American Specialties, Inc.
441 Saw Mill River Road
Yonkers, NY 10701-4913

Phone: 914.476.9000
Fax: 914.476.0688

#user-form-template-23 br{display:none}#user-form-template-23 input[type=”checkbox”]{opacity: 0; position:absolute}#user-form-template-23 input[type=”radio”]{opacity: 0;}#user-form-template-23 input[type=”checkbox”]:checked + .checkbox:before{content: “”; position: absolute; top: 3px; right: 5px; width: 2px; height: 10px; z-index: 1; -webkit-transform: rotate(45deg); -moz-transform: rotate(45deg);transform: rotate(45deg);}#user-form-template-23 input[type=”checkbox”]:checked + .checkbox:after{ content: “”;position: absolute;top: 7px;left: 5px;width: 2px;height: 6px;z-index: 1;-webkit-transform: rotate(-44deg); -moz-transform: rotate(-44deg);transform: rotate(-44deg);}#user-form-template-23 .checkbox{box-sizing:initial;width: 17px;height: 17px;border-radius: 3px;border: 2px solid #cbcaca;display: inline-block;cursor: pointer; -webkit-filter: drop-shadow(11px 10px 14px rgba(0,0,0,0.25)); -moz-filter: drop-shadow(11px 10px 14px rgba(0,0,0,0.25));filter: drop-shadow(11px 10px 14px rgba(0,0,0,0.25));position: relative;}#user-form-template-23 input[type=”radio”]:checked + .radiobtn:after{content: “”;position: absolute;top: 4px;right: 4px;width: 9px;height: 9px;background: #95a5a6;z-index: 1; border-radius: 30px;}#user-form-template-23 input[type=”radio”] + .radiobtn{border: 2px solid #cbcaca;border-radius: 17px;}#user-form-template-23 .radiobtn{box-sizing:initial;width: 17px;height: 17px;display: inline-block;cursor: pointer;position: relative;}#user-form-template-23 input[type=”radio”]:invalid {border: none !important}#user-form-template-23 input[type=”checkbox”]:invalid {border: none !important}#user-form-template-23 input[type=”radio”] ~ .check {visibility: hidden;}#user-form-template-23 input[type=”radio”]:checked ~ .check{visibility: visible;}#user-form-template-23 .invalid{outline: 1px solid #f44336}#user-form-template-23 .space-between{justify-content: space-between}#user-form-template-23 .flex-start{justify-content: flex-start}#user-form-template-23 .flex-end{justify-content: flex-end}#user-form-template-23 .end{justify-content: flex-end}#user-form-template-23 .rating-component .txt-center{text-align:center}#user-form-template-23 .rating-component .hide{}#user-form-template-23 .rating-component .clear{float: none; clear: both;}#user-form-template-23 .rating-component .rating{unicode-bidi: bidi-override;direction: rtl;text-align: center;position: relative; justify-content: flex-end}#user-form-template-23 .switch {position: relative;display: inline-block;width: 45px;height: 18px;}#user-form-template-23 .switch input {width:100%; height:100%; z-index:1; margin:0px; cursor:pointer}.slider {position: absolute;cursor: pointer;top: 0;left: 0;right: 0;bottom: 0;background-color: #ccc; -webkit-transition: .4s;transition: .4s;}#user-form-template-23 .slider:before {position: absolute;content: “”;height: 21px;width: 21px;left: 0px;top: -2px;background-color: white; -webkit-transition: .4s;transition: .4s;box-shadow: rgb(151, 145, 145) 0px 2px 8px 0px;}#user-form-template-23 input:checked + .slider {background-color: #2196F3;}#user-form-template-23 input:focus + .slider {box-shadow: 0 0 1px #2196F3;}#user-form-template-23 .slider.round {border-radius: 34px;}#user-form-template-23 input:checked + .slider:before { -webkit-transform: translateX(26px); -ms-transform: translateX(26px);transform: translateX(26px);}#user-form-template-23 div, button:focus {outline: none;}#user-form-template-23 .form-row{width:100%; display: flex; flex-direction: row; flex-wrap: wrap}#user-form-template-23 .user-form-body{width:100%}#user-form-template-23 .hidden-field{display:none}#user-form-template-23 .layout-row{flex-direction:row;display:flex}#user-form-template-23 .layout-wrap{flex-wrap:wrap;}#user-form-template-23 .layout-column{flex-direction:column;display:flex}#user-form-template-23 .label-left-right{align-items: center; justify-content: flex-start; flex-direction: row; display: flex}#user-form-template-23 .label-top-bottom{align-items: flex-start; justify-content: center; flex-direction: column; display: flex}#user-form-template-23 .radio-check{align-items: flex-start; justify-content: flex-start; flex-direction: row; display: flex; margin: 5px;}#user-form-template-23 .phone-area-code{width: 50px;}.phone-line-code{width: 80px;}.phone-dash{margin-right: 5px; display:flex; align-items:center}#user-form-template-23 .date-range-text{margin-top: auto; margin-bottom: auto}#user-form-template-23 .date-margin{margin-right: 5px !important;}#user-form-template-23 .date-margin-to{margin-right: 5px !important; margin-left: 5px !important;}@media (min-width: 960px) {.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field0{width:50%}#user-form-template-23 #field0 .element-container{opacity:1;margin-bottom:0px;padding-top:0px;border-color:#E9E7E7;font-weight:normal;margin-top:0px;text-align:left;color:rgba(81,80,80,1);font-family:Roboto;padding-left:15px;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200,200,200,1);border-radius:0px 0px 0px 0px;font-style:normal;box-shadow:none;margin-right:0px;padding-right:0px;margin-left:0px;width:100%;padding-bottom:0px;height:42px;border-style:solid;box-sizing:border-box;}#user-form-template-23 #field0 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:40px;}#user-form-template-23 #field0 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field1{width:100%}#user-form-template-23 #field1 .element-container{opacity:1;margin-bottom:0px;padding-top:0px;border-color:#E9E7E7;font-weight:normal;margin-top:0px;text-align:left;color:rgba(81,80,80,1);font-family:Roboto;padding-left:15px;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200,200,200,1);border-radius:0px 0px 0px 0px;box-shadow:none;margin-right:0px;padding-right:0px;margin-left:0px;width:100%;padding-bottom:0px;height:42px;border-style:solid;box-sizing:border-box;}#user-form-template-23 #field1 .component-container{margin-top:5px;margin-bottom:5px;margin-right:40px;margin-left:40px;}#user-form-template-23 #field1 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field2{width:50%}#user-form-template-23 #field2 .element-container{opacity:1;margin-bottom:0px;padding-top:0px;border-color:#E9E7E7;font-weight:normal;margin-top:0px;text-align:left;color:rgba(81,80,80,1);font-family:Roboto;padding-left:15px;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200,200,200,1);border-radius:0px 0px 0px 0px;font-style:normal;box-shadow:none;margin-right:0px;padding-right:0px;margin-left:0px;width:100%;padding-bottom:0px;height:42px;border-style:solid;box-sizing:border-box;}#user-form-template-23 #field2 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:40px;}#user-form-template-23 #field2 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field3{width:100%}#user-form-template-23 #field3 .element-container{opacity:1;margin-bottom:0px;padding-top:15px;border-color:#E9E7E7;font-weight:normal;margin-top:0px;text-align:left;color:rgba(81,80,80,1);font-family:Roboto;padding-left:15px;background-color:rgba(255,255,255,1);font-size:13px;box-sizing:border-box;placeholderColor:rgba(200,200,200,1);border-radius:0px 0px 0px 0px;font-style:normal;box-shadow:none;margin-right:0px;border-style:solid;padding-right:0px;width:100%;border-width:1px;padding-bottom:0px;height:75px;resize:none;margin-left:0px;}#user-form-template-23 #field3 .component-container{margin-top:5px;margin-bottom:5px;margin-right:40px;margin-left:40px;}#user-form-template-23 #field3 textarea::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field4{width:100%}#user-form-template-23 #field4 .element-container{opacity:1;margin-bottom:0px;padding-top:0px;border-color:#C8C8C8;font-weight:normal;margin-top:0px;text-align:center;color:rgba(255,255,255,1);font-family:Montserrat;padding-left:0px;background-color:rgba(244,67,54,1);font-size:14px;border-width:1px;border-radius:0px 0px 0px 0px;font-style:normal;box-shadow:none;margin-right:0px;padding-right:0px;width:525px;padding-bottom:0px;submit_box:undefined;height:50px;border-style:none;margin-left:0px;}#user-form-template-23 #field4 .component-container{margin-top:25px;margin-bottom:35px;margin-right:5px;margin-left:5px;}#user-form-template-23 #field4 .submit-box-container{flex-direction:row;justify-content:center;display:flex;}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field5{width:50%}#user-form-template-23 #field5 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200,200,200,1);box-sizing:border-box;}#user-form-template-23 #field5 .component-container{margin-right:5px;margin-left:40px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field5 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field6{width:50%}#user-form-template-23 #field6 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200,200,200,1);box-sizing:border-box;}#user-form-template-23 #field6 .component-container{margin-right:40px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field6 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field7{width:50%}#user-form-template-23 #field7 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200,200,200,1);}#user-form-template-23 #field7 .component-container{margin-right:5px;margin-left:40px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field7 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field8{width:50%}#user-form-template-23 #field8 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200,200,200,1);box-sizing:border-box;}#user-form-template-23 #field8 .component-container{margin-right:40px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field8 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field9{width:100%}#user-form-template-23 #field9 .element-container{justify-content:center;padding-left:0px;padding-right:0px;padding-top:0px;padding-bottom:0px;}#user-form-template-23 #field9 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field10{width:100%}#user-form-template-23 #field10 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200,200,200,1);}#user-form-template-23 #field10 .component-container{margin-right:308px;margin-left:40px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field10 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field12{width:50%}#user-form-template-23 #field12 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200,200,200,1);box-sizing:border-box;}#user-form-template-23 #field12 .component-container{margin-right:40px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field12 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field13{width:100%}#user-form-template-23 #field13 .element-container{display:none;}#user-form-template-23 #field13 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field14{width:50%}#user-form-template-23 #field14 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200,200,200,1);}#user-form-template-23 #field14 .component-container{margin-right:40px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field14 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}#user-form-template-23{max-width:625px;background-color:rgba(248,248,248,1);margin:auto;padding-top:10px;padding-bottom:10px;padding-left:10px;padding-right:10px;align-items:flex-start;justify-content:space-between;flex-direction:column;box-sizing:border-box;display:flex;opacity:1;border-radius:3px 3px 3px 3px;box-shadow:#E4E4E4 0px 2px 14px 0px;border-width:1px;border-style:none;border-color:#C8C8C8;overflow:hidden;}} @media (max-width: 959px){.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field0{width:100%}#user-form-template-23 #field0 .element-container{opacity:1;margin-bottom:0px;padding-top:0px;border-color:#E9E7E7;font-weight:normal;margin-top:0px;text-align:left;color:rgba(81,80,80,1);font-family:Roboto;padding-left:15px;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200,200,200,1);border-radius:0px 0px 0px 0px;font-style:normal;box-shadow:none;margin-right:0px;padding-right:0px;margin-left:0px;width:100%;padding-bottom:0px;height:42px;border-style:solid;box-sizing:border-box;}#user-form-template-23 #field0 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-23 #field0 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field1{width:100%}#user-form-template-23 #field1 .element-container{opacity:1;margin-bottom:0px;padding-top:0px;border-color:#E9E7E7;font-weight:normal;margin-top:0px;text-align:left;color:rgba(81,80,80,1);font-family:Roboto;padding-left:15px;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200,200,200,1);border-radius:0px 0px 0px 0px;box-shadow:none;margin-right:0px;padding-right:0px;margin-left:0px;width:100%;padding-bottom:0px;height:42px;border-style:solid;box-sizing:border-box;}#user-form-template-23 #field1 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-23 #field1 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field2{width:100%}#user-form-template-23 #field2 .element-container{opacity:1;margin-bottom:0px;padding-top:0px;border-color:#E9E7E7;font-weight:normal;margin-top:0px;text-align:left;color:rgba(81,80,80,1);font-family:Roboto;padding-left:15px;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200,200,200,1);border-radius:0px 0px 0px 0px;font-style:normal;box-shadow:none;margin-right:0px;padding-right:0px;margin-left:0px;width:100%;padding-bottom:0px;height:42px;border-style:solid;box-sizing:border-box;}#user-form-template-23 #field2 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-23 #field2 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field3{width:100%}#user-form-template-23 #field3 .element-container{opacity:1;margin-bottom:0px;padding-top:15px;border-color:#E9E7E7;font-weight:normal;margin-top:0px;text-align:left;color:rgba(81,80,80,1);font-family:Roboto;padding-left:15px;background-color:rgba(255,255,255,1);font-size:13px;box-sizing:border-box;placeholderColor:rgba(200,200,200,1);border-radius:0px 0px 0px 0px;font-style:normal;box-shadow:none;margin-right:0px;border-style:solid;padding-right:0px;width:100%;border-width:1px;padding-bottom:0px;height:75px;resize:none;margin-left:0px;}#user-form-template-23 #field3 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-23 #field3 textarea::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field4{width:100%}#user-form-template-23 #field4 .element-container{opacity:1;margin-bottom:0px;padding-top:0px;border-color:#C8C8C8;font-weight:normal;margin-top:0px;text-align:center;color:rgba(255,255,255,1);font-family:Montserrat;padding-left:0px;background-color:rgba(244,67,54,1);font-size:14px;border-width:1px;border-radius:0px 0px 0px 0px;font-style:normal;box-shadow:none;margin-right:0px;padding-right:0px;width:525px;padding-bottom:0px;submit_box:undefined;height:50px;border-style:none;margin-left:0px;}#user-form-template-23 #field4 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-23 #field4 .submit-box-container{flex-direction:row;justify-content:center;display:flex;}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field5{width:100%}#user-form-template-23 #field5 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200,200,200,1);box-sizing:border-box;}#user-form-template-23 #field5 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field5 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field6{width:100%}#user-form-template-23 #field6 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200,200,200,1);box-sizing:border-box;}#user-form-template-23 #field6 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field6 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field7{width:100%}#user-form-template-23 #field7 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200,200,200,1);}#user-form-template-23 #field7 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field7 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field8{width:100%}#user-form-template-23 #field8 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200,200,200,1);box-sizing:border-box;}#user-form-template-23 #field8 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field8 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field9{width:100%}#user-form-template-23 #field9 .element-container{justify-content:center;padding-left:0px;padding-right:0px;padding-top:0px;padding-bottom:0px;}#user-form-template-23 #field9 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field9 .recaptcha-container{justify-content: center !important}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field10{width:100%}#user-form-template-23 #field10 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200,200,200,1);}#user-form-template-23 #field10 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field10 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field12{width:100%}#user-form-template-23 #field12 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200,200,200,1);box-sizing:border-box;}#user-form-template-23 #field12 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field12 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field13{width:100%}#user-form-template-23 #field13 .element-container{display:none;}#user-form-template-23 #field13 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(81,80,80,1);margin-bottom:5px;margin-top:13px;margin-left:0px;margin-right:0px;font-size:14px;font-family:Montserrat;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:13px !important;margin-bottom:5px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-23 #field14{width:100%}#user-form-template-23 #field14 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:15px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:42px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0,0,0,1);background-color:rgba(255,255,255,1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200,200,200,1);}#user-form-template-23 #field14 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-23 #field14 input::-webkit-input-placeholder {color: rgba(200,200,200,1);}::-moz-placeholder {color: rgba(200,200,200,1);}:-ms-input-placeholder {color: rgba(200,200,200,1);}:-moz-placeholder {color: rgba(200,200,200,1)}#user-form-template-23{max-width:625px;background-color:rgba(248,248,248,1);margin:auto;padding-top:10px;padding-bottom:10px;padding-left:10px;padding-right:10px;align-items:flex-start;justify-content:space-between;flex-direction:column;box-sizing:border-box;display:flex;border-radius:3px 3px 3px 3px;box-shadow:#E4E4E4 0px 2px 14px 0px;border-width:1px;border-style:none;border-color:#C8C8C8;overflow:hidden;opacity:1;}.g-recaptcha{transform:scale(0.5);-webkit-transform:scale(0.5);}}

checkFields = function () {var inputs = document.getElementById(“user-form-template-23”).getElementsByTagName(“input”);var textareas = document.getElementById(“user-form-template-23”).getElementsByTagName(“textarea”);var selects = document.getElementById(“user-form-template-23”).getElementsByTagName(“select”);for(var i = 0; i < inputs.length; i++){if(!inputs[i].checkValidity() && !inputs[i].classList.contains("invalid")){inputs[i].classList.add("invalid");if(inputs[i].type === "radio" || inputs[i].type === "checkbox"){if(inputs[i].nextSibling.localName === "label" && !inputs[i].nextSibling.classList.contains("invalid")){inputs[i].nextSibling.classList.add("invalid");}}} else if (inputs[i].checkValidity() && inputs[i].classList.contains("invalid")){inputs[i].classList.remove("invalid");if(inputs[i].type === "radio" || inputs[i].type === "checkbox"){if(inputs[i].nextSibling.localName === "label"){inputs[i].nextSibling.classList.remove("invalid");}}}}for(var j = 0; j < textareas.length; j++){if(!textareas[j].checkValidity() && !textareas[j].classList.contains("invalid")){textareas[j].classList.add("invalid");} else if (textareas[j].checkValidity() && textareas[j].classList.contains("invalid")){textareas[j].classList.remove("invalid");}}for(var k = 0; k < selects.length; k++){if(!selects[k].checkValidity() && !selects[k].classList.contains("invalid")){selects[k].classList.add("invalid");} else if (selects[k].checkValidity() && !selects[k].classList.contains("invalid")){selects[k].classList.remove("invalid");}}};var userFormTemplate = document.getElementById("user-form-template-23");userFormTemplate.addEventListener("submit", function (event) {if(!event.target.checkValidity()){checkFields();}if (!event.target.checkValidity()) {event.preventDefault();}}, false);
getRequiredCheckboxes=function(){for(var a=document.getElementById("user-form-template-23").getElementsByTagName("input"),b=[],c=0;c<a.length;c++)"checkbox"===a[c].type&&!0===a[c].required&&b.push(a[c]);return b},setAllCheckboxesRequiredOrNot=function(a,b){for(var c=document.getElementById("user-form-template-23").getElementsByTagName("input"),d=0;d<c.length;d++)"checkbox"===c[d].type&&c[d].name===b&&(a?c[d].removeAttribute("required"):c[d].setAttribute("required","required"))},checkIfCheckboxesAreChecked=function(a){for(var b=[],c=document.getElementsByTagName("input"),d=0;d0},checkRequiredCheckboxes=function(a){if(a.length>0)for(var b=0;b<a.length;b++)a[b].addEventListener("change",function(a){var b=a.target;checkIfCheckboxesAreChecked(b.name)?setAllCheckboxesRequiredOrNot(!0,b.name):setAllCheckboxesRequiredOrNot(!1,b.name)})};var requiredCheckboxes=getRequiredCheckboxes();checkRequiredCheckboxes(requiredCheckboxes);
var recaptchaValid = false; var formID = 23; function recaptchaCallback(){recaptchaValid = true; var recaptchaElement = document.getElementById(“user-form-template-23”).getElementsByClassName(“g-recaptcha”);if(recaptchaElement[0].classList.contains(“invalid”)){recaptchaElement[0].classList.remove(“invalid”);}}var userFormTemplate = document.getElementById(“user-form-template-23”);userFormTemplate.addEventListener(“submit”, function (event) {if (!recaptchaValid) {event.preventDefault();var recaptchaElement = document.getElementById(“user-form-template-23”).getElementsByClassName(“g-recaptcha”);recaptchaElement[0].classList.add(“invalid”);}}, false);