<style><!-- [et_pb_line_break_holder] --> @import url(https://fonts.googleapis.com/css?family=Roboto);<!-- [et_pb_line_break_holder] --> #ll-form *{<!-- [et_pb_line_break_holder] --> margin: 0;<!-- [et_pb_line_break_holder] --> padding: 0;<!-- [et_pb_line_break_holder] --> border: 0;<!-- [et_pb_line_break_holder] --> font-size: 100%;<!-- [et_pb_line_break_holder] --> font: inherit;<!-- [et_pb_line_break_holder] --> vertical-align: baseline;<!-- [et_pb_line_break_holder] --> font-family: 'Roboto', sans-serif;<!-- [et_pb_line_break_holder] --> box-sizing: border-box;<!-- [et_pb_line_break_holder] --> text-align: center;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form input::after,<!-- [et_pb_line_break_holder] --> #ll-form input::before,<!-- [et_pb_line_break_holder] --> #ll-form select::after,<!-- [et_pb_line_break_holder] --> #ll-form select::before,<!-- [et_pb_line_break_holder] --> #ll-form textarea::after,<!-- [et_pb_line_break_holder] --> #ll-form textarea::before,<!-- [et_pb_line_break_holder] --> #ll-form *::after,<!-- [et_pb_line_break_holder] --> #ll-form *::before {<!-- [et_pb_line_break_holder] --> box-sizing: border-box;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form{<!-- [et_pb_line_break_holder] --> max-width: 500px;<!-- [et_pb_line_break_holder] --> background-color: #ffffff;<!-- [et_pb_line_break_holder] --> box-shadow: 0 2px 2px 0 rgba(0,0,0,.07),0 3px 1px -2px rgba(0,0,0,.15),0 1px 5px 0 rgba(0,0,0,.12);<!-- [et_pb_line_break_holder] --> border-radius: 2px;<!-- [et_pb_line_break_holder] --> margin-bottom:20px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form #ll-logo{<!-- [et_pb_line_break_holder] --> float: right;<!-- [et_pb_line_break_holder] --> padding: 10px 20px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .ll-form-header{<!-- [et_pb_line_break_holder] --> font-size: 18px;<!-- [et_pb_line_break_holder] --> color: #b3b3b3;<!-- [et_pb_line_break_holder] --> padding: 20px 20px 0px 20px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .ll-form-content{<!-- [et_pb_line_break_holder] --> padding: 0px 20px 20px 20px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-radio,<!-- [et_pb_line_break_holder] --> #ll-form .form-group {<!-- [et_pb_line_break_holder] --> position: relative;<!-- [et_pb_line_break_holder] --> margin-top: 36px;<!-- [et_pb_line_break_holder] --> margin-bottom: 36px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group.required:after,<!-- [et_pb_line_break_holder] --> #ll-form .checkbox.required:after{<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> top: -5px;<!-- [et_pb_line_break_holder] --> right: 0px;<!-- [et_pb_line_break_holder] --> content: '*';<!-- [et_pb_line_break_holder] --> color: red;<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group input {<!-- [et_pb_line_break_holder] --> height: 31px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea {<!-- [et_pb_line_break_holder] --> resize: none;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group select {<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> font-size: 16px;<!-- [et_pb_line_break_holder] --> height: 25px;<!-- [et_pb_line_break_holder] --> padding: 2px 2px 1px;<!-- [et_pb_line_break_holder] --> background: none;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] --> line-height: 1.6;<!-- [et_pb_line_break_holder] --> box-shadow: none;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group .control-label {<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> top: 4px;<!-- [et_pb_line_break_holder] --> pointer-events: none;<!-- [et_pb_line_break_holder] --> padding-left: 2px;<!-- [et_pb_line_break_holder] --> z-index: 1;<!-- [et_pb_line_break_holder] --> color: #b3b3b3;<!-- [et_pb_line_break_holder] --> font-size: 16px;<!-- [et_pb_line_break_holder] --> font-weight: normal;<!-- [et_pb_line_break_holder] --> -webkit-transition: all 0.28s ease;<!-- [et_pb_line_break_holder] --> transition: all 0.28s ease;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group .bar {<!-- [et_pb_line_break_holder] --> position: relative;<!-- [et_pb_line_break_holder] --> border-bottom: 1px solid #999;<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group .bar::before {<!-- [et_pb_line_break_holder] --> content: '';<!-- [et_pb_line_break_holder] --> height: 2px;<!-- [et_pb_line_break_holder] --> width: 0;<!-- [et_pb_line_break_holder] --> left: 50%;<!-- [et_pb_line_break_holder] --> bottom: -1px;<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> background: #337ab7;<!-- [et_pb_line_break_holder] --> -webkit-transition: left 0.28s ease, width 0.28s ease;<!-- [et_pb_line_break_holder] --> transition: left 0.28s ease, width 0.28s ease;<!-- [et_pb_line_break_holder] --> z-index: 2;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group input,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea {<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> background: none;<!-- [et_pb_line_break_holder] --> padding: 2px 2px 1px;<!-- [et_pb_line_break_holder] --> font-size: 16px;<!-- [et_pb_line_break_holder] --> border-width: 0;<!-- [et_pb_line_break_holder] --> border-color: transparent;<!-- [et_pb_line_break_holder] --> line-height: 1.9;<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> color: transparent;<!-- [et_pb_line_break_holder] --> -webkit-transition: all 0.28s ease;<!-- [et_pb_line_break_holder] --> transition: all 0.28s ease;<!-- [et_pb_line_break_holder] --> box-shadow: none;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group input[type="file"] {<!-- [et_pb_line_break_holder] --> line-height: 1;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group input[type="file"] ~ .bar {<!-- [et_pb_line_break_holder] --> display: none;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group select,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input:focus,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input:valid,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input.form-file,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input.has-value,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea:focus,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea:valid,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea.form-file,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea.has-value {<!-- [et_pb_line_break_holder] --> color: #333;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group select ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input:focus ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input:valid ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input.form-file ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input.has-value ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea:focus ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea:valid ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea.form-file ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea.has-value ~ .control-label {<!-- [et_pb_line_break_holder] --> font-size: 13px;<!-- [et_pb_line_break_holder] --> color: gray;<!-- [et_pb_line_break_holder] --> top: -16px;<!-- [et_pb_line_break_holder] --> left: 0;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group select:focus,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input:focus,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea:focus {<!-- [et_pb_line_break_holder] --> outline: none;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group select:focus ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input:focus ~ .control-label,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea:focus ~ .control-label {<!-- [et_pb_line_break_holder] --> color: #337ab7;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .form-group select:focus ~ .bar::before,<!-- [et_pb_line_break_holder] --> #ll-form .form-group input:focus ~ .bar::before,<!-- [et_pb_line_break_holder] --> #ll-form .form-group textarea:focus ~ .bar::before {<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> left: 0;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox label,<!-- [et_pb_line_break_holder] --> #ll-form .form-radio label {<!-- [et_pb_line_break_holder] --> position: relative;<!-- [et_pb_line_break_holder] --> cursor: pointer;<!-- [et_pb_line_break_holder] --> padding-left: 32px;<!-- [et_pb_line_break_holder] --> text-align: left;<!-- [et_pb_line_break_holder] --> color: #333;<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox input,<!-- [et_pb_line_break_holder] --> #ll-form .form-radio input {<!-- [et_pb_line_break_holder] --> width: auto;<!-- [et_pb_line_break_holder] --> opacity: 0.00000001;<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> left: 0;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .radio {<!-- [et_pb_line_break_holder] --> margin-bottom: 16px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .radio .helper {<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> top: -4px;<!-- [et_pb_line_break_holder] --> left: -4px;<!-- [et_pb_line_break_holder] --> cursor: pointer;<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> font-size: 16px;<!-- [et_pb_line_break_holder] --> -webkit-user-select: none;<!-- [et_pb_line_break_holder] --> -moz-user-select: none;<!-- [et_pb_line_break_holder] --> -ms-user-select: none;<!-- [et_pb_line_break_holder] --> user-select: none;<!-- [et_pb_line_break_holder] --> color: #999;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .radio .helper::before, .radio .helper::after {<!-- [et_pb_line_break_holder] --> content: '';<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> left: 0;<!-- [et_pb_line_break_holder] --> top: 0;<!-- [et_pb_line_break_holder] --> margin: 4px;<!-- [et_pb_line_break_holder] --> width: 16px;<!-- [et_pb_line_break_holder] --> height: 16px;<!-- [et_pb_line_break_holder] --> -webkit-transition: -webkit-transform 0.28s ease;<!-- [et_pb_line_break_holder] --> transition: -webkit-transform 0.28s ease;<!-- [et_pb_line_break_holder] --> transition: transform 0.28s ease;<!-- [et_pb_line_break_holder] --> transition: transform 0.28s ease, -webkit-transform 0.28s ease;<!-- [et_pb_line_break_holder] --> border-radius: 50%;<!-- [et_pb_line_break_holder] --> border: 2px solid currentColor;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .radio .helper::after {<!-- [et_pb_line_break_holder] --> -webkit-transform: scale(0);<!-- [et_pb_line_break_holder] --> transform: scale(0);<!-- [et_pb_line_break_holder] --> background-color: #337ab7;<!-- [et_pb_line_break_holder] --> border-color: #337ab7;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .radio label:hover .helper {<!-- [et_pb_line_break_holder] --> color: #337ab7;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .radio input:checked ~ .helper::after {<!-- [et_pb_line_break_holder] --> -webkit-transform: scale(0.5);<!-- [et_pb_line_break_holder] --> transform: scale(0.5);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .radio input:checked ~ .helper::before {<!-- [et_pb_line_break_holder] --> color: #337ab7;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox {<!-- [et_pb_line_break_holder] --> margin-top: 48px;<!-- [et_pb_line_break_holder] --> margin-bottom: 16px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox .helper {<!-- [et_pb_line_break_holder] --> color: #999;<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> top: 0;<!-- [et_pb_line_break_holder] --> left: 0;<!-- [et_pb_line_break_holder] --> width: 16px;<!-- [et_pb_line_break_holder] --> height: 16px;<!-- [et_pb_line_break_holder] --> z-index: 0;<!-- [et_pb_line_break_holder] --> border: 2px solid currentColor;<!-- [et_pb_line_break_holder] --> border-radius: 1px;<!-- [et_pb_line_break_holder] --> -webkit-transition: border-color 0.28s ease;<!-- [et_pb_line_break_holder] --> transition: border-color 0.28s ease;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox .helper::before, .checkbox .helper::after {<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> height: 0;<!-- [et_pb_line_break_holder] --> width: 3px;<!-- [et_pb_line_break_holder] --> background-color: #337ab7;<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> -webkit-transform-origin: left top;<!-- [et_pb_line_break_holder] --> transform-origin: left top;<!-- [et_pb_line_break_holder] --> border-radius: 4px;<!-- [et_pb_line_break_holder] --> content: '';<!-- [et_pb_line_break_holder] --> -webkit-transition: opacity 0.28s ease, height 0s linear 0.28s;<!-- [et_pb_line_break_holder] --> transition: opacity 0.28s ease, height 0s linear 0.28s;<!-- [et_pb_line_break_holder] --> opacity: 0;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox .helper::before {<!-- [et_pb_line_break_holder] --> top: 11px;<!-- [et_pb_line_break_holder] --> left: 6px;<!-- [et_pb_line_break_holder] --> -webkit-transform: rotate(-135deg);<!-- [et_pb_line_break_holder] --> transform: rotate(-135deg);<!-- [et_pb_line_break_holder] --> box-shadow: 0 0 0 1px #fff;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox .helper::after {<!-- [et_pb_line_break_holder] --> top: 5px;<!-- [et_pb_line_break_holder] --> left: 0;<!-- [et_pb_line_break_holder] --> -webkit-transform: rotate(-45deg);<!-- [et_pb_line_break_holder] --> transform: rotate(-45deg);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox label:hover .helper {<!-- [et_pb_line_break_holder] --> color: #337ab7;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox input:checked ~ .helper {<!-- [et_pb_line_break_holder] --> color: #337ab7;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox input:checked ~ .helper::after, #ll-form .checkbox input:checked ~ .helper::before {<!-- [et_pb_line_break_holder] --> opacity: 1;<!-- [et_pb_line_break_holder] --> -webkit-transition: height 0.28s ease;<!-- [et_pb_line_break_holder] --> transition: height 0.28s ease;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox input:checked ~ .helper::after {<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> height: 8px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .checkbox input:checked ~ .helper::before {<!-- [et_pb_line_break_holder] --> height: 19px;<!-- [et_pb_line_break_holder] --> -webkit-transition-delay: 0.28s;<!-- [et_pb_line_break_holder] --> transition-delay: 0.28s;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .radio + .radio,<!-- [et_pb_line_break_holder] --> #ll-form .checkbox + .checkbox {<!-- [et_pb_line_break_holder] --> margin-top: 16px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .has-error .legend.legend,#ll-form .has-error.form-group .control-label.control-label {<!-- [et_pb_line_break_holder] --> color: #d9534f;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .has-error.form-group .form-help,<!-- [et_pb_line_break_holder] --> #ll-form .has-error.form-group .helper, #ll-form .has-error.checkbox .form-help,<!-- [et_pb_line_break_holder] --> #ll-form .has-error.checkbox .helper, #ll-form .has-error.radio .form-help,<!-- [et_pb_line_break_holder] --> #ll-form .has-error.radio .helper, #ll-form .has-error.form-radio .form-help,<!-- [et_pb_line_break_holder] --> #ll-form .has-error.form-radio .helper {<!-- [et_pb_line_break_holder] --> color: #d9534f;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .has-error .bar::before {<!-- [et_pb_line_break_holder] --> background: #d9534f;<!-- [et_pb_line_break_holder] --> left: 0;<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form .button-container{<!-- [et_pb_line_break_holder] --> text-align: center;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form #submit-form {<!-- [et_pb_line_break_holder] --> position: relative;<!-- [et_pb_line_break_holder] --> background: #4f93ce;<!-- [et_pb_line_break_holder] --> border: 1px solid #4f93ce;<!-- [et_pb_line_break_holder] --> font-size: 16px;<!-- [et_pb_line_break_holder] --> color: #fff;<!-- [et_pb_line_break_holder] --> margin: 20px 0;<!-- [et_pb_line_break_holder] --> height: auto;<!-- [et_pb_line_break_holder] --> padding: 12px 48px;<!-- [et_pb_line_break_holder] --> cursor: pointer;<!-- [et_pb_line_break_holder] --> border-radius: 2px;<!-- [et_pb_line_break_holder] --> -webkit-transition: background-color 0.28s ease, color 0.28s ease, box-shadow 0.28s ease;<!-- [et_pb_line_break_holder] --> transition: background-color 0.28s ease, color 0.28s ease, box-shadow 0.28s ease;<!-- [et_pb_line_break_holder] --> overflow: hidden;<!-- [et_pb_line_break_holder] --> box-shadow: 0 2px 2px 0 rgba(0, 0, 0, 0.14), 0 3px 1px -2px rgba(0, 0, 0, 0.2), 0 1px 5px 0 rgba(0, 0, 0, 0.12);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form #submit-form span {<!-- [et_pb_line_break_holder] --> color: #fff;<!-- [et_pb_line_break_holder] --> position: relative;<!-- [et_pb_line_break_holder] --> z-index: 1;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form #submit-form::before {<!-- [et_pb_line_break_holder] --> content: '';<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> background: #071017;<!-- [et_pb_line_break_holder] --> border: 50vh solid #1d4567;<!-- [et_pb_line_break_holder] --> width: 30vh;<!-- [et_pb_line_break_holder] --> height: 30vh;<!-- [et_pb_line_break_holder] --> border-radius: 50%;<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> top: 50%;<!-- [et_pb_line_break_holder] --> left: 50%;<!-- [et_pb_line_break_holder] --> z-index: 0;<!-- [et_pb_line_break_holder] --> opacity: 1;<!-- [et_pb_line_break_holder] --> -webkit-transform: translate(-50%, -50%) scale(0);<!-- [et_pb_line_break_holder] --> transform: translate(-50%, -50%) scale(0);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form #submit-form:hover {<!-- [et_pb_line_break_holder] --> color: #fff;<!-- [et_pb_line_break_holder] --> box-shadow: 0 6px 10px 0 rgba(0, 0, 0, 0.14), 0 1px 18px 0 rgba(0, 0, 0, 0.12), 0 3px 5px -1px rgba(0, 0, 0, 0.2);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form #submit-form:active::before,#ll-form #submit-form:focus::before {<!-- [et_pb_line_break_holder] --> -webkit-transition: opacity 0.28s ease 0.364s, -webkit-transform 1.12s ease;<!-- [et_pb_line_break_holder] --> transition: opacity 0.28s ease 0.364s, -webkit-transform 1.12s ease;<!-- [et_pb_line_break_holder] --> transition: transform 1.12s ease, opacity 0.28s ease 0.364s;<!-- [et_pb_line_break_holder] --> transition: transform 1.12s ease, opacity 0.28s ease 0.364s, -webkit-transform 1.12s ease;<!-- [et_pb_line_break_holder] --> -webkit-transform: translate(-50%, -50%) scale(1);<!-- [et_pb_line_break_holder] --> transform: translate(-50%, -50%) scale(1);<!-- [et_pb_line_break_holder] --> opacity: 0;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #ll-form #submit-form:focus {<!-- [et_pb_line_break_holder] --> outline: none;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><div id="ll-form"><!-- [et_pb_line_break_holder] --> <div id="ll-logo"><!-- [et_pb_line_break_holder] --> <img src="https://rosyjskizpasja.langlion.com/images/langlion/logo_logowanie_small.png" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="ll-form-header">Formularz rejestracji </div><!-- [et_pb_line_break_holder] --> <div class="ll-form-content"><!-- [et_pb_line_break_holder] --> <form action="https://rosyjskizpasja.langlion.com/registration/registrate" method="post" id="fieldsForm"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="lang" id="lang" value="pl_PL" /> <input type="hidden" name="registrationFormId" id="registrationFormId" value="3" /> <input type="hidden" name="school_id" id="school_id" value="1" /> <div class="form-group required"><!-- [et_pb_line_break_holder] --> <input type="text" name="name" id="name" value="" class="required autofocus" special="Imię" /> <label for="input" class="control-label">Imię</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group required"><!-- [et_pb_line_break_holder] --> <input type="text" name="lastName" id="lastName" value="" class="required" special="Nazwisko" /> <label for="input" class="control-label">Nazwisko</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group required"><!-- [et_pb_line_break_holder] --> <input type="text" name="mobile" id="mobile" value="" class="not-required required" special="Tel. komórkowy" /> <label for="input" class="control-label">Tel. komórkowy</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group required"><!-- [et_pb_line_break_holder] --> <input type="text" name="email" id="email" value="" class="not-required email required" special="Adres e-mail" /> <label for="input" class="control-label">Adres e-mail</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group "><!-- [et_pb_line_break_holder] --> <input type="text" name="city" id="city" value="" class="not-required" special="Miejscowość" /> <label for="input" class="control-label">Miejscowość</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group "><!-- [et_pb_line_break_holder] --> <input type="text" name="birthDate" id="birthDate" value="" class="not-required datepicker date" datepickerOptions="{ "changeYear": true, "yearRange": "1900:2021"}" autocomplete="off" special="Data urodzenia" /> <label for="input" class="control-label">Data urodzenia</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group "><!-- [et_pb_line_break_holder] --> <input type="text" name="customField14" id="customField14" value="" class="not-required" special="Национальность" /> <label for="input" class="control-label">Национальность</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group "><!-- [et_pb_line_break_holder] --> <select name="customField11" id="customField11" class="" special="Oриентировочный уровень"><option value=""></option><!-- [et_pb_line_break_holder] --><option value="10">Полностью с нуля (А0)</option><!-- [et_pb_line_break_holder] --><option value="11">Начальный (А1-А2)</option><!-- [et_pb_line_break_holder] --><option value="12">Средний (B1)</option><!-- [et_pb_line_break_holder] --></select> <label for="input" class="control-label">Oриентировочный уровень</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group "><!-- [et_pb_line_break_holder] --> <select name="customField12" id="customField12" class="" special="Режим обучения"><option value=""></option><!-- [et_pb_line_break_holder] --><option value="13">Индивидуальное обучение</option><!-- [et_pb_line_break_holder] --><option value="14">Занятия в группе</option><!-- [et_pb_line_break_holder] --><option value="15">Уроки для пар</option><!-- [et_pb_line_break_holder] --></select> <label for="input" class="control-label">Режим обучения</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group "><!-- [et_pb_line_break_holder] --> <textarea name="customField16" id="customField16" class="not-required" special="Комментарий"></textarea> <label for="input" class="control-label">Комментарий</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="form-group "><!-- [et_pb_line_break_holder] --> <textarea name="customField17" id="customField17" class="not-required" special="Откуда о нас узнали"></textarea> <label for="input" class="control-label">Откуда о нас узнали</label><i class="bar"></i><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="button-container"><!-- [et_pb_line_break_holder] --> <input type="submit" name="commit" value="Zapisz" id="submit-form" class="button" /> </div><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div>