.dXUYBW_screen{flex-direction:column;min-height:100vh;display:flex;position:relative}.dXUYBW_bgWrapper{z-index:0;position:fixed;inset:0}.dXUYBW_bgImage{object-fit:cover}.dXUYBW_bgOverlay{z-index:1;background:#00000073;position:fixed;inset:0}.dXUYBW_main{z-index:2;flex:1;justify-content:center;align-items:flex-start;padding:2rem 1rem;display:flex;position:relative;overflow-y:auto}@media (min-width:768px){.dXUYBW_main{padding:2.5rem 1rem}}.dXUYBW_container{background:#fff;border-radius:1rem;width:100%;max-width:48rem;padding:1.5rem;box-shadow:0 25px 50px -12px #00000059}@media (min-width:768px){.dXUYBW_container{padding:2rem}}.dXUYBW_titleWrap{text-align:center;margin-bottom:1.5rem}.dXUYBW_title{color:#004d33;letter-spacing:-.025em;font-size:1.5rem}@media (min-width:768px){.dXUYBW_title{font-size:1.875rem}}.dXUYBW_form{grid-template-columns:1fr;gap:.75rem;display:grid}@media (min-width:768px){.dXUYBW_form{grid-template-columns:repeat(2,1fr)}}.dXUYBW_fieldGroup{flex-direction:column;display:flex}.dXUYBW_label{color:#1e293b;margin-bottom:.25rem;font-size:.875rem;font-weight:600;display:block}.dXUYBW_required{color:#ef4444}.dXUYBW_input{color:#0f172a;background:#fff;border:1px solid #e2e8f0;border-radius:.5rem;outline:none;width:100%;padding:.5rem .75rem;font-size:.875rem;transition:border-color .2s,box-shadow .2s}.dXUYBW_input:focus{border-color:#004d33;box-shadow:0 0 0 2px #f0fdf4}.dXUYBW_inputError{border-color:#ef4444}.dXUYBW_inputError:focus{border-color:#ef4444;box-shadow:0 0 0 2px #fee2e2}.dXUYBW_inputDisabled{color:#94a3b8;cursor:not-allowed;background:#f8fafc}.dXUYBW_select{color:#0f172a;appearance:none;cursor:pointer;background-color:#fff;border:1px solid #e2e8f0;border-radius:.5rem;outline:none;width:100%;padding:.5rem 2rem .5rem .75rem;font-size:.875rem;transition:border-color .2s,box-shadow .2s}.dXUYBW_select:focus{border-color:#004d33;box-shadow:0 0 0 2px #f0fdf4}.dXUYBW_fieldError{color:#dc2626;margin-top:.25rem;font-size:.75rem}.dXUYBW_fieldHint{color:#64748b;margin-top:.25rem;font-size:.75rem}.dXUYBW_termsLabel{color:#475569;cursor:pointer;align-items:flex-start;gap:.625rem;margin-bottom:.75rem;font-size:.8125rem;line-height:1.5;display:flex}.dXUYBW_termsCheckbox{accent-color:#004d33;cursor:pointer;flex-shrink:0;width:1rem;height:1rem;margin-top:.1875rem}.dXUYBW_termsLink{color:#004d33;text-underline-offset:2px;text-decoration:underline}.dXUYBW_termsLink:hover{opacity:.75}@media (min-width:768px){.dXUYBW_colSpan2{grid-column:span 2}}.dXUYBW_submitBtn{color:#fff;cursor:pointer;background:#004d33;border:none;border-radius:.5rem;width:100%;padding:.625rem 2rem;font-size:.9375rem;font-weight:600;transition:background-color .2s,box-shadow .2s;box-shadow:0 1px 2px #0000000d}.dXUYBW_submitBtn:hover{background:#003d28;box-shadow:0 4px 6px -1px #0000001a}.dXUYBW_submitBtn:disabled{opacity:.5;cursor:not-allowed}.dXUYBW_successState{text-align:center;padding:3rem 0}.dXUYBW_successIcon{color:#22c55e;margin:0 auto 1.5rem}.dXUYBW_successTitle{color:#1e293b;margin-bottom:1rem;font-size:1.5rem;font-weight:700}.dXUYBW_successMessage{color:#475569;max-width:36rem;margin:0 auto;font-size:1.125rem}@media (max-width:767px){.dXUYBW_main{padding:1rem .75rem calc(1rem + env(safe-area-inset-bottom))}.dXUYBW_input,.dXUYBW_select{padding-top:.75rem;padding-bottom:.75rem}.dXUYBW_termsCheckbox{width:1.375rem;height:1.375rem;margin-top:0}.dXUYBW_submitBtn{min-height:3rem}}