button-next{  width: 50%;  height: px;  color: #FFFFFF;  background-color: #FF8A00;  font-size: 22px;  font-weight: bold;  border-style: solid;  border-width: px;  border-color: #ff8a00;  border-radius: 50px;  font-family: Nunito,Nunito;  padding-top: px;  padding-bottom: px;  padding-right: px;  padding-left: px;  box-shadow: px px rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-button-next.vmform-button-type-image .vmform-button-image{  border-radius: 0px;}#vmform-wrapper-1739 .vmform .vmform-button-next.vmform-button-type-icon .vmform-button-icon{  width: 24px;  height: 24px;  padding-top: px;  padding-bottom: px;  padding-right: px;  padding-left: px;  background-color: transparent;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-next.vmform-button-type-icon .vmform-button-icon{    width: px;    height: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-next.vmform-button-type-icon .vmform-button-icon{    width: px;    height: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}#vmform-wrapper-1739 .vmform .vmform-button-next.vmform-button-type-icon:hover .vmform-button-icon{  background-color: transparent;}#vmform-wrapper-1739 .vmform .vmform-button-next.vmform-button-type-icon .vmform-button-text{  padding-top: px;  padding-bottom: px;  padding-right: px;  padding-left: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-next.vmform-button-type-icon .vmform-button-text{    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-next.vmform-button-type-icon .vmform-button-text{    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}#vmform-wrapper-1739 .vmform .vmform-button-next:disabled,#vmform-wrapper-1739 .vmform .vmform-button-next[disabled]{  color: #FFFFFF!important;  background-color: #CCCCCC!important;  border-color: #CCCCCC!important;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-next{    width: ;    height: px;    font-size: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-next{    width: ;    height: px;    font-size: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}        #vmform-wrapper-1739.vmform-notouch .vmform .vmform-button-next:hover{          color: ;          background-color: ;          border-color: ;        }    #vmform-wrapper-1739 .vmform .vmform-button-back{  width: 70%;  height: px;  color: #155577;  background-color: #ffffff;  font-size: 20px;  font-weight: bold;  border-style: solid;  border-width: 0px;  border-color: #155577;  border-radius: 50px;  font-family: Nunito;  padding-top: px;  padding-bottom: px;  padding-right: px;  padding-left: px;  box-shadow: px px rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-button-back.vmform-button-type-image .vmform-button-image{  border-radius: 0px;}#vmform-wrapper-1739 .vmform .vmform-button-back.vmform-button-type-icon .vmform-button-icon{  width: px;  height: px;  padding-top: px;  padding-bottom: px;  padding-right: px;  padding-left: px;  background-color: transparent;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-back.vmform-button-type-icon .vmform-button-icon{    width: px;    height: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-back.vmform-button-type-icon .vmform-button-icon{    width: px;    height: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}#vmform-wrapper-1739 .vmform .vmform-button-back.vmform-button-type-icon:hover .vmform-button-icon{  background-color: transparent;}#vmform-wrapper-1739 .vmform .vmform-button-back.vmform-button-type-icon .vmform-button-text{  padding-top: px;  padding-bottom: px;  padding-right: px;  padding-left: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-back.vmform-button-type-icon .vmform-button-text{    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-back.vmform-button-type-icon .vmform-button-text{    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-back{    width: ;    height: px;    font-size: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-button-back{    width: ;    height: px;    font-size: px;    padding-top: px;    padding-bottom: px;    padding-right: px;    padding-left: px;  }}        #vmform-wrapper-1739.vmform-notouch .vmform .vmform-button-back:hover{          color: #de821c;          background-color: ;          border-color: #de821c;        }    #vmform-wrapper-1739 .vmform .vmform-actions{  text-align: center;  padding-top: px;  padding-bottom: px;  padding-left: px;  padding-right:px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-actions{    padding-top: px;    padding-bottom: px;    padding-left: px;    padding-right:px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-actions{    padding-top: px;    padding-bottom: px;    padding-left: px;    padding-right:px;  }}#vmform-wrapper-1739 .vmform .vmform-progress-bar-container{  padding-top: px;  padding-bottom: px;  padding-left: px;  padding-right:px;  margin-top: px;  margin-bottom: px;  margin-left: px;  margin-right:px;  background-color: rgba(,,,);}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-progress-bar-container{    padding-top: px;    padding-bottom: px;    padding-left: px;    padding-right:px;    margin-top: px;    margin-bottom: px;    margin-left: px;    margin-right:px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-progress-bar-container{    padding-top: px;    padding-bottom: px;    padding-left: px;    padding-right:px;    margin-top: px;    margin-bottom: px;    margin-left: px;    margin-right:px;  }}#vmform-wrapper-1739 .vmform .vmform-progress-bar-container.vmform-progress-bar-container-top-fixed .vmform-progress-bar-itself{    max-width: ;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-progress-bar-container.vmform-progress-bar-container-top-fixed .vmform-progress-bar-itself{      max-width: ;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-progress-bar-container.vmform-progress-bar-container-top-fixed .vmform-progress-bar-itself{      max-width: ;  }}#vmform-wrapper-1739 .vmform .vmform-progress-bar-divider{  border-bottom-width: px;  border-bottom-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-progress-bar{  width: ;  height: 26px;  border-width: 1px;  border-color: #dbdbdb;  border-radius: 15px;  background-color: #FFFFFF;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-progress-bar{    width: ;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-progress-bar{    width: ;  }}#vmform-wrapper-1739 .vmform .vmform-progress-bar-inner{  background-color: #6e9542;    background-image: linear-gradient(45deg,#6e9542 25%,rgba(,,,) 0,rgba(,,,) 50%,#6e9542 0,#6e9542 75%,rgba(,,,) 0,rgba(,,,));  color: #FFFFFF;  font-size: 18px;  font-weight: normal;  font-family: Nunito,Nunito;  line-height: 26px;}#vmform-wrapper-1739 .vmform .vmform-numbers-bar{  height: 42px;  margin-top: 30px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar{    height: 42px;    margin-top: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar{    height: 42px;    margin-top: px;  }}#vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-line{  height: 2px;  background-color: #CCCCCC;  top: -1px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-line{    height: px;    top: -1px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-line{    height: px;    top: -1px;  }}#vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-line-inner{  background-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-number{  background-color: #CCCCCC;  color: #000000;  border-color: #CCCCCC;  border-width: 1px;  font-size: 12px;  font-weight: normal;  font-family: Nunito;  width: 30px;  height: 30px;  line-height: 30px;  margin-left: -16px;  margin-top: -16px;  border-radius: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-number{    border-width: px;    font-size: px;    width: px;    height: px;    line-height: px;    margin-left: -16px;    margin-top: -16px;    border-radius: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-number{    border-width: px;    font-size: px;    width: px;    height: px;    line-height: px;    margin-left: -16px;    margin-top: -16px;    border-radius: px;  }}#vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-number-checked{  background-color: #417505;  color: #FFFFFF;  border-color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-number-current{  background-color: #5c6bc0;  color: #FFFFFF;  border-color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-title{  display: block;  color: #000000;  font-size: 12px;  font-weight: normal;  font-family: Nunito;    top: 37px;  margin-left: -85px;  text-align: center;  }@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-title{    display: none;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-title{    display: none;  }}#vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-number-checked .vmform-numbers-bar-title{  color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-number-current .vmform-numbers-bar-title{  color: rgba(,,,);}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-title{    font-size: px;        top: 37px;    margin-left: -85px;      }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-numbers-bar .vmform-numbers-bar-title{    font-size: px;        top: 37px;    margin-left: -85px;      }}#vmform-wrapper-1739 .vmform.vmform-with-vertical-bar{  padding-left: 52px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform.vmform-with-vertical-bar{    padding-left: 52px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform.vmform-with-vertical-bar{    padding-left: 52px;  }}#vmform-wrapper-1739 .vmform.vmform-with-vertical-bar .vmform-vertical-bar-line{  width: 2px;  background-color: #CCCCCC;  left: -27px;  bottom: -17px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform.vmform-with-vertical-bar .vmform-vertical-bar-line{    width: px;    left: -27px;    bottom: -17px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform.vmform-with-vertical-bar .vmform-vertical-bar-line{    width: px;    left: -27px;    bottom: -17px;  }}#vmform-wrapper-1739 .vmform.vmform-with-vertical-bar .vmform-vertical-bar-line-fill{  background-color: rgba(,,,);}#vmform-wrapper-1739 .vmform.vmform-with-vertical-bar .vmform-vertical-bar-number{  background-color: #CCCCCC;  color: #000000;  border-color: #CCCCCC;  border-width: 1px;  font-size: 12px;  font-weight: normal;  font-family: Nunito;  width: 30px;  height: 30px;  line-height: 30px;  left: -42px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform.vmform-with-vertical-bar .vmform-vertical-bar-number{    border-width: px;    font-size: px;    width: px;    height: px;    line-height: px;    left: -42px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform.vmform-with-vertical-bar .vmform-vertical-bar-number{    border-width: px;    font-size: px;    width: px;    height: px;    line-height: px;    left: -42px;  }}#vmform-wrapper-1739 .vmform.vmform-with-vertical-bar .vmform-step-checked .vmform-vertical-bar-number{  background-color: #417505;  color: #FFFFFF;  border-color: #CCCCCC;}#vmform-wrapper-1739 .vmform.vmform-with-vertical-bar .vmform-step-active .vmform-vertical-bar-number{  background-color: #5c6bc0;  color: #FFFFFF;  border-color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-titles-bar .vmform-titles-bar-item{  width: ;  height: 40px;  border-width: 1px;  border-color: #CCCCCC;  border-radius: 5px;  background-color: #CCCCCC;  color: #000000;  font-size: 12px;  font-weight: normal;  font-family: Nunito;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-titles-bar .vmform-titles-bar-item{    width: ;    height: px;    border-width: px;    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-titles-bar .vmform-titles-bar-item{    width: ;    height: px;    border-width: px;    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-titles-bar .vmform-titles-bar-item-checked{  background-color: #417505;  color: #FFFFFF;  border-color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-titles-bar .vmform-titles-bar-item-current{  background-color: #5c6bc0;  color: #FFFFFF;  border-color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-section-fill-bar{    gap: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-fill-bar{    gap: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-fill-bar{    gap: px;  }}#vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-item{    flex: 1;}#vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-progress{    width: ;    height: px;    border-width: px;    border-color: rgba(,,,);    border-radius: px;    background-color: rgba(,,,);}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-progress{    width: ;    height: px;    border-width: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-progress{    width: ;    height: px;    border-width: px;  }}#vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-progress-inner{    background-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-text{    color: rgba(,,,);    font-size: px;    font-weight: ;    font-family: Nunito;}#vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-item-current .vmform-section-fill-bar-progress{  background-color: rgba(,,,);  border-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-item-current .vmform-section-fill-bar-progress-inner{  background-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-item-checked .vmform-section-fill-bar-progress{  background-color: rgba(,,,);  border-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-section-fill-bar .vmform-section-fill-bar-item-checked .vmform-section-fill-bar-progress-inner{  background-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-tabs-bar{  border-bottom-color: rgba(,,,);  border-bottom-width: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-tabs-bar{    border-bottom-width: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-tabs-bar{    border-bottom-width: px;  }}#vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item{  width: ;  height: px;  border-width: px;  border-color: rgba(,,,);  border-radius: px;  background-color: rgba(,,,);  color: rgba(,,,);  font-size: px;  font-weight: ;  font-family: Nunito;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item{    width: ;    height: px;    border-width: px;    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item{    width: ;    height: px;    border-width: px;    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item-checked{  background-color: rgba(,,,);  color: rgba(,,,);  border-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item-current{  background-color: rgba(,,,);  color: rgba(,,,);  border-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item .vmform-tabs-bar-number{  width: px;  height: px;  line-height: px;  background-color: rgba(,,,);  color: rgba(,,,);  font-size: px;  font-weight: ;  font-family: Nunito;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item .vmform-tabs-bar-number{    width: px;    height: px;    line-height: px;    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item .vmform-tabs-bar-number{    width: px;    height: px;    line-height: px;    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item.vmform-tabs-bar-item-checked .vmform-tabs-bar-number{  background-color: rgba(,,,);  color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item.vmform-tabs-bar-item-current .vmform-tabs-bar-number{  background-color: rgba(,,,);  color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item .vmform-tabs-bar-text{  color: rgba(,,,);  font-size: px;  font-weight: ;  font-family: Nunito;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item .vmform-tabs-bar-text{    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item .vmform-tabs-bar-text{    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item.vmform-tabs-bar-item-checked .vmform-tabs-bar-text{  color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-tabs-bar .vmform-tabs-bar-item.vmform-tabs-bar-item-current .vmform-tabs-bar-text{  color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-arrows-bar{  height: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar{    height: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar{    height: px;  }}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item{  width: 20%;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item{    width: ;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item{    width: ;  }}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item-inner{  height: px;  border-width: px;  border-color: rgba(,,,);  padding-top: 0px;  padding-bottom: 0px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item-inner{    height: px;    border-width: px;    padding-top: 14px;    padding-bottom: 14px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item-inner{    height: px;    border-width: px;    padding-top: 14px;    padding-bottom: 14px;  }}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item::before{  border-left-color: rgba(,,,);  border-left-width: 20px;  border-top-width: 20px;  border-bottom-width: 20px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item::before{    border-left-width: 20px;    border-top-width: 20px;    border-bottom-width: 20px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item::before{    border-left-width: 20px;    border-top-width: 20px;    border-bottom-width: 20px;  }}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item::after{  border-left-color: rgba(,,,);  border-left-width: 20px;  border-top-width: 20px;  border-bottom-width: 20px;  top: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item::after{    border-left-width: 19px;    border-top-width: 19px;    border-bottom-width: 19px;    top: 1px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item::after{    border-left-width: 19px;    border-top-width: 19px;    border-bottom-width: 19px;    top: 1px;  }}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item:first-child .vmform-arrows-bar-item-inner,#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item:last-child .vmform-arrows-bar-item-inner {  border-radius: px;}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item .vmform-arrows-bar-item-inner{  background-color: rgba(,,,);  color: rgba(,,,);  font-size: px;  font-weight: ;  font-family: Nunito;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item .vmform-arrows-bar-item-inner{    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item .vmform-arrows-bar-item-inner{    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item-checked .vmform-arrows-bar-item-inner{  background-color: rgba(,,,);  color: rgba(,,,);  border-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item-checked::before{  border-left-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item-checked::after{  border-left-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item-current .vmform-arrows-bar-item-inner{  background-color: rgba(,,,);  color: rgba(,,,);  border-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item-current::before{  border-left-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-arrows-bar .vmform-arrows-bar-item-current::after{  border-left-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-progress-bar-step-text{  color:  rgba(,,,);  font-size: px;  font-weight: ;  font-family: Nunito;  text-align: ;}#vmform-wrapper-1739 .vmform .vmform-loading-fullscreen{  background-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-loading{  background-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-loading-title{  font-size: 16px;  font-weight: normal;  color: #000000;  font-family: Nunito;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-title{    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-title{    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-loading-text{  font-size: 14px;  font-weight: normal;  color: #000000;  font-family: Nunito;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-text{    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-text{    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-loading-modal{  background-color: rgba(0,0,0,0.5);}#vmform-wrapper-1739 .vmform .vmform-loading-modal .vmform-loading{  background-color: #FFFFFF;  background-image: url();  background-size: ;  width: 300px;  margin-left: -150px;  height: px;  border-width: 1px;  border-color: #CCCCCC;  border-radius: 0px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-modal .vmform-loading{    width: px;    margin-left: -150px;    height: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-modal .vmform-loading{    width: px;    margin-left: -150px;    height: px;  }}#vmform-wrapper-1739 .vmform{  --sk-size: 40px!important;  --sk-color: #000000!important;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform{    --sk-size: 40px!important;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform{    --sk-size: 40px!important;  }}#vmform-wrapper-1739 .vmform .vmform-loading-spiner{    margin: 13.333333333333px auto;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-spiner{    margin: 13.333333333333px auto;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-spiner{    margin: 13.333333333333px auto;  }}#vmform-wrapper-1739 .vmform .vmform-loading-progress-bar{  width: px;  height: px;  background-color: rgba(,,,);  border-radius: px;  border-color: rgba(,,,);  border-width: px;}#vmform-wrapper-1739 .vmform .vmform-loading-progress-bar .vmform-loading-progress-bar-inner{  width: px;  background-color: rgba(,,,);  border-radius: px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-progress-bar{    width: px;    height: px;  }  #vmform-wrapper-1739 .vmform .vmform-loading-progress-bar .vmform-loading-progress-bar-inner{    width: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-loading-progress-bar{    width: px;    height: px;  }  #vmform-wrapper-1739 .vmform .vmform-loading-progress-bar .vmform-loading-progress-bar-inner{    width: px;  }}#vmform-wrapper-1739 .vmform .vmform-disclaimer{  padding-top: px;  padding-bottom: px;  padding-left: px;  padding-right:px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-disclaimer{    padding-top: px;    padding-bottom: px;    padding-left: px;    padding-right:px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-disclaimer{    padding-top: px;    padding-bottom: px;    padding-left: px;    padding-right:px;  }}#vmform-wrapper-1739 .vmform .vmform-disclaimer,#vmform-wrapper-1739 .vmform .vmform-disclaimer p{  font-size: 13px;  font-weight: normal;  color: #155577;  font-family: Montserrat,Nunito;  text-align: center;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-disclaimer,  #vmform-wrapper-1739 .vmform .vmform-disclaimer p{    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-disclaimer,  #vmform-wrapper-1739 .vmform .vmform-disclaimer p{    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-disclaimer a{  color: #ff931e;  text-decoration: underline;  font-weight: ;}#vmform-wrapper-1739 .vmform .vmform-disclaimer a:visited{  color: #417505;}#vmform-wrapper-1739 .vmform .vmform-address-find-button,#vmform-wrapper-1739 .vmform .vmform-address-select-button{  width: ;  height: px;  line-height: px;  font-size: 14px;  font-weight: normal;  color: #000000;  font-family: Nunito;  border-width: 0px;  border-color: #CCCCCC;  border-radius: 0px;  background-color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-address-find-button:hover,#vmform-wrapper-1739 .vmform .vmform-address-select-button:hover{  color: rgba(,,,);  background-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-address-manually-link,#vmform-wrapper-1739 .vmform .vmform-address-manually-link-cancel{  font-size: 14px;  font-weight: normal;  color: #417505;  font-family: Nunito;  text-decoration: }#vmform-wrapper-1739 .vmform .vmform-address-scroll{  height: 120px;  border-width: 1px;  border-color: #CCCCCC;  border-radius: 0px;  background-color: #FFFFFF;}#vmform-wrapper-1739 .vmform .vmform-address-scroll li{  font-size: 12px;  font-weight: ;  color: #333333;  font-family: Nunito;  border-bottom-color: #CCCCCC;  border-bottom-width: 1px;  padding-top: 8px;  padding-bottom: 8px;}#vmform-wrapper-1739 .vmform .vmform-address-scroll li:hover{  background-color: #DDDDDD;}#vmform-wrapper-1739 .vmform .vmform-address-box{  font-size: 12px;  font-weight: ;  color: #333333;  font-family: Nunito;  border-width: 1px;  border-color: #CCCCCC;  border-radius: 0px;  background-color: #FFFFFF;}#vmform-wrapper-1739 .vmform .vmform-address-change-link{  font-size: 12px;  font-weight: ;  color: #000000;  font-family: Nunito;  text-decoration: none}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-address-find-button,  #vmform-wrapper-1739 .vmform .vmform-address-select-button{    width: ;    height: px;    line-height: px;    font-size: px;  }  #vmform-wrapper-1739 .vmform .vmform-address-manually-link,  #vmform-wrapper-1739 .vmform .vmform-address-manually-link-cancel{    font-size: px;  }  #vmform-wrapper-1739 .vmform .vmform-address-box{    font-size: px;  }  #vmform-wrapper-1739 .vmform .vmform-address-change-link{    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-address-find-button,  #vmform-wrapper-1739 .vmform .vmform-address-select-button{    width: ;    height: px;    line-height: px;    font-size: px;  }  #vmform-wrapper-1739 .vmform .vmform-address-manually-link,  #vmform-wrapper-1739 .vmform .vmform-address-manually-link-cancel{    font-size: px;  }  #vmform-wrapper-1739 .vmform .vmform-address-box{    font-size: px;  }  #vmform-wrapper-1739 .vmform .vmform-address-change-link{    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-section-title {  font-size: 12px;  font-weight: ;  font-family: Nunito;  color: #000000;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-title {    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-title {    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-section-icon  {  width: 12px;  height: 12px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-icon  {    width: px;    height: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-icon  {    width: px;    height: px;  }}#vmform-wrapper-1739 .vmform .vmform-section-bar .vmform-indicator-ok{  font-size: 12px;  width: 12px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-bar .vmform-indicator-ok{    font-size: px;    width: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-bar .vmform-indicator-ok{    font-size: px;    width: px;  }}#vmform-wrapper-1739 .vmform .vmform-section-bar {  background-color: #CCC;}#vmform-wrapper-1739 .vmform .vmform-section-link {  font-size: px;  font-weight: ;  font-family: Nunito;  color: rgba(,,,);  text-decoration: none}#vmform-wrapper-1739 .vmform .vmform-section-link:hover {  text-decoration: underline}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-link {    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-section-link {    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-section {  background-color: #FFF;  border-width: 1px;  border-color: #CCCCCC;  border-radius: 0px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-section {    border-width: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-section {    border-width: px;  }}#vmform-wrapper-1739 .vmform .with-placeholder {  color: #CCCCCC!important;}#vmform-wrapper-1739 .vmform ::placeholder {  color: #CCCCCC;  font-family: Nunito;  font-size: 19px;  font-weight: normal;}#vmform-wrapper-1739 .vmform ::-webkit-input-placeholder {  color: #CCCCCC;  font-family: Nunito;  font-size: 19px;  font-weight: normal;}#vmform-wrapper-1739 .vmform :-moz-placeholder {  color: #CCCCCC;  font-family: Nunito;  font-size: 19px;  font-weight: normal;}#vmform-wrapper-1739 .vmform ::-moz-placeholder {  color: #CCCCCC;  font-family: Nunito;  font-size: 19px;  font-weight: normal;}#vmform-wrapper-1739 .vmform :-ms-input-placeholder {  color: #CCCCCC;  font-family: Nunito;  font-size: 19px;  font-weight: normal;}#vmform-wrapper-1739 .vmform .vmform-field .select2-selection--single .select2-selection__placeholder{  color: #CCCCCC;}#vmform-wrapper-1739 .vmform .with-placeholder:hover{  color: rgba(,,,);!important;}#vmform-wrapper-1739 .vmform :hover::placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform :hover::-webkit-input-placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform :hover:-moz-placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform :hover::-moz-placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform :hover:-ms-input-placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform .select2-selection--single:hover .select2-selection__placeholder{  color: rgba(,,,);}#vmform-wrapper-1739 .vmform .with-placeholder:focus{  color: rgba(,,,);!important;}#vmform-wrapper-1739 .vmform :focus::placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform :focus::-webkit-input-placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform :focus:-moz-placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform :focus::-moz-placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform :focus:-ms-input-placeholder {  color: rgba(,,,);;}#vmform-wrapper-1739 .vmform .select2-selection--single:focus .select2-selection__placeholder{  color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-field-with-error .with-placeholder{  color: #CCCCCC!important;}#vmform-wrapper-1739 .vmform .vmform-field-with-error ::placeholder {  color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-field-with-error ::-webkit-input-placeholder {  color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :-moz-placeholder {  color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-field-with-error ::-moz-placeholder {  color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :-ms-input-placeholder {  color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-field-with-error .select2-selection--single .select2-selection__placeholder{  color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-field-with-error .with-placeholder:hover{  color: #CCCCCC;!important;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :hover::placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :hover::-webkit-input-placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :hover:-moz-placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :hover::-moz-placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :hover:-ms-input-placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error .select2-selection--single:hover .select2-selection__placeholder{  color: #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-field-with-error .with-placeholder:focus{  color: #CCCCCC;!important;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :focus::placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :focus::-webkit-input-placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :focus:-moz-placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :focus::-moz-placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error :focus:-ms-input-placeholder {  color: #CCCCCC;;}#vmform-wrapper-1739 .vmform .vmform-field-with-error .select2-selection--single:focus .select2-selection__placeholder{  color: #CCCCCC;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform ::placeholder {    font-size: px;  }  #vmform-wrapper-1739 .vmform ::-webkit-input-placeholder {    font-size: px;  }  #vmform-wrapper-1739 .vmform :-moz-placeholder {    font-size: px;  }  #vmform-wrapper-1739 .vmform ::-moz-placeholder {    font-size: px;  }  #vmform-wrapper-1739 .vmform :-ms-input-placeholder {    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform ::placeholder {    font-size: px;  }  #vmform-wrapper-1739 .vmform ::-webkit-input-placeholder {    font-size: px;  }  #vmform-wrapper-1739 .vmform :-moz-placeholder {    font-size: px;  }  #vmform-wrapper-1739 .vmform ::-moz-placeholder {    font-size: px;  }  #vmform-wrapper-1739 .vmform :-ms-input-placeholder {    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-tooltip img,#vmform-wrapper-1739 .vmform .vmform-tooltip .dashicons{  width: 16px;  height: 16px;  font-size: 16px;}\/* Tipped styles *\/#vmform-wrapper-1739 .vmform .tpd-content{  \/* max-width: 800px; *\/  width: px;}#vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-content,#vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-title,#vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-close {  color: #FFFFFF!important;  font-size: 12px!important;  font-weight: normal!important;  font-family: Nunito!important;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-content,  #vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-title,  #vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-close {    font-size: px!important;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-content,  #vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-title,  #vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-close {    font-size: px!important;  }}#vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-background-content,#vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-background-title {  background-color: #000000!important;}#vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-background {  border-radius: px!important;  border-width: px!important;  border-color: #CCCCCC!important;}#vmform-wrapper-1739 .vmform .tpd-skin-vm .tpd-background-shadow{  box-shadow: ;}\/* conversational *\/#vmform-wrapper-1739 .vmform.vmform-view-type-conversational{  min-height: px;  max-height: 500px;  overflow-y: auto;  overflow-x: hidden;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-bot .vmform-speech-bubble{  background-color: #e7ecf7;  border-width: 0px;  border-color: #CCCCCC;  border-radius: 10px;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-bot .vmform-speech-bubble-text{  color: #2f324a;  font-size: 14px;  font-weight: normal;  font-family: Nunito;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-user .vmform-speech-bubble{  background-color: #e02678;  border-width: 0px;  border-color: #CCCCCC;  border-radius: 10px;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-user .vmform-speech-bubble-text{  color: #ffffff;  font-size: 14px;  font-weight: normal;  font-family: Nunito;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-send{  background-image: url(\/wp-content\/plugins\/vmleads4\/\/public\/static\/send.png);}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-send-activated{  background-image: url(\/wp-content\/plugins\/vmleads4\/\/public\/static\/send.png);}#vmform-wrapper-1739 .vmform.vmform-view-type-conversational .vmform-step{  padding: 0 45px;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-bot .vmform-speech-bubble-meta{  left: -45px;  width: 40px;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-user .vmform-speech-bubble-meta{  left: unset;  right: -5px;  width: px;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-bot .vmform-speech-bubble-icon{  width: 40px;  height: 40px;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-user .vmform-speech-bubble-icon{  width: px;  height: px;}#vmform-wrapper-1739 .vmform .vmform-conversational-no-bot-icon .vmform-speech-bubble-bot .vmform-speech-bubble-meta .vmform-speech-bubble-timestamp,#vmform-wrapper-1739 .vmform .vmform-conversational-no-user-icon .vmform-speech-bubble-user .vmform-speech-bubble-meta .vmform-speech-bubble-timestamp{  bottom: 10.3px;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble .vmform-speech-bubble-subcontent{  margin-right: 30px;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble .vmform-speech-bubble-subcontent .vmform-speech-bubble-send{  right: -35px;  width: 30px;  height: 30px;  bottom: 13px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-speech-bubble .vmform-speech-bubble-subcontent .vmform-speech-bubble-send{    bottom: 13px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-speech-bubble .vmform-speech-bubble-subcontent .vmform-speech-bubble-send{    bottom: 13px;  }}#vmform-wrapper-1739 .vmform .vmform-speech-bubble .vmform-speech-bubble-subcontent .vmform-speech-bubble-send-activated{  width: px;  height: px;}#vmform-wrapper-1739 .vmform .vmform-conversational-style-2 .vmform-speech-bubble-bot .vmform-speech-bubble:after{  border-color: transparent #e7ecf7;  left: -10px;}#vmform-wrapper-1739 .vmform .vmform-conversational-style-2 .vmform-speech-bubble-bot .vmform-speech-bubble:before{  display: none;  border-color: transparent #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-conversational-style-2 .vmform-speech-bubble-user .vmform-speech-bubble:after{  border-color: transparent #e02678;  right: -12px;}#vmform-wrapper-1739 .vmform .vmform-conversational-style-2 .vmform-speech-bubble-user .vmform-speech-bubble:before{  display: none;  border-color: transparent #CCCCCC;}#vmform-wrapper-1739 .vmform .vmform-speech-bubble-timestamp{  color: rgba(,,,);  font-size: px;  font-weight: ;  font-family: Nunito;}\/* end *\/\/* Interject *\/#vmform-wrapper-1739 .vmform .vmform-interject,.vmform-interject-popup .modaal-container{  background-color: ;  font-family: Nunito;  font-size: 12px;  font-weight: normal;  color: #000;  border-width: 2px;  border-color: #CCCCCC;  border-radius: 2px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-interject,  .vmform-interject-popup .modaal-container{    font-size: px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-interject,  .vmform-interject-popup .modaal-container{    font-size: px;  }}#vmform-wrapper-1739 .vmform .vmform-interject a,.vmform-interject-popup .modaal-container a{  color: #000;  text-decration: ;}#vmform-wrapper-1739 .vmform .vmform-interject a:visited,.vmform-interject-popup .modaal-container a:visited{  color: #000;}.vmform-interject-popup .modaal-container{  max-width:600px!important;  height: 400px!important;  border-style: solid;}@media (max-width: 991.98px) {  .vmform-interject-popup .modaal-container{    max-width:!important;    height: !important;  }}@media (max-width: 767.98px) {  .vmform-interject-popup .modaal-container{    max-width:!important;    height: !important;  }}\/* End *\/.vmform-disclaimer-popup .modaal-container{  max-width:600px!important;  height: 400px!important;}@media (max-width: 991.98px) {  .vmform-disclaimer-popup .modaal-container{    max-width:!important;    height: !important;  }}@media (max-width: 767.98px) {  .vmform-disclaimer-popup .modaal-container{    max-width:!important;    height: !important;  }}.vmform-disclaimer-popup.modaal-wrapper .modaal-close{  background-color: rgba(,,,)!important;  border-width: px;  border-color: rgba(,,,);}.vmform-disclaimer-popup.modaal-wrapper .modaal-close:hover{  background-color: rgba(,,,);  border-color: rgba(,,,);}.vmform-disclaimer-popup.modaal-wrapper .modaal-close:after,.vmform-disclaimer-popup.modaal-wrapper .modaal-close:before{  background-color: rgba(,,,);}.vmform-disclaimer-popup.modaal-wrapper .modaal-close:focus:before,.vmform-disclaimer-popup.modaal-wrapper .modaal-close:focus:after,.vmform-disclaimer-popup.modaal-wrapper .modaal-close:hover:before,.vmform-disclaimer-popup.modaal-wrapper .modaal-close:hover:after{  background-color: rgba(,,,);}#vmform-wrapper-1739 .vmform .vmform-row{  border-bottom-width: 0px;  border-bottom-color: #CCCCCC;  border-bottom-style: solid;  padding-top: px;  padding-bottom: px;  padding-left: px;  padding-right:px;  margin-top: 5px;  margin-bottom: 5px;}@media (max-width: 991.98px) {  #vmform-wrapper-1739 .vmform .vmform-row{    padding-top: px;    padding-bottom: px;    padding-left: px;    padding-right:px;  }}@media (max-width: 767.98px) {  #vmform-wrapper-1739 .vmform .vmform-row{    padding-top: px;    padding-bottom: px;    padding-left: px;    padding-right:px;  }}#vmform-wrapper-1739 .vmform .vmform-row.vmform-row-alt{  background-color: #ffffff;}#vmform-wrapper-1739 .vmform .vmform-row-left-panel,#vmform-wrapper-1739 .vmform .vmform-row-right-panel{  width: px;  text-align: ;}#vmform-wrapper-1739 .vmform .vmform-ios-select-box:after{  border-top-color: #155577;}    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application.vmform-field-type-radio .vmform-radio-item    {      display: inline-flex;      margin-top: px;      margin-left: px;      margin-right: px;      margin-bottom: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application.vmform-field-type-radio .vmform-radio-item      {        margin-top: px;        margin-left: px;        margin-right: px;        margin-bottom: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application.vmform-field-type-radio .vmform-radio-item      {        margin-top: px;        margin-left: px;        margin-right: px;        margin-bottom: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item{      justify-content: flex-start;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item .vmform-radio-item-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application.vmform-field-type-checkbox .vmform-radio-item-label{      font-family: ;      font-size: px;      font-weight: ;      color: rgba(,,,);    }          #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-display-type-image .vmform-radio-item .vmform-radio-item-image{          width: 90px;          height: 90px;          border-radius: 0px;        }        @media (max-width: 991.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-display-type-image .vmform-radio-item .vmform-radio-item-image{            width: px;            height: px;          }        }        @media (max-width: 767.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-display-type-image .vmform-radio-item .vmform-radio-item-image{            width: px;            height: px;          }        }        #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-indicator{          top: 35px;        }        #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item-putbg{          background-color: transparent;          border-style: solid;          border-width: 3px;          border-color: rgba(204,204,204,0);          border-radius: 5px;          padding-top: px;          padding-bottom: px;          padding-left: px;          padding-right: px;        }        @media (max-width: 991.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item-putbg{            padding-top: px;            padding-bottom: px;            padding-left: px;            padding-right: px;          }        }        @media (max-width: 767.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item-putbg{            padding-top: px;            padding-bottom: px;            padding-left: px;            padding-right: px;          }        }                .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item.vmform-radio-item-putbg:hover,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item:hover .vmform-radio-item-putbg{          background-color: transparent;          border-color: #7ed321;        }        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item-active.vmform-radio-item-putbg,        .vmform-touch#vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item-active.vmform-radio-item-putbg,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item-active .vmform-radio-item-putbg,        .vmform-touch#vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item-active .vmform-radio-item-putbg,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item-active.vmform-radio-item-putbg:hover,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-radio-item-active:hover .vmform-radio-item-putbg{          background-color: transparent;          border-color: #8ec605;        }            #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-display-type-image .vmform-radio-item-label{          font-family: Nunito;          font-size: 14px;          font-weight: normal;          text-align: ;          color: #155577;          background-color: transparent;          border-style: solid;          border-width: 0px;          border-color: #CCCCCC;          border-radius: 0px;          padding-top: px;          padding-bottom: 0px;          padding-left: px;          padding-right: px;          margin-top: 4px;          margin-bottom: 4px;          margin-left: px;          margin-right: px;          width: 96px;          height: 14px;        }        @media (max-width: 991.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-display-type-image .vmform-radio-item-label{            font-size: px;            padding-top: px;            padding-right: px;            padding-bottom: px;            padding-left: px;            margin-top: 4px;            margin-bottom: 4px;            margin-left: px;            margin-right: px;            width: 90px;            height: px;          }        }        @media (max-width: 767.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-display-type-image .vmform-radio-item-label{            font-size: px;            padding-top: px;            padding-right: px;            padding-bottom: px;            padding-left: px;            margin-top: 4px;            margin-bottom: 4px;            margin-left: px;            margin-right: px;            width: 90;            height: px;          }        }        #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-display-type-image .vmform-radio-item:hover .vmform-radio-item-label{          color: #f5a623;          background-color: transparent;          border-color: #CCCCCC;        }        #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-display-type-image .vmform-radio-item-active .vmform-radio-item-label,        #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-display-type-image .vmform-radio-item-active:hover .vmform-radio-item-label{          color: #8ec605;          background-color: transparent;          border-color: #CCCCCC;        }        #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-joint_application .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-age.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-age.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-age.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-age .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-full_name .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type.vmform-field-type-radio .vmform-radio-item    {      display: inline-flex;      margin-top: px;      margin-left: px;      margin-right: px;      margin-bottom: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type.vmform-field-type-radio .vmform-radio-item      {        margin-top: px;        margin-left: px;        margin-right: px;        margin-bottom: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type.vmform-field-type-radio .vmform-radio-item      {        margin-top: px;        margin-left: px;        margin-right: px;        margin-bottom: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item{      justify-content: flex-start;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item .vmform-radio-item-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type.vmform-field-type-checkbox .vmform-radio-item-label{      font-family: ;      font-size: px;      font-weight: ;      color: rgba(,,,);    }          #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-display-type-image .vmform-radio-item .vmform-radio-item-image{          width: 90px;          height: 90px;          border-radius: 0px;        }        @media (max-width: 991.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-display-type-image .vmform-radio-item .vmform-radio-item-image{            width: px;            height: px;          }        }        @media (max-width: 767.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-display-type-image .vmform-radio-item .vmform-radio-item-image{            width: px;            height: px;          }        }        #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-indicator{          top: 35px;        }        #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item-putbg{          background-color: transparent;          border-style: solid;          border-width: 3px;          border-color: rgba(204,204,204,0);          border-radius: 5px;          padding-top: px;          padding-bottom: px;          padding-left: px;          padding-right: px;        }        @media (max-width: 991.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item-putbg{            padding-top: px;            padding-bottom: px;            padding-left: px;            padding-right: px;          }        }        @media (max-width: 767.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item-putbg{            padding-top: px;            padding-bottom: px;            padding-left: px;            padding-right: px;          }        }                .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item.vmform-radio-item-putbg:hover,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item:hover .vmform-radio-item-putbg{          background-color: transparent;          border-color: #7ed321;        }        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item-active.vmform-radio-item-putbg,        .vmform-touch#vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item-active.vmform-radio-item-putbg,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item-active .vmform-radio-item-putbg,        .vmform-touch#vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item-active .vmform-radio-item-putbg,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item-active.vmform-radio-item-putbg:hover,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-radio-item-active:hover .vmform-radio-item-putbg{          background-color: transparent;          border-color: #8ec605;        }            #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-display-type-image .vmform-radio-item-label{          font-family: Nunito;          font-size: 14px;          font-weight: normal;          text-align: ;          color: #155577;          background-color: transparent;          border-style: solid;          border-width: 0px;          border-color: #CCCCCC;          border-radius: 0px;          padding-top: px;          padding-bottom: 0px;          padding-left: px;          padding-right: px;          margin-top: 4px;          margin-bottom: 4px;          margin-left: px;          margin-right: px;          width: 96px;          height: 14px;        }        @media (max-width: 991.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-display-type-image .vmform-radio-item-label{            font-size: px;            padding-top: px;            padding-right: px;            padding-bottom: px;            padding-left: px;            margin-top: 4px;            margin-bottom: 4px;            margin-left: px;            margin-right: px;            width: 90px;            height: px;          }        }        @media (max-width: 767.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-display-type-image .vmform-radio-item-label{            font-size: px;            padding-top: px;            padding-right: px;            padding-bottom: px;            padding-left: px;            margin-top: 4px;            margin-bottom: 4px;            margin-left: px;            margin-right: px;            width: 90;            height: px;          }        }        #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-display-type-image .vmform-radio-item:hover .vmform-radio-item-label{          color: #f5a623;          background-color: transparent;          border-color: #CCCCCC;        }        #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-display-type-image .vmform-radio-item-active .vmform-radio-item-label,        #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-display-type-image .vmform-radio-item-active:hover .vmform-radio-item-label{          color: #8ec605;          background-color: transparent;          border-color: #CCCCCC;        }        #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-insurance_type .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_amount .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-cover_length .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker.vmform-field-type-radio .vmform-radio-item    {      display: inline-flex;      margin-top: px;      margin-left: px;      margin-right: px;      margin-bottom: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker.vmform-field-type-radio .vmform-radio-item      {        margin-top: px;        margin-left: px;        margin-right: px;        margin-bottom: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker.vmform-field-type-radio .vmform-radio-item      {        margin-top: px;        margin-left: px;        margin-right: px;        margin-bottom: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item{      justify-content: flex-start;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item .vmform-radio-item-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker.vmform-field-type-checkbox .vmform-radio-item-label{      font-family: ;      font-size: px;      font-weight: ;      color: rgba(,,,);    }          #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-display-type-image .vmform-radio-item .vmform-radio-item-image{          width: 90px;          height: 90px;          border-radius: 0px;        }        @media (max-width: 991.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-display-type-image .vmform-radio-item .vmform-radio-item-image{            width: px;            height: px;          }        }        @media (max-width: 767.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-display-type-image .vmform-radio-item .vmform-radio-item-image{            width: px;            height: px;          }        }        #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-indicator{          top: 35px;        }        #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item-putbg{          background-color: transparent;          border-style: solid;          border-width: 3px;          border-color: rgba(204,204,204,0);          border-radius: 5px;          padding-top: px;          padding-bottom: px;          padding-left: px;          padding-right: px;        }        @media (max-width: 991.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item-putbg{            padding-top: px;            padding-bottom: px;            padding-left: px;            padding-right: px;          }        }        @media (max-width: 767.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item-putbg{            padding-top: px;            padding-bottom: px;            padding-left: px;            padding-right: px;          }        }                .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item.vmform-radio-item-putbg:hover,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item:hover .vmform-radio-item-putbg{          background-color: transparent;          border-color: #7ed321;        }        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item-active.vmform-radio-item-putbg,        .vmform-touch#vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item-active.vmform-radio-item-putbg,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item-active .vmform-radio-item-putbg,        .vmform-touch#vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item-active .vmform-radio-item-putbg,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item-active.vmform-radio-item-putbg:hover,        .vmform-notouch#vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-radio-item-active:hover .vmform-radio-item-putbg{          background-color: transparent;          border-color: #92c316;        }            #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-display-type-image .vmform-radio-item-label{          font-family: Nunito;          font-size: 14px;          font-weight: normal;          text-align: ;          color: #155577;          background-color: transparent;          border-style: solid;          border-width: 0px;          border-color: #CCCCCC;          border-radius: 0px;          padding-top: px;          padding-bottom: 0px;          padding-left: px;          padding-right: px;          margin-top: 4px;          margin-bottom: 4px;          margin-left: px;          margin-right: px;          width: 96px;          height: 14px;        }        @media (max-width: 991.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-display-type-image .vmform-radio-item-label{            font-size: px;            padding-top: px;            padding-right: px;            padding-bottom: px;            padding-left: px;            margin-top: 4px;            margin-bottom: 4px;            margin-left: px;            margin-right: px;            width: 90px;            height: px;          }        }        @media (max-width: 767.98px) {          #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-display-type-image .vmform-radio-item-label{            font-size: px;            padding-top: px;            padding-right: px;            padding-bottom: px;            padding-left: px;            margin-top: 4px;            margin-bottom: 4px;            margin-left: px;            margin-right: px;            width: 90;            height: px;          }        }        #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-display-type-image .vmform-radio-item:hover .vmform-radio-item-label{          color: #f5a623;          background-color: transparent;          border-color: #CCCCCC;        }        #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-display-type-image .vmform-radio-item-active .vmform-radio-item-label,        #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-display-type-image .vmform-radio-item-active:hover .vmform-radio-item-label{          color: #92c316;          background-color: transparent;          border-color: #CCCCCC;        }        #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-smoker .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-first_name .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-last_name .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-dob.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-dob.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-dob.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-dob .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-email.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-email.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-email.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-email .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-telephone .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-text .vmform-sublabel-icon{        width: px;        height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-validation-label{      text-align: ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-validation-label-text{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      text-decoration: ;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-validation-label-text{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-validation-label-text{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-field-notes{      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-style: solid;      border-width: px;      border-color: rgba(,,,);      border-radius: px;      background-color: rgba(,,,);      padding-top: px;      padding-bottom: px;      padding-right: px;      padding-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-field-notes{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-address_line_1 .vmform-field-notes{        font-size: px;      }    }      #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-label{      color: rgba(,,,);      font-size: px;      font-weight: ;      text-align: ;      font-family: ;      margin-top: px;      margin-right: px;      margin-bottom: px;      margin-left: px;    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-label{        font-size: px;        margin-top: px;        margin-right: px;        margin-bottom: px;        margin-left: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode.vmform-field.vmform-field-label-left label.vmform-label{        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode.vmform-field.vmform-field-label-left .vmform-control,    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-bottom,    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode.vmform-field.vmform-field-label-left .vmform-validation-label.vmform-validation-label-at-above_field_notes,    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode.vmform-field.vmform-field-label-left .vmform-error    {        width: %;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-label-line{      justify-content : ;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-sublabel-text{      background: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      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height: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-sublabel-expanded{      width: ;      background-color: rgba(,,,);      color: rgba(,,,);      font-size: px;      font-weight: ;      font-family: ;      border-width: px;      border-color: rgba(,,,);      border-radius: px;    }    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-sublabel-expanded:after{      border-bottom-color: rgba(,,,);    }    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-sublabel-expanded:before{      border-bottom-color: rgba(,,,);      top: px;      display: none    }    @media (max-width: 991.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-sublabel-expanded{        font-size: px;      }    }    @media (max-width: 767.98px) {      #vmform-wrapper-1739 .vmform .vmform-field-key-postcode .vmform-sublabel-expanded{        font-size: px;      }    }    #vmform-wrapper-1739 .vmform .vmform-field-key-postcode 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