var qsProxy = {};
function FrameBuilder(formId,appendTo,initialHeight,iframeCode,title,embedStyleJSON,isSmartEmbedEnabled){this.formId=formId;this.initialHeight=initialHeight;this.iframeCode=iframeCode;this.frame=null;this.timeInterval=200;this.appendTo=appendTo||false;this.formSubmitted=0;this.frameMinWidth='100%';this.defaultHeight='';this.isSmartEmbedEnabled=isSmartEmbedEnabled===1;this.init=function(){this.embedURLHash=this.getMD5(window.location.href);if(embedStyleJSON&&(embedStyleJSON[this.embedURLHash]&&embedStyleJSON[this.embedURLHash]['embedWidth'])){this.frameMinWidth=embedStyleJSON[this.embedURLHash]['embedWidth']+'px';}
if(embedStyleJSON&&(embedStyleJSON[this.embedURLHash])){if(embedStyleJSON[this.embedURLHash]['inlineStyle']&&embedStyleJSON[this.embedURLHash]['inlineStyle']['embedHeight']){this.defaultHeight='data-frameHeight="'+embedStyleJSON[this.embedURLHash]['inlineStyle']['embedHeight']+'"';}}
this.createFrame();this.addFrameContent(this.iframeCode);};this.createFrame=function(){var tmp_is_ie=!!window.ActiveXObject;this.iframeDomId=document.getElementById(this.formId)?this.formId+'_'+new Date().getTime():this.formId;var htmlCode="<"+"iframe title=\""+title.replace(/[\\"']/g,'\\$&').replace(/&amp;/g,'&')+"\" src=\"\" allowtransparency=\"true\" name=\""+this.formId+"\" id=\""+this.iframeDomId+"\" style=\"width: 10px; min-width:"+this.frameMinWidth+"; display: block; overflow: hidden; height:"+this.initialHeight+"px; border: none;\" scrolling=\"no\""+this.defaultHeight+"></if"+"rame>";if(this.appendTo===false){document.write(htmlCode);}else{var tmp=document.createElement('div');tmp.innerHTML=htmlCode;var a=this.appendTo;document.getElementById(a).appendChild(tmp.firstChild);}
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this.addEvent(this.frame,'load',this.bindMethod(this.setTimer,this));var self=this;if(window.chrome!==undefined){this.frame.onload=function(){try{var doc=this.contentWindow.document;var _jotform=this.contentWindow.JotForm;if(doc!==undefined){var form=doc.getElementById(""+self.iframeDomId);self.addEvent(form,"submit",function(){if(_jotform.validateAll()){self.formSubmitted=1;}});}}catch(e){}}}};this.addEvent=function(obj,type,fn){if(obj.attachEvent){obj["e"+type+fn]=fn;obj[type+fn]=function(){obj["e"+type+fn](window.event);};obj.attachEvent("on"+type,obj[type+fn]);}
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var iframe=this.frame;var doc=iframe.contentDocument?iframe.contentDocument:(iframe.contentWindow.document||iframe.document);doc.open();doc.write(string);setTimeout(function(){doc.close();try{if('JotFormFrameLoaded'in window){JotFormFrameLoaded();}}catch(e){console.log("error on frame loading",e);}},200);};this.setTimer=function(){var self=this;this.interval=setTimeout(function(){self.changeHeight();},this.timeInterval);};this.getBaseDomain=function(){var thn=window.location.hostname;var cc=0;var buff="";for(var i=0;i<thn.length;i++){var chr=thn.charAt(i);if(chr=="."){cc++;}
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if(cc==2){thn=thn.replace(buff+".","");}
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this.changeHeight=function(){var actualHeight=this.getBodyHeight();var currentHeight=this.getViewPortHeight();if(actualHeight===undefined){this.frame.style.height=this.frameHeight;if(!this.frame.style.minHeight){this.frame.style.minHeight="300px";}}else if(Math.abs(actualHeight-currentHeight)>18){this.frame.style.height=(actualHeight)+"px";}
this.setTimer();};this.bindMethod=function(method,scope){return function(){method.apply(scope,arguments);};};this.frameHeight=0;this.getBodyHeight=function(){if(this.formSubmitted===1){return;}
var height;var scrollHeight;var offsetHeight;try{if(this.frame.contentWindow.document.height){height=this.frame.contentWindow.document.height;if(this.frame.contentWindow.document.body.scrollHeight){height=scrollHeight=this.frame.contentWindow.document.body.scrollHeight;}
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if(isChrome){height=scrollHeight=this.frame.contentWindow.document.height;}
if(this.frame.contentWindow.document.body.offsetHeight){height=offsetHeight=this.frame.contentWindow.document.body.offsetHeight;}
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this.frameHeight=height;return height;};this.getViewPortHeight=function(){if(this.formSubmitted===1){return;}
var height=0;try{if(this.frame.contentWindow.window.innerHeight)
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else if((this.frame.contentWindow.document.documentElement)&&(this.frame.contentWindow.document.documentElement.clientHeight))
{height=this.frame.contentWindow.document.documentElement.clientHeight;}
else if((this.frame.contentWindow.document.body)&&(this.frame.contentWindow.document.body.clientHeight))
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return height;};this.getMD5=function(s){function L(k,d){return(k<<d)|(k>>>(32-d))}function K(G,k){var I,d,F,H,x;F=(G&2147483648);H=(k&2147483648);I=(G&1073741824);d=(k&1073741824);x=(G&1073741823)+(k&1073741823);if(I&d){return(x^2147483648^F^H)}if(I|d){if(x&1073741824){return(x^3221225472^F^H)}else{return(x^1073741824^F^H)}}else{return(x^F^H)}}function r(d,F,k){return(d&F)|((~d)&k)}function q(d,F,k){return(d&k)|(F&(~k))}function p(d,F,k){return(d^F^k)}function n(d,F,k){return(F^(d|(~k)))}function u(G,F,aa,Z,k,H,I){G=K(G,K(K(r(F,aa,Z),k),I));return K(L(G,H),F)}function f(G,F,aa,Z,k,H,I){G=K(G,K(K(q(F,aa,Z),k),I));return K(L(G,H),F)}function D(G,F,aa,Z,k,H,I){G=K(G,K(K(p(F,aa,Z),k),I));return K(L(G,H),F)}function t(G,F,aa,Z,k,H,I){G=K(G,K(K(n(F,aa,Z),k),I));return K(L(G,H),F)}function e(G){var Z;var F=G.length;var x=F+8;var k=(x-(x%64))/64;var I=(k+1)*16;var aa=Array(I-1);var d=0;var H=0;while(H<F){Z=(H-(H%4))/4;d=(H%4)*8;aa[Z]=(aa[Z]|(G.charCodeAt(H)<<d));H++}Z=(H-(H%4))/4;d=(H%4)*8;aa[Z]=aa[Z]|(128<<d);aa[I-2]=F<<3;aa[I-1]=F>>>29;return aa}function B(x){var k="",F="",G,d;for(d=0;d<=3;d++){G=(x>>>(d*8))&255;F="0"+G.toString(16);k=k+F.substr(F.length-2,2)}return k}function J(k){k=k.replace(/rn/g,"n");var d="";for(var F=0;F<k.length;F++){var x=k.charCodeAt(F);if(x<128){d+=String.fromCharCode(x)}else{if((x>127)&&(x<2048)){d+=String.fromCharCode((x>>6)|192);d+=String.fromCharCode((x&63)|128)}else{d+=String.fromCharCode((x>>12)|224);d+=String.fromCharCode(((x>>6)&63)|128);d+=String.fromCharCode((x&63)|128)}}}return d}var C=Array();var P,h,E,v,g,Y,X,W,V;var S=7,Q=12,N=17,M=22;var A=5,z=9,y=14,w=20;var o=4,m=11,l=16,j=23;var U=6,T=10,R=15,O=21;s=J(s);C=e(s);Y=1732584193;X=4023233417;W=2562383102;V=271733878;for(P=0;P<C.length;P+=16){h=Y;E=X;v=W;g=V;Y=u(Y,X,W,V,C[P+0],S,3614090360);V=u(V,Y,X,W,C[P+1],Q,3905402710);W=u(W,V,Y,X,C[P+2],N,606105819);X=u(X,W,V,Y,C[P+3],M,3250441966);Y=u(Y,X,W,V,C[P+4],S,4118548399);V=u(V,Y,X,W,C[P+5],Q,1200080426);W=u(W,V,Y,X,C[P+6],N,2821735955);X=u(X,W,V,Y,C[P+7],M,4249261313);Y=u(Y,X,W,V,C[P+8],S,1770035416);V=u(V,Y,X,W,C[P+9],Q,2336552879);W=u(W,V,Y,X,C[P+10],N,4294925233);X=u(X,W,V,Y,C[P+11],M,2304563134);Y=u(Y,X,W,V,C[P+12],S,1804603682);V=u(V,Y,X,W,C[P+13],Q,4254626195);W=u(W,V,Y,X,C[P+14],N,2792965006);X=u(X,W,V,Y,C[P+15],M,1236535329);Y=f(Y,X,W,V,C[P+1],A,4129170786);V=f(V,Y,X,W,C[P+6],z,3225465664);W=f(W,V,Y,X,C[P+11],y,643717713);X=f(X,W,V,Y,C[P+0],w,3921069994);Y=f(Y,X,W,V,C[P+5],A,3593408605);V=f(V,Y,X,W,C[P+10],z,38016083);W=f(W,V,Y,X,C[P+15],y,3634488961);X=f(X,W,V,Y,C[P+4],w,3889429448);Y=f(Y,X,W,V,C[P+9],A,568446438);V=f(V,Y,X,W,C[P+14],z,3275163606);W=f(W,V,Y,X,C[P+3],y,4107603335);X=f(X,W,V,Y,C[P+8],w,1163531501);Y=f(Y,X,W,V,C[P+13],A,2850285829);V=f(V,Y,X,W,C[P+2],z,4243563512);W=f(W,V,Y,X,C[P+7],y,1735328473);X=f(X,W,V,Y,C[P+12],w,2368359562);Y=D(Y,X,W,V,C[P+5],o,4294588738);V=D(V,Y,X,W,C[P+8],m,2272392833);W=D(W,V,Y,X,C[P+11],l,1839030562);X=D(X,W,V,Y,C[P+14],j,4259657740);Y=D(Y,X,W,V,C[P+1],o,2763975236);V=D(V,Y,X,W,C[P+4],m,1272893353);W=D(W,V,Y,X,C[P+7],l,4139469664);X=D(X,W,V,Y,C[P+10],j,3200236656);Y=D(Y,X,W,V,C[P+13],o,681279174);V=D(V,Y,X,W,C[P+0],m,3936430074);W=D(W,V,Y,X,C[P+3],l,3572445317);X=D(X,W,V,Y,C[P+6],j,76029189);Y=D(Y,X,W,V,C[P+9],o,3654602809);V=D(V,Y,X,W,C[P+12],m,3873151461);W=D(W,V,Y,X,C[P+15],l,530742520);X=D(X,W,V,Y,C[P+2],j,3299628645);Y=t(Y,X,W,V,C[P+0],U,4096336452);V=t(V,Y,X,W,C[P+7],T,1126891415);W=t(W,V,Y,X,C[P+14],R,2878612391);X=t(X,W,V,Y,C[P+5],O,4237533241);Y=t(Y,X,W,V,C[P+12],U,1700485571);V=t(V,Y,X,W,C[P+3],T,2399980690);W=t(W,V,Y,X,C[P+10],R,4293915773);X=t(X,W,V,Y,C[P+1],O,2240044497);Y=t(Y,X,W,V,C[P+8],U,1873313359);V=t(V,Y,X,W,C[P+15],T,4264355552);W=t(W,V,Y,X,C[P+6],R,2734768916);X=t(X,W,V,Y,C[P+13],O,1309151649);Y=t(Y,X,W,V,C[P+4],U,4149444226);V=t(V,Y,X,W,C[P+11],T,3174756917);W=t(W,V,Y,X,C[P+2],R,718787259);X=t(X,W,V,Y,C[P+9],O,3951481745);Y=K(Y,h);X=K(X,E);W=K(W,v);V=K(V,g)}var i=B(Y)+B(X)+B(W)+B(V);return i.toLowerCase()};this.init();}
FrameBuilder.get=qsProxy||[];var i70527566162862=new FrameBuilder("70527566162862",false,"","<!DOCTYPE HTML PUBLIC \"-\/\/W3C\/\/DTD HTML 4.01\/\/EN\" \"http:\/\/www.w3.org\/TR\/html4\/strict.dtd\">\n<html class=\"supernova\"><head>\n<meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\" \/>\n<link rel=\"alternate\" type=\"application\/json+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=json&amp;url=http%3A%2F%2Fwww.jotform.com%2Fform%2F70527566162862\" title=\"oEmbed Form\"><link rel=\"alternate\" type=\"text\/xml+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=xml&amp;url=http%3A%2F%2Fwww.jotform.com%2Fform%2F70527566162862\" title=\"oEmbed Form\">\n<meta property=\"og:title\" content=\"Replace Existing Card Form\" >\n<meta property=\"og:url\" content=\"http:\/\/www.jotform.co\/form\/70527566162862\" >\n<meta property=\"og:description\" content=\"Please click the link to complete this form.\">\n<link rel=\"shortcut icon\" href=\"https:\/\/cdn.jotfor.ms\/favicon.ico\">\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0\" \/>\n<meta name=\"HandheldFriendly\" content=\"true\" \/>\n<title>Replace Existing Card Form<\/title>\n<link href=\"https:\/\/cdn.jotfor.ms\/static\/formCss.css?3.3.4218\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/styles\/nova.css?3.3.4218\" \/>\n<link type=\"text\/css\" media=\"print\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/printForm.css?3.3.4218\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/themes\/CSS\/566a91c2977cdfcd478b4567.css?themeRevisionID=56f6e67c977cdf2e558b4567\"\/>\n<style type=\"text\/css\">\n    .form-label-left{\n        width:100px;\n    }\n    .form-line{\n        padding-top:12px;\n        padding-bottom:12px;\n    }\n    .form-label-right{\n        width:100px;\n    }\n    body, html{\n        margin:0;\n        padding:0;\n        background:false;\n    }\n\n    .form-all{\n        margin:0px auto;\n        padding-top:20px;\n        width:690px;\n        color:#555 !important;\n        font-family:'Lato';\n        font-size:14px;\n    }\n    .form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header{\n        color: rgb(225, 231, 235);\n    }\n\n<\/style>\n\n<style type=\"text\/css\" id=\"form-designer-style\">\n    \/* Injected CSS Code *\/\n.form-label.form-label-auto {\n        \n      display: block;\n      float: none;\n      text-align: left;\n      width: 100%;\n    \n      }@import \"https:\/\/fonts.googleapis.com\/css?family=Lato:light,lightitalic,normal,italic,bold,bolditalic\";\n.form-all {\n  font-family: \"Lato\", sans-serif;\n}\n.form-all {\n  width: 690px;\n  width: 100%;\n  max-width: 690px;\n}\n.form-label-left,\n.form-label-right {\n  width: 100px;\n}\n.form-label {\n  white-space: normal;\n}\n\n.form-label-left {\n  display: inline-block;\n  white-space: normal;\n  float: left;\n  text-align: left;\n}\n.form-label-right {\n  display: inline-block;\n  white-space: normal;\n  float: left;\n  text-align: right;\n}\n.form-label-top {\n  white-space: normal;\n  display: block;\n  float: none;\n  text-align: left;\n}\n.form-all {\n  font-size: 14px;\n}\n.form-label {\n  font-weight: bold;\n}\n.form-checkbox-item label,\n.form-radio-item label {\n  font-weight: normal;\n}\n.supernova {\n  background-color: none;\n  background-color: #ffffff;\n}\n.supernova body {\n  background-color: transparent;\n}\n\/*\n@width30: (unit(@formWidth, px) + 60px);\n@width60: (unit(@formWidth, px)+ 120px);\n@width90: (unit(@formWidth, px)+ 180px);\n*\/\n\/* | *\/\n\/* | *\/\n\/* | *\/\n@media screen and (max-width: 480px) {\n  .jotform-form {\n    padding: 10px 0;\n  }\n}\n\/* | *\/\n\/* | *\/\n@media screen and (min-width: 480px) and (max-width: 768px) {\n  .jotform-form {\n    padding: 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-o-transition-property: all;\n  transition-property: all;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #ffffe0;\n}\n\/* \u00f6mer *\/\n.form-radio-item,\n.form-checkbox-item {\n  padding-bottom: 0px !important;\n}\n.form-radio-item:last-child,\n.form-checkbox-item:last-child {\n  padding-bottom: 0;\n}\n\/* \u00f6mer *\/\n[data-type=\"control_radio\"] .form-input,\n[data-type=\"control_checkbox\"] .form-input,\n[data-type=\"control_radio\"] .form-input-wide,\n[data-type=\"control_checkbox\"] .form-input-wide {\n  width: 100%;\n  max-width: 155px;\n}\n.form-radio-item,\n.form-checkbox-item {\n  width: 100%;\n  max-width: 155px;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n}\n.form-textbox.form-radio-other-input,\n.form-textbox.form-checkbox-other-input {\n  width: 80%;\n  margin-left: 3%;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n}\n.form-multiple-column {\n  width: 100%;\n}\n.form-multiple-column .form-radio-item,\n.form-multiple-column .form-checkbox-item {\n  width: 10%;\n}\n.form-multiple-column[data-columncount=\"1\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"1\"] .form-checkbox-item {\n  width: 100%;\n}\n.form-multiple-column[data-columncount=\"2\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"2\"] .form-checkbox-item {\n  width: 50%;\n}\n.form-multiple-column[data-columncount=\"3\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"3\"] .form-checkbox-item {\n  width: 33.33333333%;\n}\n.form-multiple-column[data-columncount=\"4\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"4\"] .form-checkbox-item {\n  width: 25%;\n}\n.form-multiple-column[data-columncount=\"5\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"5\"] .form-checkbox-item {\n  width: 20%;\n}\n.form-multiple-column[data-columncount=\"6\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"6\"] .form-checkbox-item {\n  width: 16.66666667%;\n}\n.form-multiple-column[data-columncount=\"7\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"7\"] .form-checkbox-item {\n  width: 14.28571429%;\n}\n.form-multiple-column[data-columncount=\"8\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"8\"] .form-checkbox-item {\n  width: 12.5%;\n}\n.form-multiple-column[data-columncount=\"9\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"9\"] .form-checkbox-item {\n  width: 11.11111111%;\n}\n.form-single-column .form-checkbox-item,\n.form-single-column .form-radio-item {\n  width: 100%;\n}\n.form-radio-item:not(#foo) {\n  margin-bottom: 0;\n  position: relative;\n}\n.form-radio-item:not(#foo) input[type=\"checkbox\"],\n.form-radio-item:not(#foo) input[type=\"radio\"] {\n  display: none;\n}\n.form-radio-item:not(#foo) .form-radio-other,\n.form-radio-item:not(#foo) .form-checkbox-other {\n  display: inline-block !important;\n  margin-left: 7px;\n  margin-right: 3px;\n  margin-top: 0px;\n}\n.form-radio-item:not(#foo) .form-checkbox-other-input,\n.form-radio-item:not(#foo) .form-radio-other-input {\n  margin: 0;\n}\n.form-radio-item:not(#foo) label {\n  line-height: 18px;\n  margin-left: 0;\n  float: left;\n  text-indent: 27px;\n}\n.form-radio-item:not(#foo) label:before {\n  content: '';\n  position: absolute;\n  display: inline-block;\n  vertical-align: baseline;\n  margin-right: 4px;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n  -webkit-border-radius: 50%;\n  -moz-border-radius: 50%;\n  border-radius: 50%;\n  left: 4px;\n  width: 18px;\n  height: 18px;\n  cursor: pointer;\n}\n.form-radio-item:not(#foo) label:after {\n  content: '';\n  position: absolute;\n  z-index: 10;\n  display: inline-block;\n  opacity: 0;\n  top: 5px;\n  left: 9px;\n  width: 8px;\n  height: 8px;\n}\n.form-radio-item:not(#foo) input:checked + label:after {\n  opacity: 1;\n}\n.form-radio-item:not(#foo) label:before {\n  background-color: #444;\n}\n.form-radio-item:not(#foo) label:after {\n  background-color: #13b7dd;\n  -webkit-border-radius: 50%;\n  -moz-border-radius: 50%;\n  border-radius: 50%;\n  cursor: pointer;\n}\n.form-checkbox-item:not(#foo) {\n  margin-bottom: 0;\n  position: relative;\n}\n.form-checkbox-item:not(#foo) input[type=\"checkbox\"],\n.form-checkbox-item:not(#foo) input[type=\"radio\"] {\n  display: none;\n}\n.form-checkbox-item:not(#foo) .form-radio-other,\n.form-checkbox-item:not(#foo) .form-checkbox-other {\n  display: inline-block !important;\n  margin-left: 7px;\n  margin-right: 3px;\n  margin-top: 0px;\n}\n.form-checkbox-item:not(#foo) .form-checkbox-other-input,\n.form-checkbox-item:not(#foo) .form-radio-other-input {\n  margin: 0;\n}\n.form-checkbox-item:not(#foo) label {\n  line-height: 18px;\n  margin-left: 0;\n  float: left;\n  text-indent: 27px;\n}\n.form-checkbox-item:not(#foo) label:before {\n  content: '';\n  position: absolute;\n  display: inline-block;\n  vertical-align: baseline;\n  margin-right: 4px;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n  -webkit-border-radius: 50%;\n  -moz-border-radius: 50%;\n  border-radius: 50%;\n  left: 4px;\n  width: 18px;\n  height: 18px;\n  cursor: pointer;\n}\n.form-checkbox-item:not(#foo) label:after {\n  content: '';\n  position: absolute;\n  z-index: 10;\n  display: inline-block;\n  opacity: 0;\n  top: 8px;\n  left: 9px;\n  width: 3px;\n  height: 3px;\n}\n.form-checkbox-item:not(#foo) input:checked + label:after {\n  opacity: 1;\n}\n.form-checkbox-item:not(#foo) label:before {\n  background-color: #444;\n}\n.form-checkbox-item:not(#foo) label:after {\n  background-color: #13b7dd;\n  box-shadow: 0 2px 0 0 #13b7dd, 2px 2px 0 0 #13b7dd, 4px 2px 0 0 #13b7dd, 6px 2px 0 0 #13b7dd;\n  -moz-transform: rotate(-45deg);\n  -webkit-transform: rotate(-45deg);\n  -o-transform: rotate(-45deg);\n  -ms-transform: rotate(-45deg);\n  transform: rotate(-45deg);\n}\n.supernova {\n  height: 100%;\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.supernova {\n  background-image: none;\n}\n#stage {\n  background-image: none;\n}\n\/* | *\/\n.form-all {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.form-header-group {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n}\n.form-line {\n  margin-top: 0px;\n  margin-bottom: 0px;\n}\n.form-line {\n  padding: 5px 10px;\n}\n.form-all {\n  -webkit-border-radius: 6px;\n  -moz-border-radius: 6px;\n  border-radius: 6px;\n}\n.form-section:first-child {\n  -webkit-border-radius: 6px 6px 0 0;\n  -moz-border-radius: 6px 6px 0 0;\n  border-radius: 6px 6px 0 0;\n}\n.form-section:last-child {\n  -webkit-border-radius: 0 0 6px 6px;\n  -moz-border-radius: 0 0 6px 6px;\n  border-radius: 0 0 6px 6px;\n}\n.form-all .qq-upload-button,\n.form-all .form-submit-button,\n.form-all .form-submit-reset,\n.form-all .form-submit-print {\n  font-size: 1em;\n  padding: 9px 15px;\n  font-family: \"Lato\", sans-serif;\n  font-size: 14px;\n  font-weight: normal;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n  font-size: 1em;\n  padding: 9px 15px;\n  font-family: \"Lato\", sans-serif;\n  font-size: 14px;\n  font-weight: normal;\n}\n\/*\n& when ( @buttonFontType = google ) {\n\t@import (css) \"@{buttonFontLink}\";\n}\n*\/\nh2.form-header {\n  line-height: 1.618em;\n  font-size: 1.714em;\n}\nh2 ~ .form-subHeader {\n  line-height: 1.5em;\n  font-size: 1.071em;\n}\n.form-header-group {\n  text-align: left;\n}\n.form-line {\n  zoom: 1;\n}\n.form-line:before,\n.form-line:after {\n  display: table;\n  content: '';\n  line-height: 0;\n}\n.form-line:after {\n  clear: both;\n}\n.form-sub-label-container {\n  margin-right: 0;\n  float: left;\n  white-space: nowrap;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n}\n.form-sub-label-container .date-separate {\n  visibility: hidden;\n}\n.form-captcha input,\n.form-spinner input {\n  width: 155px;\n}\n.form-textbox,\n.form-textarea {\n  width: 100%;\n  max-width: 155px;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n}\n.form-input,\n.form-address-table,\n.form-matrix-table {\n  width: 100%;\n  max-width: 155px;\n}\n.form-radio-item,\n.form-checkbox-item {\n  width: 100%;\n  max-width: 155px;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n}\n.form-textbox.form-radio-other-input,\n.form-textbox.form-checkbox-other-input {\n  width: 80%;\n  margin-left: 3%;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n}\n.form-multiple-column {\n  width: 100%;\n}\n.form-multiple-column .form-radio-item,\n.form-multiple-column .form-checkbox-item {\n  width: 10%;\n}\n.form-multiple-column[data-columncount=\"1\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"1\"] .form-checkbox-item {\n  width: 100%;\n}\n.form-multiple-column[data-columncount=\"2\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"2\"] .form-checkbox-item {\n  width: 50%;\n}\n.form-multiple-column[data-columncount=\"3\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"3\"] .form-checkbox-item {\n  width: 33.33333333%;\n}\n.form-multiple-column[data-columncount=\"4\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"4\"] .form-checkbox-item {\n  width: 25%;\n}\n.form-multiple-column[data-columncount=\"5\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"5\"] .form-checkbox-item {\n  width: 20%;\n}\n.form-multiple-column[data-columncount=\"6\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"6\"] .form-checkbox-item {\n  width: 16.66666667%;\n}\n.form-multiple-column[data-columncount=\"7\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"7\"] .form-checkbox-item {\n  width: 14.28571429%;\n}\n.form-multiple-column[data-columncount=\"8\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"8\"] .form-checkbox-item {\n  width: 12.5%;\n}\n.form-multiple-column[data-columncount=\"9\"] .form-radio-item,\n.form-multiple-column[data-columncount=\"9\"] .form-checkbox-item {\n  width: 11.11111111%;\n}\n[data-type=\"control_dropdown\"] .form-dropdown {\n  width: 100% !important;\n  max-width: 155px;\n}\n[data-type=\"control_fullname\"] .form-sub-label-container {\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n  width: 48%;\n}\n[data-type=\"control_fullname\"] .form-sub-label-container:first-child {\n  margin-right: 4%;\n}\n[data-type=\"control_phone\"] .form-sub-label-container {\n  width: 65%;\n}\n[data-type=\"control_phone\"] .form-sub-label-container:first-child {\n  width: 32.5%;\n  margin-right: 2.5%;\n}\n[data-type=\"control_birthdate\"] .form-sub-label-container {\n  width: 22%;\n  margin-right: 3%;\n}\n[data-type=\"control_birthdate\"] .form-sub-label-container:first-child {\n  width: 50%;\n}\n[data-type=\"control_birthdate\"] .form-sub-label-container:last-child {\n  margin-right: 0;\n}\n[data-type=\"control_birthdate\"] .form-sub-label-container .form-dropdown {\n  width: 100%;\n}\n[data-type=\"control_time\"] .form-sub-label-container {\n  width: 37%;\n  margin-right: 3%;\n}\n[data-type=\"control_time\"] .form-sub-label-container:last-child {\n  width: 20%;\n  margin-right: 0;\n}\n[data-type=\"control_time\"] .form-sub-label-container .form-dropdown {\n  width: 100%;\n}\n[data-type=\"control_datetime\"] .form-sub-label-container {\n  width: 28%;\n  margin-right: 4%;\n}\n[data-type=\"control_datetime\"] .form-sub-label-container:last-child {\n  width: 4%;\n  margin-right: 0;\n}\n[data-type=\"control_datetime\"].allowTime .form-sub-label-container {\n  width: 12%;\n  margin-right: 3%;\n}\n[data-type=\"control_datetime\"].allowTime .form-sub-label-container:last-child {\n  width: 4%;\n  margin-right: 0;\n}\n[data-type=\"control_datetime\"].allowTime .allowTime-container {\n  float: right;\n  width: 51%;\n}\n[data-type=\"control_datetime\"].allowTime .allowTime-container .form-sub-label-container {\n  width: 27%;\n  margin-right: 4%;\n}\n[data-type=\"control_datetime\"].allowTime .allowTime-container .form-sub-label-container:first-child {\n  width: 4%;\n  margin-left: 3%;\n}\n[data-type=\"control_datetime\"].allowTime .allowTime-container .form-sub-label-container:last-child {\n  width: 27%;\n  margin-right: 0;\n}\n[data-type=\"control_datetime\"].allowTime .form-dropdown {\n  width: 100%;\n}\n[data-type=\"control_payment\"] .form-sub-label-container {\n  width: auto;\n}\n[data-type=\"control_payment\"] .form-sub-label-container .form-dropdown {\n  width: 100%;\n}\n.form-address-table td .form-dropdown {\n  width: 100%;\n}\n.form-address-table td .form-sub-label-container {\n  width: 96%;\n}\n.form-address-table td:last-child .form-sub-label-container {\n  margin-left: 4%;\n}\n.form-address-table td[colspan=\"2\"] .form-sub-label-container {\n  width: 100%;\n  margin: 0;\n}\n\/*.form-dropdown,\n.form-radio-item,\n.form-checkbox-item,\n.form-radio-other-input,\n.form-checkbox-other-input,*\/\n.form-captcha input,\n.form-spinner input,\n.form-error-message {\n  padding: 4px 3px 2px 3px;\n}\n.form-header-group {\n  font-family: \"Lato\", sans-serif;\n}\n.form-section {\n  padding: 0px 0px 0px 0px;\n}\n.form-header-group {\n  margin: 12px 36px 12px 36px;\n}\n.form-header-group {\n  padding: 24px 0px 24px 0px;\n}\n.form-textbox,\n.form-textarea {\n  padding: 4px 3px 2px 3px;\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: #ffffff;\n}\n.form-textbox,\n.form-textarea {\n  width: 100%;\n  max-width: 200px;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n}\n[data-type=\"control_textbox\"] .form-input,\n[data-type=\"control_textarea\"] .form-input,\n[data-type=\"control_fullname\"] .form-input,\n[data-type=\"control_phone\"] .form-input,\n[data-type=\"control_datetime\"] .form-input,\n[data-type=\"control_address\"] .form-input,\n[data-type=\"control_email\"] .form-input,\n[data-type=\"control_passwordbox\"] .form-input,\n[data-type=\"control_autocomp\"] .form-input,\n[data-type=\"control_textbox\"] .form-input-wide,\n[data-type=\"control_textarea\"] .form-input-wide,\n[data-type=\"control_fullname\"] .form-input-wide,\n[data-type=\"control_phone\"] .form-input-wide,\n[data-type=\"control_datetime\"] .form-input-wide,\n[data-type=\"control_address\"] .form-input-wide,\n[data-type=\"control_email\"] .form-input-wide,\n[data-type=\"control_passwordbox\"] .form-input-wide,\n[data-type=\"control_autocomp\"] .form-input-wide {\n  width: 100%;\n  max-width: 200px;\n}\n[data-type=\"control_fullname\"] .form-sub-label-container {\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n  width: 48%;\n}\n[data-type=\"control_fullname\"] .form-sub-label-container:first-child {\n  margin-right: 4%;\n}\n[data-type=\"control_phone\"] .form-sub-label-container {\n  width: 65%;\n}\n[data-type=\"control_phone\"] .form-sub-label-container:first-child {\n  width: 32.5%;\n  margin-right: 2.5%;\n}\n[data-type=\"control_phone\"] .form-sub-label-container .date-separate {\n  visibility: hidden;\n}\n[data-type=\"control_datetime\"] .form-sub-label-container {\n  width: 28%;\n  margin-right: 4%;\n}\n[data-type=\"control_datetime\"] .form-sub-label-container:last-child {\n  width: 4%;\n  margin-right: 0;\n}\n[data-type=\"control_datetime\"] .form-sub-label-container .date-separate {\n  visibility: hidden;\n}\n[data-type=\"control_datetime\"].allowTime .form-sub-label-container {\n  width: 12%;\n  margin-right: 3%;\n}\n[data-type=\"control_datetime\"].allowTime .form-sub-label-container:last-child {\n  width: 4%;\n  margin-right: 0;\n}\n[data-type=\"control_datetime\"].allowTime .allowTime-container {\n  float: right;\n  width: 51%;\n}\n[data-type=\"control_datetime\"].allowTime .allowTime-container .form-sub-label-container {\n  width: 27%;\n  margin-right: 4%;\n}\n[data-type=\"control_datetime\"].allowTime .allowTime-container .form-sub-label-container:first-child {\n  width: 4%;\n  margin-left: 3%;\n}\n[data-type=\"control_datetime\"].allowTime .allowTime-container .form-sub-label-container:last-child {\n  width: 27%;\n  margin-right: 0;\n}\n[data-type=\"control_datetime\"].allowTime .form-dropdown {\n  width: 100%;\n}\n.form-matrix-table {\n  width: 100%;\n  max-width: 200px;\n}\n.form-address-table {\n  width: 100%;\n  max-width: 200px;\n}\n.form-address-table td .form-dropdown {\n  width: 100%;\n}\n.form-address-table td .form-sub-label-container {\n  width: 96%;\n}\n.form-address-table td:last-child .form-sub-label-container {\n  margin-left: 4%;\n}\n.form-address-table td[colspan=\"2\"] .form-sub-label-container {\n  width: 100%;\n  margin: 0;\n}\n[data-type=\"control_dropdown\"] .form-input,\n[data-type=\"control_birthdate\"] .form-input,\n[data-type=\"control_time\"] .form-input,\n[data-type=\"control_dropdown\"] .form-input-wide,\n[data-type=\"control_birthdate\"] .form-input-wide,\n[data-type=\"control_time\"] .form-input-wide {\n  width: 100%;\n  max-width: 155px;\n}\n[data-type=\"control_dropdown\"] .form-dropdown {\n  width: 100% !important;\n  max-width: 155px;\n}\n[data-type=\"control_birthdate\"] .form-sub-label-container {\n  width: 22%;\n  margin-right: 3%;\n}\n[data-type=\"control_birthdate\"] .form-sub-label-container:first-child {\n  width: 50%;\n}\n[data-type=\"control_birthdate\"] .form-sub-label-container:last-child {\n  margin-right: 0;\n}\n[data-type=\"control_birthdate\"] .form-sub-label-container .form-dropdown {\n  width: 100%;\n}\n[data-type=\"control_time\"] .form-sub-label-container {\n  width: 37%;\n  margin-right: 3%;\n}\n[data-type=\"control_time\"] .form-sub-label-container:last-child {\n  width: 20%;\n  margin-right: 0;\n}\n[data-type=\"control_time\"] .form-sub-label-container .form-dropdown {\n  width: 100%;\n}\n.form-dropdown {\n  margin: 0;\n  border-color: #a6a6a6;\n  -webkit-appearance: menulist!important;\n  -moz-appearance: menulist!important;\n  appearance: menulist!important;\n  border-width: 1px;\n}\n.form-label {\n  font-family: \"Lato\", sans-serif;\n}\nli[data-type=\"control_image\"] div {\n  text-align: left;\n}\nli[data-type=\"control_image\"] img {\n  border: none;\n  border-width: 0px !important;\n  border-style: solid !important;\n  border-color: false !important;\n}\n.form-line-column {\n  width: auto;\n  width: 33.33333333%;\n  -moz-box-sizing: border-box;\n  -webkit-box-sizing: border-box;\n  box-sizing: border-box;\n  padding-right: 5px;\n  padding-left: 5px;\n}\n.form-line-column.form-col-1 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-0 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-4 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-3 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-7 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-6 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-10 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-9 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-13 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-12 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-16 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-15 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-19 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-18 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-22 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-21 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-25 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-24 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-28 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-27 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-column.form-col-31 {\n  padding-left: 10px;\n  padding-right: 5px;\n}\n.form-line-column.form-col-30 {\n  padding-left: 5px;\n  padding-right: 10px;\n}\n.form-line-error {\n  overflow: hidden;\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #fff4f4;\n}\n.form-line-error .form-error-message {\n  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htvam\">\n            <h2 id=\"header_221\" class=\"form-header\" data-component=\"header\">\n              CONTACT DETAILS\n            <\/h2>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_fullname\" id=\"id_219\">\n        <label class=\"form-label form-label-top form-label-auto\" id=\"label_219\" for=\"first_219\"> Name of the Person Requesting the Replacement <\/label>\n        <div id=\"cid_219\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"first_219\" name=\"q219_nameOf[first]\" class=\"form-textbox\" size=\"10\" value=\"\" data-component=\"first\" \/>\n              <label class=\"form-sub-label\" for=\"first_219\" id=\"sublabel_first\" style=\"min-height:13px;\"> First Name <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" 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id=\"id_212\">\n        <label class=\"form-label form-label-top\" id=\"label_212\" for=\"input_212\"> Account Number: <\/label>\n        <div id=\"cid_212\" class=\"form-input-wide\">\n          <input type=\"text\" id=\"input_212\" name=\"q212_accountNumber\" data-type=\"input-textbox\" class=\"form-textbox validate[Numeric]\" size=\"5\" value=\"\" maxlength=\"5\" placeholder=\" \" data-component=\"textbox\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-3\" data-type=\"control_textbox\" id=\"id_215\">\n        <label class=\"form-label form-label-top\" id=\"label_215\" for=\"input_215\"> Card Number: <\/label>\n        <div id=\"cid_215\" class=\"form-input-wide\">\n          <input type=\"text\" id=\"input_215\" name=\"q215_cardNumber215\" data-type=\"input-textbox\" class=\"form-textbox\" size=\"20\" value=\"\" placeholder=\" \" data-component=\"textbox\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column 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