Bienvenido A La Página de contactos
Rhema En Ecuador
Rhema En Ecuador hace disponible, la Santa Biblia de estudio Version Recobro y mas los siete libros cristianos gratuitos.
Es nuestro deseo que estas ediciones, Físicas como electrónicos en formato de PDF sean distribuidos de una manera masiva y que se propaguen, no solo en Ecuador de una manera extensamente. sino también que se se propague
por toda la tierra y alcancen a todos aquellos que buscan conocer a Dios y Su propósito, independientemente de su nacionalidad o idioma.
Contactos directos, si se encuentra en cualquiera de las provincias dentro del Ecuador
por: Wassp, 
para mayor información en la portal de esta misma pagina en contacto en las redes sociales.
,
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text-align: center;
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.form-label {
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li[data-type="control_image"] div {
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li[data-type="control_image"] img {
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margin: 0;
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color: #fff;
display: inline-block;
right: 0;
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position: absolute!important;
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top: 0px;
line-height: 20px;
color: #FFF;
background: #ff3200;
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bottom: auto;
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margin-top: auto;
margin-top: initial;
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display: none;
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border: 0;
width: 94%!important;
max-width: initial;
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.form-sub-label-container {
width: 100%;
margin: 0;
margin-right: 0;
float: left;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
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margin-right: 0;
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.form-sub-label {
white-space: normal;
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.form-address-table td,
.form-address-table th {
padding: 0 1px 10px;
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.form-submit-button,
.form-submit-print,
.form-submit-reset {
width: 100%;
margin-left: 0!important;
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font-size: 14px;
font-weight: 700;
height: 8px;
margin-top: 6px;
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.showAutoCalendar {
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height: 100%;
display: inline-block;
width: 100%;
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.form-collapse-hidden {
display: none !important;
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.form-input {
width: 100%;
}
.form-label {
width: 100% !important;
}
.form-label-left,
.form-label-right {
display: block;
float: none;
text-align: left;
width: auto!important;
}
.form-line,
.form-line.form-line-column {
padding: 2% 5%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
input[type=text],
input[type=email],
input[type=tel],
textarea {
width: 100%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
max-width: initial !important;
}
.form-dropdown,
.form-textarea,
.form-textbox {
width: 100%!important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-input,
.form-input-wide,
.form-textarea,
.form-textbox,
.form-dropdown {
max-width: initial!important;
}
.form-address-city,
.form-address-line,
.form-address-postal,
.form-address-state,
.form-address-table,
.form-address-table .form-sub-label-container,
.form-address-table select,
.form-input {
width: 100%;
}
div.form-header-group {
padding: 24px 36px !important;
padding-left: 5%!important;
padding-right: 5%!important;
margin: 0 12px 2% !important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
div.form-header-group.hasImage img {
max-width: 100%;
}
[data-type="control_button"] {
margin-bottom: 0 !important;
}
[data-type=control_fullname] .form-sub-label-container {
width: 48%;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right: 4%;
}
[data-type=control_phone] .form-sub-label-container {
width: 65%;
}
[data-type=control_phone] .form-sub-label-container:first-child {
width: 31%;
margin-right: 4%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container,
[data-type=control_datetime] .form-sub-label-container:first-child {
width: 27.3%;
margin-right: 6%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
width: 33.3%;
margin-right: 0;
}
[data-type=control_datetime] span + span + span > span:first-child {
display: block;
width: 100% !important;
}
[data-type=control_birthdate] .form-sub-label-container,
[data-type=control_datetime] span + span + span > span:first-child + span + span,
[data-type=control_time] .form-sub-label-container {
width: 27.3%!important;
margin-right: 6% !important;
}
[data-type=control_birthdate] .form-sub-label-container:last-child,
[data-type=control_time] .form-sub-label-container:last-child {
width: 33.3%!important;
margin-right: 0 !important;
}
.form-pagebreak-back-container,
.form-pagebreak-next-container {
width: 50% !important;
}
.form-pagebreak-back,
.form-pagebreak-next,
.form-product-item.hover-product-item {
width: 100%;
}
.form-pagebreak-back-container {
padding: 0;
text-align: right;
}
.form-pagebreak-next-container {
padding: 0;
text-align: left;
}
.form-pagebreak {
margin: 0 auto;
}
.form-buttons-wrapper {
margin: 0!important;
margin-left: 0!important;
}
.form-buttons-wrapper button {
width: 100%;
}
.form-buttons-wrapper .form-submit-print {
margin: 0 !important;
}
table {
width: 100%!important;
max-width: initial!important;
}
table td + td {
padding-left: 3%;
}
.form-checkbox-item,
.form-radio-item {
white-space: normal!important;
}
.form-checkbox-item input,
.form-radio-item input {
width: auto;
}
.form-collapse-table {
margin: 0 5%;
display: block;
zoom: 1;
width: auto;
}
.form-collapse-table:before,
.form-collapse-table:after {
display: table;
content: '';
line-height: 0;
}
.form-collapse-table:after {
clear: both;
}
.fb-like-box {
width: 98% !important;
}
.form-error-message {
clear: both;
bottom: -10px;
}
.date-separate,
.phone-separate {
display: none;
}
.custom-field-frame,
.direct-embed-widgets,
.signature-pad-wrapper {
width: 100% !important;
}
}
/* | */
/*PREFERENCES STYLE*/
.form-all {
font-family: Roboto, sans-serif;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-family: Roboto, sans-serif;
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-family: Roboto, sans-serif;
}
.form-header-group {
font-family: Roboto, sans-serif;
}
.form-label {
font-family: Roboto, sans-serif;
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
.form-line {
margin-top: 12px;
margin-bottom: 12px;
}
.form-all {
max-width: 480px;
width: 100%;
}
.form-label.form-label-left,
.form-label.form-label-right,
.form-label.form-label-left.form-label-auto,
.form-label.form-label-right.form-label-auto {
width: 150px;
}
.form-all {
font-size: 14px
}
.form-all .qq-upload-button,
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 14px
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-size: 14px
}
.supernova .form-all, .form-all {
background-color: #b8e986;
}
.form-all {
color: rgb(0, 65, 104);
}
.form-header-group .form-header {
color: rgb(2, 78, 126);
}
.form-header-group .form-subHeader {
color: rgb(0, 65, 104);
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html,
.form-checkbox-item label,
.form-radio-item label,
span.FITB .qb-checkbox-label,
span.FITB .qb-radiobox-label,
span.FITB .form-radio label,
span.FITB .form-checkbox label,
[data-blotid][data-type=checkbox] [data-labelid],
[data-blotid][data-type=radiobox] [data-labelid],
span.FITB-inptCont[data-type=checkbox] label,
span.FITB-inptCont[data-type=radiobox] label {
color: rgb(0, 65, 104);
}
.form-sub-label {
color: 1a1a1a;
}
.supernova {
background-color: #f5f5f5;
}
.supernova body {
background: transparent;
}
.form-textbox,
.form-textarea,
.form-dropdown,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
background-color: rgba(241, 241, 241, 0);
}
.supernova {
height: 100%;
background-repeat: repeat;
background-attachment: scroll;
background-position: center top;
}
.supernova {
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b265c946ceb5.94237799.jpg");
}
#stage {
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b265c946ceb5.94237799.jpg");
}
.form-all {
background-image: url("https://cms.interlogy.com/uploads/image_upload/image_upload/global/6461_clouds.jpg");
background-repeat: repeat;
background-attachment: scroll;
background-position: center top;
}
.form-all {
position: relative;
}
.form-all:before {
content: "";
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b262a05dab56.71927843.jpg");
display: inline-block;
height: 140px;
position: absolute;
background-size: 140px 140px;
background-repeat: no-repeat;
width: 100%;
}
.form-all {
margin-top: 150px !important;
}
.form-all:before {
top: -150px;
background-position: top center;
left: 0;
}
.ie-8 .form-all:before { display: none; }
.ie-8 {
margin-top: auto;
margin-top: initial;
}
/*PREFERENCES STYLE*//*__INSPECT_SEPERATOR__*/
/*---------------------
Theme: Generic Theme
Author: Elton Cris - idarktech@jotform.com
www.jotform.com
----------------------*/
.form-all {
-moz-box-sizing : border-box;
-webkit-box-sizing : border-box;
box-sizing : border-box;
}
[data-type="control_head"] {
padding-bottom : 20px;
}
/*responsive fields*/
[data-type="control_textbox"] .form-textbox,
[data-type="control_fullname"] .form-textbox,
[data-type="control_email"] .form-textbox,
[data-type="control_textarea"] .form-textarea,
[data-type="control_dropdown"] .form-dropdown {
width : 100% !important;
max-width : none !important;
}
.form-textbox, .form-textarea, .form-dropdown {
max-width : none !important;
box-shadow : none;
outline : none;
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
font-family : inherit;
box-shadow : 1px 1px 2px #ccc;
padding : 7px 5px !important;
}
.form-textarea-limit>span {
display : block;
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
width : 100%;
}
/*input focus*/
.form-line-active input:focus, .form-line-active textarea:focus, .form-line-active select:focus {
box-shadow : none;
}
/*reset error*/
.form-line-error {
box-shadow : none;
}
/*input error*/
.form-line-error input:not(#coupon-input), .form-line-error textarea, .form-line-error select, .form-line-error .form-validation-error {
border : 1px solid #e15353 !important;
box-shadow : none !important;
}
.form-line-active {
color : inherit !important;
}
/*responsive content -wide or shrink*/
.form-label {
width : 35% !important;
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
}
.form-label-top {
width : 100% !important;
}
.form-line {
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
width : 100%;
}
.form-checkbox-other-input {
width : 80% !important;
}
.form-input {
width : 65% !important;
max-width : none !important;
}
.form-input-wide {
max-width : none !important;
display : inline-block;
width : 100%;
}
/*single fields with sublabels*/
[data-type="control_textbox"] .form-input-wide .form-sub-label-container,
[data-type="control_fullname"] .form-input-wide .form-sub-label-container,
[data-type="control_email"] .form-input-wide .form-sub-label-container,
[data-type="control_textarea"] .form-input-wide .form-sub-label-container,
[data-type="control_dropdown"] .form-input-wide .form-sub-label-container,
[data-type="control_textbox"] .form-input .form-sub-label-container,
[data-type="control_fullname"] .form-input .form-sub-label-container,
[data-type="control_email"] .form-input .form-sub-label-container,
[data-type="control_textarea"] .form-input .form-sub-label-container,
[data-type="control_dropdown"] .form-input .form-sub-label-container {
width : 100%;
max-width : none !important;
}
[data-type="control_dropdown"] .form-input-wide {
width : 100%;
}
/*responsive full name*/
[data-type="control_fullname"] .form-sub-label-container {
width : 50% !important;
margin : 0;
float : left;
box-sizing : border-box;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container {
display : inline-block;
padding-right : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
margin-right : 0;
padding-right : 0;
padding-left : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
margin-right : 0;
padding-right : 0;
padding-left : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-left : 0;
padding-right : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-left : 5px;
padding-right : 0;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-right : 5px;
padding-left : 0;
}
#sublabel_prefix, #sublabel_first, #sublabel_middle {
/*margin-bottom : 10px;
*/;
}
/*remove sepatators on date and phone*/
.phone-separate, .date-separate {
display : none;
}
/*responsive phone fields*/
[data-type="control_phone"] input[name$="[area]"] {
width : 100%;
}
[data-type="control_phone"] input[name$="[phone]"] {
width : 100%;
}
[data-type="control_phone"] input[name$="[full]"] {
width : 100%;
}
[data-type="control_phone"] .form-sub-label-container {
width : 40%;
float : left;
box-sizing : border-box;
margin-right : 0;
padding-right : 12px;
}
/* responsive date time field */
[data-type="control_datetime"] .form-textbox,
[data-type="control_datetime"] .form-dropdown {
width : 100%;
}
[data-type="control_datetime"] .form-sub-label-container {
width : 28%;
padding-left : 4px;
box-sizing : border-box;
margin-right : 0;
}
[data-type="control_datetime"] .form-sub-label-container:first-child {
padding-left : 0;
}
[data-type="control_datetime"] .form-sub-label-container:first-child + .form-sub-label-container + .form-sub-label-container {
padding-right : 0;
}
[data-type="control_datetime"] .form-sub-label-container:last-child {
width : auto !important;
}
.allowTime-container .form-sub-label-container:last-child {
width : 20% !important;
}
span.allowTime-container {
width : 80%;
padding-top : 14px;
}
.allowTime-container span.form-sub-label-container {
width : 35%;
}
span.allowTime-container .form-dropdown {
width : 100%;
}
span.allowTime-container > span:first-child {
display : none;
}
span.allowTime-container > span:first-child + span {
padding-left : 0;
}
.showAutoCalendar + label {
display : none;
}
span.allowTime-container + span {
padding-top : 14px;
}
/*calendar lite mode*/
[data-type="control_datetime"] div[style*="none"] + .form-sub-label-container {
width : 84%;
padding-left : 0;
}
/*responsive phone field*/
[data-type="control_phone"] .form-sub-label-container + .form-sub-label-container {
width : 60%;
margin-right : 0;
padding-right : 0;
padding-left : 12px;
}
/*responsive full address fields*/
.form-address-city, .form-address-line, .form-address-postal,
.form-address-state, .form-address-table,
.form-address-table .form-sub-label-container, .form-address-table select {
width : 100%;
max-width : 100%;
}
[data-type="control_address"] input[name$="[city]"],
[data-type="control_address"] input[name$="[postal]"] {
width : 90% !important;
}
[data-type="control_address"] input[name$="[area]"] {
width : 60%;
}
/*reset submit button*/
[data-type="control_button"] {
background : transparent !important;
}
.form-submit-button,
.form-submit-reset,
.form-submit-print {
outline : none;
}
/*remove other checkbox*/
.form-checkbox-other,
.form-radio-other {
visibility : hidden !important;
}
/*shruken fields*/
.form-line-column {
width : 50%;
}
.form-line-column .form-label-top {
width : 100% !important;
}
/*fix form builder display*/
div#stage.form-all {
max-width : none !important;
margin-right : 0;
}
div#stage .form-input {
width : 64% !important;
}
/*remove first pagebreak back button*/
.form-all .page-section:first-child .form-pagebreak .form-pagebreak-back-container {
display : none !important;
}
/* responsive pagebreak */
.form-pagebreak-back-container {
width : 50% !important;
text-align : left;
box-sizing : border-box;
-webkit-box-sizing : border-box;
float : left;
}
.form-pagebreak-next-container {
width : 50% !important;
text-align : right;
box-sizing : border-box;
-webkit-box-sizing : border-box;
float : left;
}
/* radio-checkbox button make border 1px */
.form-radio-item:not(#foo) label:after,
.form-radio-item:not(#foo) label:before {
border-radius : 50%;
}
.form-checkbox-item:not(#foo) label:after,
.form-checkbox-item:not(#foo) label:before {
border-radius : 0;
}
.form-radio-item:not(#foo) label:before,
.form-checkbox-item:not(#foo) label:before {
border-width : 1px;
}
/*responsive credit card on payment fields*/
table td + td {
padding-left : 0;
}
.form-address-table {
width : 100%;
}
[data-type="control_stripe"] .form-address-table,
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table,
[data-type="control_authnet"] .form-address-table .form-textbox,
#creditCardTable.form-address-table,
#creditCardTable.form-address-table .form-textbox {
max-width : none;
}
[data-type="control_stripe"] .form-address-table td:last-child .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td:last-child .form-sub-label-container,
#creditCardTable.form-address-table td:last-child .form-sub-label-container {
margin-left : 0;
white-space : normal;
}
[data-type="control_stripe"] .form-address-table td .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td .form-sub-label-container,
#creditCardTable.form-address-table td .form-sub-label-container {
width : 100%;
}
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_stripe"] .form-address-table .form-dropdown,
[data-type="control_authnet"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table .form-dropdown,
#creditCardTable.form-address-table .form-textbox,
#creditCardTable.form-address-table .form-dropdown {
width : 100%;
visibility : visible;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child span {
margin : 0;
padding-right : 6px;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child + td span {
margin : 0;
padding-left : 6px;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span {
margin : 0;
padding-right : 6px;
width : 50% !important;
visibility : hidden;
float : left;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span {
margin : 0;
padding-top : 0 !important;
padding-right : 0;
padding-left : 6px;
width : 50% !important;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
.cc_ccv {
width : 100% !important;
}
[data-type="control_stripe"] .form-address-table .form-sub-label,
[data-type="control_authnet"] .form-address-table .form-sub-label,
#creditCardTable.form-address-table .form-sub-label {
visibility : visible;
}
/*cc fix city state, country */
[data-type="control_stripe"] .form-address-table td[width="50%"]>span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"]>span:first-child,
#creditCardTable.form-address-table td[width="50%"]>span:first-child {
box-sizing : border-box;
padding-right : 7px;
}
[data-type="control_stripe"] .form-address-table td[width="50%"] + td >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td >span:first-child {
box-sizing : border-box;
padding-left : 7px;
}
[data-type="control_stripe"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td[width="50%"] >span:first-child {
box-sizing : border-box;
padding-right : 0;
}
.hover-product-item:hover {
color : inherit;
}
/*fix for braintree cc styling*/
[data-type="control_braintree"] .form-sub-label-container {
width : 100% !important;
padding : 4px;
box-sizing : border-box;
}
[data-type="control_braintree"] .form-textbox {
width : 100%;
}
.braintree-hosted-fields {
width : 100% !important;
box-sizing : border-box;
min-height : 28px;
}
/*remove bottom spacing on CC section*/
#creditCardTable.form-address-table tbody tr + tr + tr td,
[data-type="control_stripe"] .form-address-table tbody tr + tr + tr td,
[data-type="control_authnet"] .form-address-table tbody tr + tr + tr td {
padding-bottom : 0;
}
@media screen and (max-width:768px){
.form-all {
margin : 0 auto !important;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right : 0;
}
}
@media screen and (max-width:480px){
.jotform-form {
padding : 0;
}
.form-input {
width : 100% !important;
}
.form-label {
width : 100% !important;
float : none !important;
}
.form-line-column {
width : 100% !important;
}
div.form-header-group {
margin : 0 !important;
padding : 24px 20px !important;
}
[data-type="control_datetime"] .form-sub-label-container {
float : left;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right : 0;
}
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
/* Injected CSS Code */
</style>
<form class="jotform-form" action="https://submit.jotform.com/submit/230008589891666/" method="post" name="form_230008589891666" id="230008589891666" accept-charset="utf-8" autocomplete="on"><input type="hidden" name="formID" value="230008589891666" /><input type="hidden" id="JWTContainer" value="" /><input type="hidden" id="cardinalOrderNumber" value="" />
<div role="main" class="form-all">
<ul class="form-section page-section">
<li id="cid_8" class="form-input-wide" data-type="control_head">
<div class="form-header-group header-large">
<div class="header-text httac htvam">
<h1 id="header_8" class="form-header" data-component="header">Contacto Rhema Ecuador</h1>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_3"><label class="form-label form-label-top form-label-auto" id="label_3" for="input_3"> Name<span class="form-required">*</span> </label>
<div id="cid_3" class="form-input-wide jf-required"> <input type="text" id="input_3" name="q3_name" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_3" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_4"><label class="form-label form-label-top form-label-auto" id="label_4" for="input_4"> E-mail<span class="form-required">*</span> </label>
<div id="cid_4" class="form-input-wide jf-required"> <input type="text" id="input_4" name="q4_email" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_4" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_5"><label class="form-label form-label-top form-label-auto" id="label_5" for="input_5"> Contact Number<span class="form-required">*</span> </label>
<div id="cid_5" class="form-input-wide jf-required"> <input type="text" id="input_5" name="q5_contactNumber5" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_5" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textarea" id="id_6"><label class="form-label form-label-top form-label-auto" id="label_6" for="input_6"> Message<span class="form-required">*</span> </label>
<div id="cid_6" class="form-input-wide jf-required"> <textarea id="input_6" class="form-textarea validate[required]" name="q6_message" cols="30" rows="8" data-component="textarea" required="" aria-labelledby="label_6"></textarea> </div>
</li>
<li class="form-line" data-type="control_button" id="id_7">
<div id="cid_7" class="form-input-wide">
<div style="margin-left:156px" data-align="auto" class="form-buttons-wrapper form-buttons-auto jsTest-button-wrapperField"><button id="input_7" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField" data-component="button" data-content="">Submit</button></div>
</div>
</li>
<li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li>
</ul>
</div>
<script>
JotForm.showJotFormPowered = "new_footer";
</script>
<script>
JotForm.poweredByText = "Powered by Jotform";
</script><input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="230008589891666" />
<script type="text/javascript">
var all_spc = document.querySelectorAll("form[id='230008589891666'] .si" + "mple" + "_spc");
for (var i = 0; i < all_spc.length; i++)
{
all_spc[i].value = "230008589891666-230008589891666";
}
</script>
<div class="formFooter-heightMask"></div>
<div class="formFooter f6 branding21">
<div class="formFooter-wrapper formFooter-leftSide"><a href="https://www.jotform.com/?utm_source=formfooter&utm_medium=banner&utm_term=230008589891666&utm_content=jotform_logo&utm_campaign=powered_by_jotform_le" target="_blank" class="formFooter-logoLink"><img class="formFooter-logo" src="https://cdn.jotfor.ms/assets/img/logo2021/jotform-logo-white.svg" alt="Jotform Logo" style="height: 44px;"></a></div>
<div class="formFooter-wrapper formFooter-rightSide"><span class="formFooter-text">Now create your own Jotform - It's free!</span><a class="formFooter-button" href="https://www.jotform.com/?utm_source=formfooter&utm_medium=banner&utm_term=230008589891666&utm_content=jotform_button&utm_campaign=powered_by_jotform_le" target="_blank">Create your own Jotform</a></div>
</div>
</form><script type="text/javascript">JotForm.ownerView=true;</script><script src="https://cdn02.jotfor.ms/static/prototype.forms.js?3.3.38417" type="text/javascript"></script><script src="https://cdn03.jotfor.ms/static/jotform.forms.js?3.3.38417" type="text/javascript"></script>
<script type="text/javascript"> JotForm.newDefaultTheme = false;
JotForm.extendsNewTheme = false;
JotForm.singleProduct = false;
JotForm.newPaymentUIForNewCreatedForms = false;
JotForm.highlightInputs = false;
JotForm.clearFieldOnHide="disable";
JotForm.init(function(){
/*INIT-START*/
if (window.JotForm && JotForm.accessible) $('input_3').setAttribute('tabindex',0);
if (window.JotForm && JotForm.accessible) $('input_4').setAttribute('tabindex',0);
if (window.JotForm && JotForm.accessible) $('input_5').setAttribute('tabindex',0);
if (window.JotForm && JotForm.accessible) $('input_6').setAttribute('tabindex',0);
/*INIT-END*/
});
JotForm.prepareCalculationsOnTheFly([null,null,null,{"name":"name","qid":"3","text":"Name","type":"control_textbox"},{"name":"email","qid":"4","text":"E-mail","type":"control_textbox"},{"name":"contactNumber5","qid":"5","text":"Contact Number","type":"control_textbox"},{"name":"message","qid":"6","text":"Message","type":"control_textarea"},{"name":"submit","qid":"7","text":"Submit","type":"control_button"},{"name":"clickTo","qid":"8","text":"Contacto Rhema Ecuador","type":"control_head"}]);
setTimeout(function() {
JotForm.paymentExtrasOnTheFly([null,null,null,{"name":"name","qid":"3","text":"Name","type":"control_textbox"},{"name":"email","qid":"4","text":"E-mail","type":"control_textbox"},{"name":"contactNumber5","qid":"5","text":"Contact Number","type":"control_textbox"},{"name":"message","qid":"6","text":"Message","type":"control_textarea"},{"name":"submit","qid":"7","text":"Submit","type":"control_button"},{"name":"clickTo","qid":"8","text":"Contacto Rhema Ecuador","type":"control_head"}]);}, 20);
</script>
<link href="https://cdn01.jotfor.ms/static/formCss.css?3.3.38417" rel="stylesheet" type="text/css" />
<style type="text/css">@media print{.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}</style>
<link type="text/css" rel="stylesheet" href="https://cdn02.jotfor.ms/css/styles/nova.css?3.3.38417" />
<link type="text/css" rel="stylesheet" href="https://cdn03.jotfor.ms/themes/CSS/566a91c2977cdfcd478b4567.css?themeRevisionID=58c6459d9a11c7136a8b4567"/>
<link type="text/css" rel="stylesheet" href="https://cdn01.jotfor.ms/css/styles/payment/payment_feature.css?3.3.38417" />
<style type="text/css">
.form-label-left{
width:150px;
}
.form-line{
padding-top:12px;
padding-bottom:12px;
}
.form-label-right{
width:150px;
}
.form-all{
width:480px;
color:rgb(0, 65, 104) !important;
font-family:'Roboto';
font-size:14px;
}
.form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header{
color: #0070B5;
}
</style>
<style type="text/css" id="form-designer-style">
@import "https://fonts.googleapis.com/css?family=Roboto:light,lightitalic,normal,italic,bold,bolditalic";
@import "//support.jotform.com/themes/css/buttons/form-submit-button-simple_carolina_blue.css";
@import (css) "@{buttonFontLink}";
/* Injected CSS Code */
.form-all {
font-family: "Roboto", sans-serif;
}
.form-all {
width: 480px;
}
.form-label-left,
.form-label-right {
width: 150px;
}
.form-label {
white-space: normal;
}
.form-label-left {
display: inline-block;
white-space: normal;
float: left;
text-align: left;
}
.form-label-right {
display: inline-block;
white-space: normal;
float: left;
text-align: right;
}
.form-label-top {
white-space: normal;
display: block;
float: none;
text-align: left;
}
.form-radio-item label:before {
top: 0;
}
.form-all {
font-size: 14px;
}
.form-label {
font-weight: normal;
font-size: 0.95em;
}
.supernova {
background-color: #ffffff;
background-color: #f5f5f5;
}
.supernova body {
background-color: transparent;
}
/*
@width30: (unit(@formWidth, px) + 60px);
@width60: (unit(@formWidth, px)+ 120px);
@width90: (unit(@formWidth, px)+ 180px);
*/
/* | */
@media screen and (min-width: 480px) {
.supernova .form-all {
border: 1px solid #dcdcdc;
-webkit-box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);
-moz-box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);
box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);
}
}
/* | */
/* | */
@media screen and (max-width: 480px) {
.jotform-form {
padding: 10px 0;
}
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 768px) {
.jotform-form {
padding: 30px 0;
}
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 479px) {
.jotform-form {
padding: 30px 0;
}
}
/* | */
/* | */
@media screen and (min-width: 768px) {
.jotform-form {
padding: 60px 0;
}
}
/* | */
/* | */
@media screen and (max-width: 479px) {
.jotform-form {
padding: 12px;
}
}
/* | */
.supernova .form-all,
.form-all {
background-color: #ffffff;
border: 1px solid transparent;
}
.form-header-group {
border-color: #e6e6e6;
}
.form-matrix-table tr {
border-color: #e6e6e6;
}
.form-matrix-table tr:nth-child(2n) {
background-color: #f2f2f2;
}
.form-all {
color: #004168;
}
.form-header-group .form-header {
color: #004168;
}
.form-header-group .form-subHeader {
color: #00619b;
}
.form-sub-label {
color: #00619b;
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html {
color: #00619b;
}
.form-checkbox-item label,
.form-radio-item label {
color: #004168;
}
.form-line.form-line-active {
-webkit-transition-property: all;
-moz-transition-property: all;
-ms-transition-property: all;
-o-transition-property: all;
transition-property: all;
-webkit-transition-duration: 0.3s;
-moz-transition-duration: 0.3s;
-ms-transition-duration: 0.3s;
-o-transition-duration: 0.3s;
transition-duration: 0.3s;
-webkit-transition-timing-function: ease;
-moz-transition-timing-function: ease;
-ms-transition-timing-function: ease;
-o-transition-timing-function: ease;
transition-timing-function: ease;
background-color: rgba(255, 255, 224, 0);
}
/* omer */
.form-radio-item,
.form-checkbox-item {
padding-bottom: 4px !important;
}
.form-radio-item:last-child,
.form-checkbox-item:last-child {
padding-bottom: 0;
}
/* omer */
.form-single-column .form-checkbox-item,
.form-single-column .form-radio-item {
width: 100%;
}
.form-radio-item:not(#foo) {
margin-bottom: 0;
position: relative;
}
.form-radio-item:not(#foo) input[type="checkbox"],
.form-radio-item:not(#foo) input[type="radio"] {
display: none;
}
.form-radio-item:not(#foo) .form-radio-other,
.form-radio-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-radio-item:not(#foo) .form-checkbox-other-input,
.form-radio-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-radio-item:not(#foo) label {
line-height: 18px;
margin-left: 0;
float: left;
text-indent: 27px;
}
.form-radio-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 18px;
height: 18px;
cursor: pointer;
}
.form-radio-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 5px;
left: 9px;
width: 8px;
height: 8px;
}
.form-radio-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-radio-item:not(#foo) input[type="checkbox"],
.form-radio-item:not(#foo) input[type="radio"] {
display: none;
}
.form-radio-item:not(#foo) .form-radio-other,
.form-radio-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-radio-item:not(#foo) .form-checkbox-other-input,
.form-radio-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-radio-item:not(#foo) label {
line-height: 24px;
margin-left: 0;
float: left;
text-indent: 33px;
}
.form-radio-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 24px;
height: 24px;
cursor: pointer;
}
.form-radio-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 7px;
left: 11px;
width: 10px;
height: 10px;
}
.form-radio-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-radio-item:not(#foo) label:before {
border: 2px solid #0070b5;
}
.form-radio-item:not(#foo) label:after {
background-color: #0070b5;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
cursor: pointer;
}
.form-checkbox-item:not(#foo) {
margin-bottom: 0;
position: relative;
}
.form-checkbox-item:not(#foo) input[type="checkbox"],
.form-checkbox-item:not(#foo) input[type="radio"] {
display: none;
}
.form-checkbox-item:not(#foo) .form-radio-other,
.form-checkbox-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-checkbox-item:not(#foo) .form-checkbox-other-input,
.form-checkbox-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-checkbox-item:not(#foo) label {
line-height: 18px;
margin-left: 0;
float: left;
text-indent: 27px;
}
.form-checkbox-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 18px;
height: 18px;
cursor: pointer;
}
.form-checkbox-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 8px;
left: 9px;
width: 3px;
height: 3px;
}
.form-checkbox-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-checkbox-item:not(#foo) label:before {
border: 2px solid #0070b5;
}
.form-checkbox-item:not(#foo) label:after {
background-color: #0070b5;
box-shadow: 0 2px 0 0 #0070b5, 2px 2px 0 0 #0070b5, 4px 2px 0 0 #0070b5, 6px 2px 0 0 #0070b5;
-moz-transform: rotate(-45deg);
-webkit-transform: rotate(-45deg);
-o-transform: rotate(-45deg);
-ms-transform: rotate(-45deg);
transform: rotate(-45deg);
}
.form-checkbox-item:not(#foo) input[type="checkbox"],
.form-checkbox-item:not(#foo) input[type="radio"] {
display: none;
}
.form-checkbox-item:not(#foo) .form-radio-other,
.form-checkbox-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-checkbox-item:not(#foo) .form-checkbox-other-input,
.form-checkbox-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-checkbox-item:not(#foo) label {
line-height: 24px;
margin-left: 0;
float: left;
text-indent: 33px;
}
.form-checkbox-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 24px;
height: 24px;
cursor: pointer;
}
.form-checkbox-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 11px;
left: 10px;
width: 4px;
height: 4px;
}
.form-checkbox-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-checkbox-item:not(#foo) label:after {
background-color: #0070b5;
box-shadow: 0 3px 0 0 #0070b5, 3px 3px 0 0 #0070b5, 6px 3px 0 0 #0070b5, 8px 3px 0 0 #0070b5;
-moz-transform: rotate(-45deg);
-webkit-transform: rotate(-45deg);
-o-transform: rotate(-45deg);
-ms-transform: rotate(-45deg);
transform: rotate(-45deg);
}
.supernova {
height: 100%;
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-repeat: repeat;
}
.supernova {
background-image: none;
}
#stage {
background-image: none;
}
/* | */
.form-all {
background-image: url("https://cms.interlogy.com/uploads/image_upload/image_upload/global/6461_clouds.jpg");
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-size: cover;
}
.form-header-group {
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
}
.form-line {
margin-top: 0px;
margin-bottom: 0px;
}
.form-line {
padding: 12px 36px;
}
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
-webkit-border-radius: 100px;
-moz-border-radius: 100px;
border-radius: 100px;
}
.form-all .form-sub-label {
margin-left: 3px;
}
.form-all {
-webkit-border-radius: 6px;
-moz-border-radius: 6px;
border-radius: 6px;
}
.form-section:first-child {
-webkit-border-radius: 6px 6px 0 0;
-moz-border-radius: 6px 6px 0 0;
border-radius: 6px 6px 0 0;
}
.form-section:last-child {
-webkit-border-radius: 0 0 6px 6px;
-moz-border-radius: 0 0 6px 6px;
border-radius: 0 0 6px 6px;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 1em;
padding: 9px 15px;
font-family: "Roboto", sans-serif;
font-size: 16px;
font-weight: normal;
}
.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next {
font-size: 1em;
padding: 9px 15px;
font-family: "Roboto", sans-serif;
font-size: 14px;
font-weight: normal;
}
/*
& when ( @buttonFontType = google ) {
}
*/
h2.form-header {
line-height: 1.618em;
font-size: 1.714em;
}
h2 ~ .form-subHeader {
line-height: 1.5em;
font-size: 1.071em;
}
.form-header-group {
text-align: center;
}
/*.form-dropdown,
.form-radio-item,
.form-checkbox-item,
.form-radio-other-input,
.form-checkbox-other-input,*/
.form-captcha input,
.form-spinner input,
.form-error-message {
padding: 4px 3px 2px 3px;
}
.form-header-group {
font-family: "Roboto", sans-serif;
}
.form-section {
padding: 0px 0px 0px 0px;
}
.form-header-group {
margin: 12px 0px 12px 0px;
}
.form-header-group {
padding: 24px 36px 24px 36px;
}
.form-header-group .form-header,
.form-header-group .form-subHeader {
color: #024e7e;
}
.form-textbox,
.form-textarea {
border-color: #ffffff;
padding: 4px 3px 2px 3px;
}
.form-textbox,
.form-textarea,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
background-color: rgba(241, 241, 241, 0);
}
.form-dropdown {
border-color: #ffffff;
-webkit-appearance: menulist-button;
background-color: rgba(248, 248, 248, 0);
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
width: 150px;
}
.form-buttons-wrapper {
margin-left: 0 !important;
text-align: center;
}
.form-header-group {
border-bottom: none;
}
.form-label {
font-family: "Roboto", sans-serif;
}
li[data-type="control_image"] div {
text-align: left;
}
li[data-type="control_image"] img {
border: none;
border-width: 0px !important;
border-style: solid !important;
border-color: false !important;
}
.form-line-column {
width: auto;
}
.form-line-error {
background-color: #ffffff;
-webkit-box-shadow: inset 0px 3px 11px -7px #ff3200;
-moz-box-shadow: inset 0px 3px 11px -7px #ff3200;
box-shadow: inset 0px 3px 11px -7px #ff3200;
}
.form-line-error input:not(#coupon-input),
.form-line-error textarea,
.form-line-error .form-validation-error {
-webkit-transition-property: none;
-moz-transition-property: none;
-ms-transition-property: none;
-o-transition-property: none;
transition-property: none;
-webkit-transition-duration: 0.3s;
-moz-transition-duration: 0.3s;
-ms-transition-duration: 0.3s;
-o-transition-duration: 0.3s;
transition-duration: 0.3s;
-webkit-transition-timing-function: ease;
-moz-transition-timing-function: ease;
-ms-transition-timing-function: ease;
-o-transition-timing-function: ease;
transition-timing-function: ease;
border: 1px solid #fff4f4;
-moz-box-shadow: 0 0 3px #fff4f4;
-webkit-box-shadow: 0 0 3px #fff4f4;
box-shadow: 0 0 3px #fff4f4;
}
.form-line-error .form-error-message {
margin: 0;
position: absolute;
color: #fff;
display: inline-block;
right: 0;
font-size: 10px;
position: absolute!important;
box-shadow: none;
top: 0px;
line-height: 20px;
color: #FFF;
background: #ff3200;
padding: 0px 5px;
bottom: auto;
min-width: 105px;
-webkit-border-radius: 0;
-moz-border-radius: 0;
border-radius: 0;
}
.form-line-error .form-error-message img,
.form-line-error .form-error-message .form-error-arrow {
display: none;
}
.ie-8 .form-all {
margin-top: auto;
margin-top: initial;
}
.ie-8 .form-all:before {
display: none;
}
/* | */
@media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) {
.testOne {
letter-spacing: 0;
}
.jotform-form {
padding: 12px 0 0 0;
}
.form-all {
border: 0;
width: 94%!important;
max-width: initial;
}
.form-sub-label-container {
width: 100%;
margin: 0;
margin-right: 0;
float: left;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
span.form-sub-label-container + span.form-sub-label-container {
margin-right: 0;
}
.form-sub-label {
white-space: normal;
}
.form-address-table td,
.form-address-table th {
padding: 0 1px 10px;
}
.form-submit-button,
.form-submit-print,
.form-submit-reset {
width: 100%;
margin-left: 0!important;
}
div[id*=at_] {
font-size: 14px;
font-weight: 700;
height: 8px;
margin-top: 6px;
}
.showAutoCalendar {
width: 20px;
}
img.form-image {
max-width: 100%;
height: auto;
}
.form-matrix-row-headers {
width: 100%;
word-break: break-all;
min-width: 40px;
}
.form-collapse-table,
.form-header-group {
margin: 0;
}
.form-collapse-table {
height: 100%;
display: inline-block;
width: 100%;
}
.form-collapse-hidden {
display: none !important;
}
.form-input {
width: 100%;
}
.form-label {
width: 100% !important;
}
.form-label-left,
.form-label-right {
display: block;
float: none;
text-align: left;
width: auto!important;
}
.form-line,
.form-line.form-line-column {
padding: 2% 5%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
input[type=text],
input[type=email],
input[type=tel],
textarea {
width: 100%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
max-width: initial !important;
}
.form-dropdown,
.form-textarea,
.form-textbox {
width: 100%!important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-input,
.form-input-wide,
.form-textarea,
.form-textbox,
.form-dropdown {
max-width: initial!important;
}
.form-address-city,
.form-address-line,
.form-address-postal,
.form-address-state,
.form-address-table,
.form-address-table .form-sub-label-container,
.form-address-table select,
.form-input {
width: 100%;
}
div.form-header-group {
padding: 24px 36px !important;
padding-left: 5%!important;
padding-right: 5%!important;
margin: 0 12px 2% !important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
div.form-header-group.hasImage img {
max-width: 100%;
}
[data-type="control_button"] {
margin-bottom: 0 !important;
}
[data-type=control_fullname] .form-sub-label-container {
width: 48%;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right: 4%;
}
[data-type=control_phone] .form-sub-label-container {
width: 65%;
}
[data-type=control_phone] .form-sub-label-container:first-child {
width: 31%;
margin-right: 4%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container,
[data-type=control_datetime] .form-sub-label-container:first-child {
width: 27.3%;
margin-right: 6%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
width: 33.3%;
margin-right: 0;
}
[data-type=control_datetime] span + span + span > span:first-child {
display: block;
width: 100% !important;
}
[data-type=control_birthdate] .form-sub-label-container,
[data-type=control_datetime] span + span + span > span:first-child + span + span,
[data-type=control_time] .form-sub-label-container {
width: 27.3%!important;
margin-right: 6% !important;
}
[data-type=control_birthdate] .form-sub-label-container:last-child,
[data-type=control_time] .form-sub-label-container:last-child {
width: 33.3%!important;
margin-right: 0 !important;
}
.form-pagebreak-back-container,
.form-pagebreak-next-container {
width: 50% !important;
}
.form-pagebreak-back,
.form-pagebreak-next,
.form-product-item.hover-product-item {
width: 100%;
}
.form-pagebreak-back-container {
padding: 0;
text-align: right;
}
.form-pagebreak-next-container {
padding: 0;
text-align: left;
}
.form-pagebreak {
margin: 0 auto;
}
.form-buttons-wrapper {
margin: 0!important;
margin-left: 0!important;
}
.form-buttons-wrapper button {
width: 100%;
}
.form-buttons-wrapper .form-submit-print {
margin: 0 !important;
}
table {
width: 100%!important;
max-width: initial!important;
}
table td + td {
padding-left: 3%;
}
.form-checkbox-item,
.form-radio-item {
white-space: normal!important;
}
.form-checkbox-item input,
.form-radio-item input {
width: auto;
}
.form-collapse-table {
margin: 0 5%;
display: block;
zoom: 1;
width: auto;
}
.form-collapse-table:before,
.form-collapse-table:after {
display: table;
content: '';
line-height: 0;
}
.form-collapse-table:after {
clear: both;
}
.fb-like-box {
width: 98% !important;
}
.form-error-message {
clear: both;
bottom: -10px;
}
.date-separate,
.phone-separate {
display: none;
}
.custom-field-frame,
.direct-embed-widgets,
.signature-pad-wrapper {
width: 100% !important;
}
}
/* | */
/*PREFERENCES STYLE*/
.form-all {
font-family: Roboto, sans-serif;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-family: Roboto, sans-serif;
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-family: Roboto, sans-serif;
}
.form-header-group {
font-family: Roboto, sans-serif;
}
.form-label {
font-family: Roboto, sans-serif;
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
.form-line {
margin-top: 12px;
margin-bottom: 12px;
}
.form-all {
max-width: 480px;
width: 100%;
}
.form-label.form-label-left,
.form-label.form-label-right,
.form-label.form-label-left.form-label-auto,
.form-label.form-label-right.form-label-auto {
width: 150px;
}
.form-all {
font-size: 14px
}
.form-all .qq-upload-button,
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 14px
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-size: 14px
}
.supernova .form-all, .form-all {
background-color: #b8e986;
}
.form-all {
color: rgb(0, 65, 104);
}
.form-header-group .form-header {
color: rgb(2, 78, 126);
}
.form-header-group .form-subHeader {
color: rgb(0, 65, 104);
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html,
.form-checkbox-item label,
.form-radio-item label,
span.FITB .qb-checkbox-label,
span.FITB .qb-radiobox-label,
span.FITB .form-radio label,
span.FITB .form-checkbox label,
[data-blotid][data-type=checkbox] [data-labelid],
[data-blotid][data-type=radiobox] [data-labelid],
span.FITB-inptCont[data-type=checkbox] label,
span.FITB-inptCont[data-type=radiobox] label {
color: rgb(0, 65, 104);
}
.form-sub-label {
color: 1a1a1a;
}
.supernova {
background-color: #f5f5f5;
}
.supernova body {
background: transparent;
}
.form-textbox,
.form-textarea,
.form-dropdown,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
background-color: rgba(241, 241, 241, 0);
}
.supernova {
height: 100%;
background-repeat: repeat;
background-attachment: scroll;
background-position: center top;
}
.supernova {
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b265c946ceb5.94237799.jpg");
}
#stage {
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b265c946ceb5.94237799.jpg");
}
.form-all {
background-image: url("https://cms.interlogy.com/uploads/image_upload/image_upload/global/6461_clouds.jpg");
background-repeat: repeat;
background-attachment: scroll;
background-position: center top;
}
.form-all {
position: relative;
}
.form-all:before {
content: "";
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b262a05dab56.71927843.jpg");
display: inline-block;
height: 140px;
position: absolute;
background-size: 140px 140px;
background-repeat: no-repeat;
width: 100%;
}
.form-all {
margin-top: 150px !important;
}
.form-all:before {
top: -150px;
background-position: top center;
left: 0;
}
.ie-8 .form-all:before { display: none; }
.ie-8 {
margin-top: auto;
margin-top: initial;
}
/*PREFERENCES STYLE*//*__INSPECT_SEPERATOR__*/
/*---------------------
Theme: Generic Theme
Author: Elton Cris - idarktech@jotform.com
www.jotform.com
----------------------*/
.form-all {
-moz-box-sizing : border-box;
-webkit-box-sizing : border-box;
box-sizing : border-box;
}
[data-type="control_head"] {
padding-bottom : 20px;
}
/*responsive fields*/
[data-type="control_textbox"] .form-textbox,
[data-type="control_fullname"] .form-textbox,
[data-type="control_email"] .form-textbox,
[data-type="control_textarea"] .form-textarea,
[data-type="control_dropdown"] .form-dropdown {
width : 100% !important;
max-width : none !important;
}
.form-textbox, .form-textarea, .form-dropdown {
max-width : none !important;
box-shadow : none;
outline : none;
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
font-family : inherit;
box-shadow : 1px 1px 2px #ccc;
padding : 7px 5px !important;
}
.form-textarea-limit>span {
display : block;
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
width : 100%;
}
/*input focus*/
.form-line-active input:focus, .form-line-active textarea:focus, .form-line-active select:focus {
box-shadow : none;
}
/*reset error*/
.form-line-error {
box-shadow : none;
}
/*input error*/
.form-line-error input:not(#coupon-input), .form-line-error textarea, .form-line-error select, .form-line-error .form-validation-error {
border : 1px solid #e15353 !important;
box-shadow : none !important;
}
.form-line-active {
color : inherit !important;
}
/*responsive content -wide or shrink*/
.form-label {
width : 35% !important;
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
}
.form-label-top {
width : 100% !important;
}
.form-line {
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
width : 100%;
}
.form-checkbox-other-input {
width : 80% !important;
}
.form-input {
width : 65% !important;
max-width : none !important;
}
.form-input-wide {
max-width : none !important;
display : inline-block;
width : 100%;
}
/*single fields with sublabels*/
[data-type="control_textbox"] .form-input-wide .form-sub-label-container,
[data-type="control_fullname"] .form-input-wide .form-sub-label-container,
[data-type="control_email"] .form-input-wide .form-sub-label-container,
[data-type="control_textarea"] .form-input-wide .form-sub-label-container,
[data-type="control_dropdown"] .form-input-wide .form-sub-label-container,
[data-type="control_textbox"] .form-input .form-sub-label-container,
[data-type="control_fullname"] .form-input .form-sub-label-container,
[data-type="control_email"] .form-input .form-sub-label-container,
[data-type="control_textarea"] .form-input .form-sub-label-container,
[data-type="control_dropdown"] .form-input .form-sub-label-container {
width : 100%;
max-width : none !important;
}
[data-type="control_dropdown"] .form-input-wide {
width : 100%;
}
/*responsive full name*/
[data-type="control_fullname"] .form-sub-label-container {
width : 50% !important;
margin : 0;
float : left;
box-sizing : border-box;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container {
display : inline-block;
padding-right : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
margin-right : 0;
padding-right : 0;
padding-left : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
margin-right : 0;
padding-right : 0;
padding-left : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-left : 0;
padding-right : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-left : 5px;
padding-right : 0;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-right : 5px;
padding-left : 0;
}
#sublabel_prefix, #sublabel_first, #sublabel_middle {
/*margin-bottom : 10px;
*/;
}
/*remove sepatators on date and phone*/
.phone-separate, .date-separate {
display : none;
}
/*responsive phone fields*/
[data-type="control_phone"] input[name$="[area]"] {
width : 100%;
}
[data-type="control_phone"] input[name$="[phone]"] {
width : 100%;
}
[data-type="control_phone"] input[name$="[full]"] {
width : 100%;
}
[data-type="control_phone"] .form-sub-label-container {
width : 40%;
float : left;
box-sizing : border-box;
margin-right : 0;
padding-right : 12px;
}
/* responsive date time field */
[data-type="control_datetime"] .form-textbox,
[data-type="control_datetime"] .form-dropdown {
width : 100%;
}
[data-type="control_datetime"] .form-sub-label-container {
width : 28%;
padding-left : 4px;
box-sizing : border-box;
margin-right : 0;
}
[data-type="control_datetime"] .form-sub-label-container:first-child {
padding-left : 0;
}
[data-type="control_datetime"] .form-sub-label-container:first-child + .form-sub-label-container + .form-sub-label-container {
padding-right : 0;
}
[data-type="control_datetime"] .form-sub-label-container:last-child {
width : auto !important;
}
.allowTime-container .form-sub-label-container:last-child {
width : 20% !important;
}
span.allowTime-container {
width : 80%;
padding-top : 14px;
}
.allowTime-container span.form-sub-label-container {
width : 35%;
}
span.allowTime-container .form-dropdown {
width : 100%;
}
span.allowTime-container > span:first-child {
display : none;
}
span.allowTime-container > span:first-child + span {
padding-left : 0;
}
.showAutoCalendar + label {
display : none;
}
span.allowTime-container + span {
padding-top : 14px;
}
/*calendar lite mode*/
[data-type="control_datetime"] div[style*="none"] + .form-sub-label-container {
width : 84%;
padding-left : 0;
}
/*responsive phone field*/
[data-type="control_phone"] .form-sub-label-container + .form-sub-label-container {
width : 60%;
margin-right : 0;
padding-right : 0;
padding-left : 12px;
}
/*responsive full address fields*/
.form-address-city, .form-address-line, .form-address-postal,
.form-address-state, .form-address-table,
.form-address-table .form-sub-label-container, .form-address-table select {
width : 100%;
max-width : 100%;
}
[data-type="control_address"] input[name$="[city]"],
[data-type="control_address"] input[name$="[postal]"] {
width : 90% !important;
}
[data-type="control_address"] input[name$="[area]"] {
width : 60%;
}
/*reset submit button*/
[data-type="control_button"] {
background : transparent !important;
}
.form-submit-button,
.form-submit-reset,
.form-submit-print {
outline : none;
}
/*remove other checkbox*/
.form-checkbox-other,
.form-radio-other {
visibility : hidden !important;
}
/*shruken fields*/
.form-line-column {
width : 50%;
}
.form-line-column .form-label-top {
width : 100% !important;
}
/*fix form builder display*/
div#stage.form-all {
max-width : none !important;
margin-right : 0;
}
div#stage .form-input {
width : 64% !important;
}
/*remove first pagebreak back button*/
.form-all .page-section:first-child .form-pagebreak .form-pagebreak-back-container {
display : none !important;
}
/* responsive pagebreak */
.form-pagebreak-back-container {
width : 50% !important;
text-align : left;
box-sizing : border-box;
-webkit-box-sizing : border-box;
float : left;
}
.form-pagebreak-next-container {
width : 50% !important;
text-align : right;
box-sizing : border-box;
-webkit-box-sizing : border-box;
float : left;
}
/* radio-checkbox button make border 1px */
.form-radio-item:not(#foo) label:after,
.form-radio-item:not(#foo) label:before {
border-radius : 50%;
}
.form-checkbox-item:not(#foo) label:after,
.form-checkbox-item:not(#foo) label:before {
border-radius : 0;
}
.form-radio-item:not(#foo) label:before,
.form-checkbox-item:not(#foo) label:before {
border-width : 1px;
}
/*responsive credit card on payment fields*/
table td + td {
padding-left : 0;
}
.form-address-table {
width : 100%;
}
[data-type="control_stripe"] .form-address-table,
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table,
[data-type="control_authnet"] .form-address-table .form-textbox,
#creditCardTable.form-address-table,
#creditCardTable.form-address-table .form-textbox {
max-width : none;
}
[data-type="control_stripe"] .form-address-table td:last-child .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td:last-child .form-sub-label-container,
#creditCardTable.form-address-table td:last-child .form-sub-label-container {
margin-left : 0;
white-space : normal;
}
[data-type="control_stripe"] .form-address-table td .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td .form-sub-label-container,
#creditCardTable.form-address-table td .form-sub-label-container {
width : 100%;
}
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_stripe"] .form-address-table .form-dropdown,
[data-type="control_authnet"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table .form-dropdown,
#creditCardTable.form-address-table .form-textbox,
#creditCardTable.form-address-table .form-dropdown {
width : 100%;
visibility : visible;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child span {
margin : 0;
padding-right : 6px;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child + td span {
margin : 0;
padding-left : 6px;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span {
margin : 0;
padding-right : 6px;
width : 50% !important;
visibility : hidden;
float : left;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span {
margin : 0;
padding-top : 0 !important;
padding-right : 0;
padding-left : 6px;
width : 50% !important;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
.cc_ccv {
width : 100% !important;
}
[data-type="control_stripe"] .form-address-table .form-sub-label,
[data-type="control_authnet"] .form-address-table .form-sub-label,
#creditCardTable.form-address-table .form-sub-label {
visibility : visible;
}
/*cc fix city state, country */
[data-type="control_stripe"] .form-address-table td[width="50%"]>span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"]>span:first-child,
#creditCardTable.form-address-table td[width="50%"]>span:first-child {
box-sizing : border-box;
padding-right : 7px;
}
[data-type="control_stripe"] .form-address-table td[width="50%"] + td >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td >span:first-child {
box-sizing : border-box;
padding-left : 7px;
}
[data-type="control_stripe"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td[width="50%"] >span:first-child {
box-sizing : border-box;
padding-right : 0;
}
.hover-product-item:hover {
color : inherit;
}
/*fix for braintree cc styling*/
[data-type="control_braintree"] .form-sub-label-container {
width : 100% !important;
padding : 4px;
box-sizing : border-box;
}
[data-type="control_braintree"] .form-textbox {
width : 100%;
}
.braintree-hosted-fields {
width : 100% !important;
box-sizing : border-box;
min-height : 28px;
}
/*remove bottom spacing on CC section*/
#creditCardTable.form-address-table tbody tr + tr + tr td,
[data-type="control_stripe"] .form-address-table tbody tr + tr + tr td,
[data-type="control_authnet"] .form-address-table tbody tr + tr + tr td {
padding-bottom : 0;
}
@media screen and (max-width:768px){
.form-all {
margin : 0 auto !important;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right : 0;
}
}
@media screen and (max-width:480px){
.jotform-form {
padding : 0;
}
.form-input {
width : 100% !important;
}
.form-label {
width : 100% !important;
float : none !important;
}
.form-line-column {
width : 100% !important;
}
div.form-header-group {
margin : 0 !important;
padding : 24px 20px !important;
}
[data-type="control_datetime"] .form-sub-label-container {
float : left;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right : 0;
}
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
/* Injected CSS Code */
</style>
<form class="jotform-form" action="https://submit.jotform.com/submit/230008589891666/" method="post" name="form_230008589891666" id="230008589891666" accept-charset="utf-8" autocomplete="on"><input type="hidden" name="formID" value="230008589891666" /><input type="hidden" id="JWTContainer" value="" /><input type="hidden" id="cardinalOrderNumber" value="" />
<div role="main" class="form-all">
<ul class="form-section page-section">
<li id="cid_8" class="form-input-wide" data-type="control_head">
<div class="form-header-group header-large">
<div class="header-text httac htvam">
<h1 id="header_8" class="form-header" data-component="header">Contacto Rhema Ecuador</h1>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_3"><label class="form-label form-label-top form-label-auto" id="label_3" for="input_3"> Name<span class="form-required">*</span> </label>
<div id="cid_3" class="form-input-wide jf-required"> <input type="text" id="input_3" name="q3_name" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_3" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_4"><label class="form-label form-label-top form-label-auto" id="label_4" for="input_4"> E-mail<span class="form-required">*</span> </label>
<div id="cid_4" class="form-input-wide jf-required"> <input type="text" id="input_4" name="q4_email" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_4" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_5"><label class="form-label form-label-top form-label-auto" id="label_5" for="input_5"> Contact Number<span class="form-required">*</span> </label>
<div id="cid_5" class="form-input-wide jf-required"> <input type="text" id="input_5" name="q5_contactNumber5" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_5" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textarea" id="id_6"><label class="form-label form-label-top form-label-auto" id="label_6" for="input_6"> Message<span class="form-required">*</span> </label>
<div id="cid_6" class="form-input-wide jf-required"> <textarea id="input_6" class="form-textarea validate[required]" name="q6_message" cols="30" rows="8" data-component="textarea" required="" aria-labelledby="label_6"></textarea> </div>
</li>
<li class="form-line" data-type="control_button" id="id_7">
<div id="cid_7" class="form-input-wide">
<div style="margin-left:156px" data-align="auto" class="form-buttons-wrapper form-buttons-auto jsTest-button-wrapperField"><button id="input_7" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField" data-component="button" data-content="">Submit</button></div>
</div>
</li>
<li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li>
</ul>
</div>
<script>
JotForm.showJotFormPowered = "new_footer";
</script>
<script>
JotForm.poweredByText = "Powered by Jotform";
</script><input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="230008589891666" />
<script type="text/javascript">
var all_spc = document.querySelectorAll("form[id='230008589891666'] .si" + "mple" + "_spc");
for (var i = 0; i < all_spc.length; i++)
{
all_spc[i].value = "230008589891666-230008589891666";
}
</script>
<div class="formFooter-heightMask"></div>
<div class="formFooter f6 branding21">
<div class="formFooter-wrapper formFooter-leftSide"><a href="https://www.jotform.com/?utm_source=formfooter&utm_medium=banner&utm_term=230008589891666&utm_content=jotform_logo&utm_campaign=powered_by_jotform_le" target="_blank" class="formFooter-logoLink"><img class="formFooter-logo" src="https://cdn.jotfor.ms/assets/img/logo2021/jotform-logo-white.svg" alt="Jotform Logo" style="height: 44px;"></a></div>
<div class="formFooter-wrapper formFooter-rightSide"><span class="formFooter-text">Now create your own Jotform - It's free!</span><a class="formFooter-button" href="https://www.jotform.com/?utm_source=formfooter&utm_medium=banner&utm_term=230008589891666&utm_content=jotform_button&utm_campaign=powered_by_jotform_le" target="_blank">Create your own Jotform</a></div>
</div>
</form><script type="text/javascript">JotForm.ownerView=true;</script><script src="https://cdn02.jotfor.ms/static/prototype.forms.js?3.3.38417" type="text/javascript"></script><script src="https://cdn03.jotfor.ms/static/jotform.forms.js?3.3.38417" type="text/javascript"></script>
<script type="text/javascript"> JotForm.newDefaultTheme = false;
JotForm.extendsNewTheme = false;
JotForm.singleProduct = false;
JotForm.newPaymentUIForNewCreatedForms = false;
JotForm.highlightInputs = false;
JotForm.clearFieldOnHide="disable";
JotForm.init(function(){
/*INIT-START*/
if (window.JotForm && JotForm.accessible) $('input_3').setAttribute('tabindex',0);
if (window.JotForm && JotForm.accessible) $('input_4').setAttribute('tabindex',0);
if (window.JotForm && JotForm.accessible) $('input_5').setAttribute('tabindex',0);
if (window.JotForm && JotForm.accessible) $('input_6').setAttribute('tabindex',0);
/*INIT-END*/
});
JotForm.prepareCalculationsOnTheFly([null,null,null,{"name":"name","qid":"3","text":"Name","type":"control_textbox"},{"name":"email","qid":"4","text":"E-mail","type":"control_textbox"},{"name":"contactNumber5","qid":"5","text":"Contact Number","type":"control_textbox"},{"name":"message","qid":"6","text":"Message","type":"control_textarea"},{"name":"submit","qid":"7","text":"Submit","type":"control_button"},{"name":"clickTo","qid":"8","text":"Contacto Rhema Ecuador","type":"control_head"}]);
setTimeout(function() {
JotForm.paymentExtrasOnTheFly([null,null,null,{"name":"name","qid":"3","text":"Name","type":"control_textbox"},{"name":"email","qid":"4","text":"E-mail","type":"control_textbox"},{"name":"contactNumber5","qid":"5","text":"Contact Number","type":"control_textbox"},{"name":"message","qid":"6","text":"Message","type":"control_textarea"},{"name":"submit","qid":"7","text":"Submit","type":"control_button"},{"name":"clickTo","qid":"8","text":"Contacto Rhema Ecuador","type":"control_head"}]);}, 20);
</script>
<link href="https://cdn01.jotfor.ms/static/formCss.css?3.3.38417" rel="stylesheet" type="text/css" />
<style type="text/css">@media print{.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}</style>
<link type="text/css" rel="stylesheet" href="https://cdn02.jotfor.ms/css/styles/nova.css?3.3.38417" />
<link type="text/css" rel="stylesheet" href="https://cdn03.jotfor.ms/themes/CSS/566a91c2977cdfcd478b4567.css?themeRevisionID=58c6459d9a11c7136a8b4567"/>
<link type="text/css" rel="stylesheet" href="https://cdn01.jotfor.ms/css/styles/payment/payment_feature.css?3.3.38417" />
<style type="text/css">
.form-label-left{
width:150px;
}
.form-line{
padding-top:12px;
padding-bottom:12px;
}
.form-label-right{
width:150px;
}
.form-all{
width:480px;
color:rgb(0, 65, 104) !important;
font-family:'Roboto';
font-size:14px;
}
.form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header{
color: #0070B5;
}
</style>
<style type="text/css" id="form-designer-style">
@import "https://fonts.googleapis.com/css?family=Roboto:light,lightitalic,normal,italic,bold,bolditalic";
@import "//support.jotform.com/themes/css/buttons/form-submit-button-simple_carolina_blue.css";
@import (css) "@{buttonFontLink}";
/* Injected CSS Code */
.form-all {
font-family: "Roboto", sans-serif;
}
.form-all {
width: 480px;
}
.form-label-left,
.form-label-right {
width: 150px;
}
.form-label {
white-space: normal;
}
.form-label-left {
display: inline-block;
white-space: normal;
float: left;
text-align: left;
}
.form-label-right {
display: inline-block;
white-space: normal;
float: left;
text-align: right;
}
.form-label-top {
white-space: normal;
display: block;
float: none;
text-align: left;
}
.form-radio-item label:before {
top: 0;
}
.form-all {
font-size: 14px;
}
.form-label {
font-weight: normal;
font-size: 0.95em;
}
.supernova {
background-color: #ffffff;
background-color: #f5f5f5;
}
.supernova body {
background-color: transparent;
}
/*
@width30: (unit(@formWidth, px) + 60px);
@width60: (unit(@formWidth, px)+ 120px);
@width90: (unit(@formWidth, px)+ 180px);
*/
/* | */
@media screen and (min-width: 480px) {
.supernova .form-all {
border: 1px solid #dcdcdc;
-webkit-box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);
-moz-box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);
box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);
}
}
/* | */
/* | */
@media screen and (max-width: 480px) {
.jotform-form {
padding: 10px 0;
}
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 768px) {
.jotform-form {
padding: 30px 0;
}
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 479px) {
.jotform-form {
padding: 30px 0;
}
}
/* | */
/* | */
@media screen and (min-width: 768px) {
.jotform-form {
padding: 60px 0;
}
}
/* | */
/* | */
@media screen and (max-width: 479px) {
.jotform-form {
padding: 12px;
}
}
/* | */
.supernova .form-all,
.form-all {
background-color: #ffffff;
border: 1px solid transparent;
}
.form-header-group {
border-color: #e6e6e6;
}
.form-matrix-table tr {
border-color: #e6e6e6;
}
.form-matrix-table tr:nth-child(2n) {
background-color: #f2f2f2;
}
.form-all {
color: #004168;
}
.form-header-group .form-header {
color: #004168;
}
.form-header-group .form-subHeader {
color: #00619b;
}
.form-sub-label {
color: #00619b;
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html {
color: #00619b;
}
.form-checkbox-item label,
.form-radio-item label {
color: #004168;
}
.form-line.form-line-active {
-webkit-transition-property: all;
-moz-transition-property: all;
-ms-transition-property: all;
-o-transition-property: all;
transition-property: all;
-webkit-transition-duration: 0.3s;
-moz-transition-duration: 0.3s;
-ms-transition-duration: 0.3s;
-o-transition-duration: 0.3s;
transition-duration: 0.3s;
-webkit-transition-timing-function: ease;
-moz-transition-timing-function: ease;
-ms-transition-timing-function: ease;
-o-transition-timing-function: ease;
transition-timing-function: ease;
background-color: rgba(255, 255, 224, 0);
}
/* omer */
.form-radio-item,
.form-checkbox-item {
padding-bottom: 4px !important;
}
.form-radio-item:last-child,
.form-checkbox-item:last-child {
padding-bottom: 0;
}
/* omer */
.form-single-column .form-checkbox-item,
.form-single-column .form-radio-item {
width: 100%;
}
.form-radio-item:not(#foo) {
margin-bottom: 0;
position: relative;
}
.form-radio-item:not(#foo) input[type="checkbox"],
.form-radio-item:not(#foo) input[type="radio"] {
display: none;
}
.form-radio-item:not(#foo) .form-radio-other,
.form-radio-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-radio-item:not(#foo) .form-checkbox-other-input,
.form-radio-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-radio-item:not(#foo) label {
line-height: 18px;
margin-left: 0;
float: left;
text-indent: 27px;
}
.form-radio-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 18px;
height: 18px;
cursor: pointer;
}
.form-radio-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 5px;
left: 9px;
width: 8px;
height: 8px;
}
.form-radio-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-radio-item:not(#foo) input[type="checkbox"],
.form-radio-item:not(#foo) input[type="radio"] {
display: none;
}
.form-radio-item:not(#foo) .form-radio-other,
.form-radio-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-radio-item:not(#foo) .form-checkbox-other-input,
.form-radio-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-radio-item:not(#foo) label {
line-height: 24px;
margin-left: 0;
float: left;
text-indent: 33px;
}
.form-radio-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 24px;
height: 24px;
cursor: pointer;
}
.form-radio-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 7px;
left: 11px;
width: 10px;
height: 10px;
}
.form-radio-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-radio-item:not(#foo) label:before {
border: 2px solid #0070b5;
}
.form-radio-item:not(#foo) label:after {
background-color: #0070b5;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
cursor: pointer;
}
.form-checkbox-item:not(#foo) {
margin-bottom: 0;
position: relative;
}
.form-checkbox-item:not(#foo) input[type="checkbox"],
.form-checkbox-item:not(#foo) input[type="radio"] {
display: none;
}
.form-checkbox-item:not(#foo) .form-radio-other,
.form-checkbox-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-checkbox-item:not(#foo) .form-checkbox-other-input,
.form-checkbox-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-checkbox-item:not(#foo) label {
line-height: 18px;
margin-left: 0;
float: left;
text-indent: 27px;
}
.form-checkbox-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 18px;
height: 18px;
cursor: pointer;
}
.form-checkbox-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 8px;
left: 9px;
width: 3px;
height: 3px;
}
.form-checkbox-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-checkbox-item:not(#foo) label:before {
border: 2px solid #0070b5;
}
.form-checkbox-item:not(#foo) label:after {
background-color: #0070b5;
box-shadow: 0 2px 0 0 #0070b5, 2px 2px 0 0 #0070b5, 4px 2px 0 0 #0070b5, 6px 2px 0 0 #0070b5;
-moz-transform: rotate(-45deg);
-webkit-transform: rotate(-45deg);
-o-transform: rotate(-45deg);
-ms-transform: rotate(-45deg);
transform: rotate(-45deg);
}
.form-checkbox-item:not(#foo) input[type="checkbox"],
.form-checkbox-item:not(#foo) input[type="radio"] {
display: none;
}
.form-checkbox-item:not(#foo) .form-radio-other,
.form-checkbox-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-checkbox-item:not(#foo) .form-checkbox-other-input,
.form-checkbox-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-checkbox-item:not(#foo) label {
line-height: 24px;
margin-left: 0;
float: left;
text-indent: 33px;
}
.form-checkbox-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 24px;
height: 24px;
cursor: pointer;
}
.form-checkbox-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 11px;
left: 10px;
width: 4px;
height: 4px;
}
.form-checkbox-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-checkbox-item:not(#foo) label:after {
background-color: #0070b5;
box-shadow: 0 3px 0 0 #0070b5, 3px 3px 0 0 #0070b5, 6px 3px 0 0 #0070b5, 8px 3px 0 0 #0070b5;
-moz-transform: rotate(-45deg);
-webkit-transform: rotate(-45deg);
-o-transform: rotate(-45deg);
-ms-transform: rotate(-45deg);
transform: rotate(-45deg);
}
.supernova {
height: 100%;
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-repeat: repeat;
}
.supernova {
background-image: none;
}
#stage {
background-image: none;
}
/* | */
.form-all {
background-image: url("https://cms.interlogy.com/uploads/image_upload/image_upload/global/6461_clouds.jpg");
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-size: cover;
}
.form-header-group {
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
}
.form-line {
margin-top: 0px;
margin-bottom: 0px;
}
.form-line {
padding: 12px 36px;
}
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
-webkit-border-radius: 100px;
-moz-border-radius: 100px;
border-radius: 100px;
}
.form-all .form-sub-label {
margin-left: 3px;
}
.form-all {
-webkit-border-radius: 6px;
-moz-border-radius: 6px;
border-radius: 6px;
}
.form-section:first-child {
-webkit-border-radius: 6px 6px 0 0;
-moz-border-radius: 6px 6px 0 0;
border-radius: 6px 6px 0 0;
}
.form-section:last-child {
-webkit-border-radius: 0 0 6px 6px;
-moz-border-radius: 0 0 6px 6px;
border-radius: 0 0 6px 6px;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 1em;
padding: 9px 15px;
font-family: "Roboto", sans-serif;
font-size: 16px;
font-weight: normal;
}
.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next {
font-size: 1em;
padding: 9px 15px;
font-family: "Roboto", sans-serif;
font-size: 14px;
font-weight: normal;
}
/*
& when ( @buttonFontType = google ) {
}
*/
h2.form-header {
line-height: 1.618em;
font-size: 1.714em;
}
h2 ~ .form-subHeader {
line-height: 1.5em;
font-size: 1.071em;
}
.form-header-group {
text-align: center;
}
/*.form-dropdown,
.form-radio-item,
.form-checkbox-item,
.form-radio-other-input,
.form-checkbox-other-input,*/
.form-captcha input,
.form-spinner input,
.form-error-message {
padding: 4px 3px 2px 3px;
}
.form-header-group {
font-family: "Roboto", sans-serif;
}
.form-section {
padding: 0px 0px 0px 0px;
}
.form-header-group {
margin: 12px 0px 12px 0px;
}
.form-header-group {
padding: 24px 36px 24px 36px;
}
.form-header-group .form-header,
.form-header-group .form-subHeader {
color: #024e7e;
}
.form-textbox,
.form-textarea {
border-color: #ffffff;
padding: 4px 3px 2px 3px;
}
.form-textbox,
.form-textarea,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
background-color: rgba(241, 241, 241, 0);
}
.form-dropdown {
border-color: #ffffff;
-webkit-appearance: menulist-button;
background-color: rgba(248, 248, 248, 0);
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
width: 150px;
}
.form-buttons-wrapper {
margin-left: 0 !important;
text-align: center;
}
.form-header-group {
border-bottom: none;
}
.form-label {
font-family: "Roboto", sans-serif;
}
li[data-type="control_image"] div {
text-align: left;
}
li[data-type="control_image"] img {
border: none;
border-width: 0px !important;
border-style: solid !important;
border-color: false !important;
}
.form-line-column {
width: auto;
}
.form-line-error {
background-color: #ffffff;
-webkit-box-shadow: inset 0px 3px 11px -7px #ff3200;
-moz-box-shadow: inset 0px 3px 11px -7px #ff3200;
box-shadow: inset 0px 3px 11px -7px #ff3200;
}
.form-line-error input:not(#coupon-input),
.form-line-error textarea,
.form-line-error .form-validation-error {
-webkit-transition-property: none;
-moz-transition-property: none;
-ms-transition-property: none;
-o-transition-property: none;
transition-property: none;
-webkit-transition-duration: 0.3s;
-moz-transition-duration: 0.3s;
-ms-transition-duration: 0.3s;
-o-transition-duration: 0.3s;
transition-duration: 0.3s;
-webkit-transition-timing-function: ease;
-moz-transition-timing-function: ease;
-ms-transition-timing-function: ease;
-o-transition-timing-function: ease;
transition-timing-function: ease;
border: 1px solid #fff4f4;
-moz-box-shadow: 0 0 3px #fff4f4;
-webkit-box-shadow: 0 0 3px #fff4f4;
box-shadow: 0 0 3px #fff4f4;
}
.form-line-error .form-error-message {
margin: 0;
position: absolute;
color: #fff;
display: inline-block;
right: 0;
font-size: 10px;
position: absolute!important;
box-shadow: none;
top: 0px;
line-height: 20px;
color: #FFF;
background: #ff3200;
padding: 0px 5px;
bottom: auto;
min-width: 105px;
-webkit-border-radius: 0;
-moz-border-radius: 0;
border-radius: 0;
}
.form-line-error .form-error-message img,
.form-line-error .form-error-message .form-error-arrow {
display: none;
}
.ie-8 .form-all {
margin-top: auto;
margin-top: initial;
}
.ie-8 .form-all:before {
display: none;
}
/* | */
@media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) {
.testOne {
letter-spacing: 0;
}
.jotform-form {
padding: 12px 0 0 0;
}
.form-all {
border: 0;
width: 94%!important;
max-width: initial;
}
.form-sub-label-container {
width: 100%;
margin: 0;
margin-right: 0;
float: left;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
span.form-sub-label-container + span.form-sub-label-container {
margin-right: 0;
}
.form-sub-label {
white-space: normal;
}
.form-address-table td,
.form-address-table th {
padding: 0 1px 10px;
}
.form-submit-button,
.form-submit-print,
.form-submit-reset {
width: 100%;
margin-left: 0!important;
}
div[id*=at_] {
font-size: 14px;
font-weight: 700;
height: 8px;
margin-top: 6px;
}
.showAutoCalendar {
width: 20px;
}
img.form-image {
max-width: 100%;
height: auto;
}
.form-matrix-row-headers {
width: 100%;
word-break: break-all;
min-width: 40px;
}
.form-collapse-table,
.form-header-group {
margin: 0;
}
.form-collapse-table {
height: 100%;
display: inline-block;
width: 100%;
}
.form-collapse-hidden {
display: none !important;
}
.form-input {
width: 100%;
}
.form-label {
width: 100% !important;
}
.form-label-left,
.form-label-right {
display: block;
float: none;
text-align: left;
width: auto!important;
}
.form-line,
.form-line.form-line-column {
padding: 2% 5%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
input[type=text],
input[type=email],
input[type=tel],
textarea {
width: 100%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
max-width: initial !important;
}
.form-dropdown,
.form-textarea,
.form-textbox {
width: 100%!important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-input,
.form-input-wide,
.form-textarea,
.form-textbox,
.form-dropdown {
max-width: initial!important;
}
.form-address-city,
.form-address-line,
.form-address-postal,
.form-address-state,
.form-address-table,
.form-address-table .form-sub-label-container,
.form-address-table select,
.form-input {
width: 100%;
}
div.form-header-group {
padding: 24px 36px !important;
padding-left: 5%!important;
padding-right: 5%!important;
margin: 0 12px 2% !important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
div.form-header-group.hasImage img {
max-width: 100%;
}
[data-type="control_button"] {
margin-bottom: 0 !important;
}
[data-type=control_fullname] .form-sub-label-container {
width: 48%;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right: 4%;
}
[data-type=control_phone] .form-sub-label-container {
width: 65%;
}
[data-type=control_phone] .form-sub-label-container:first-child {
width: 31%;
margin-right: 4%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container,
[data-type=control_datetime] .form-sub-label-container:first-child {
width: 27.3%;
margin-right: 6%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
width: 33.3%;
margin-right: 0;
}
[data-type=control_datetime] span + span + span > span:first-child {
display: block;
width: 100% !important;
}
[data-type=control_birthdate] .form-sub-label-container,
[data-type=control_datetime] span + span + span > span:first-child + span + span,
[data-type=control_time] .form-sub-label-container {
width: 27.3%!important;
margin-right: 6% !important;
}
[data-type=control_birthdate] .form-sub-label-container:last-child,
[data-type=control_time] .form-sub-label-container:last-child {
width: 33.3%!important;
margin-right: 0 !important;
}
.form-pagebreak-back-container,
.form-pagebreak-next-container {
width: 50% !important;
}
.form-pagebreak-back,
.form-pagebreak-next,
.form-product-item.hover-product-item {
width: 100%;
}
.form-pagebreak-back-container {
padding: 0;
text-align: right;
}
.form-pagebreak-next-container {
padding: 0;
text-align: left;
}
.form-pagebreak {
margin: 0 auto;
}
.form-buttons-wrapper {
margin: 0!important;
margin-left: 0!important;
}
.form-buttons-wrapper button {
width: 100%;
}
.form-buttons-wrapper .form-submit-print {
margin: 0 !important;
}
table {
width: 100%!important;
max-width: initial!important;
}
table td + td {
padding-left: 3%;
}
.form-checkbox-item,
.form-radio-item {
white-space: normal!important;
}
.form-checkbox-item input,
.form-radio-item input {
width: auto;
}
.form-collapse-table {
margin: 0 5%;
display: block;
zoom: 1;
width: auto;
}
.form-collapse-table:before,
.form-collapse-table:after {
display: table;
content: '';
line-height: 0;
}
.form-collapse-table:after {
clear: both;
}
.fb-like-box {
width: 98% !important;
}
.form-error-message {
clear: both;
bottom: -10px;
}
.date-separate,
.phone-separate {
display: none;
}
.custom-field-frame,
.direct-embed-widgets,
.signature-pad-wrapper {
width: 100% !important;
}
}
/* | */
/*PREFERENCES STYLE*/
.form-all {
font-family: Roboto, sans-serif;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-family: Roboto, sans-serif;
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-family: Roboto, sans-serif;
}
.form-header-group {
font-family: Roboto, sans-serif;
}
.form-label {
font-family: Roboto, sans-serif;
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
.form-line {
margin-top: 12px;
margin-bottom: 12px;
}
.form-all {
max-width: 480px;
width: 100%;
}
.form-label.form-label-left,
.form-label.form-label-right,
.form-label.form-label-left.form-label-auto,
.form-label.form-label-right.form-label-auto {
width: 150px;
}
.form-all {
font-size: 14px
}
.form-all .qq-upload-button,
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 14px
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-size: 14px
}
.supernova .form-all, .form-all {
background-color: #b8e986;
}
.form-all {
color: rgb(0, 65, 104);
}
.form-header-group .form-header {
color: rgb(2, 78, 126);
}
.form-header-group .form-subHeader {
color: rgb(0, 65, 104);
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html,
.form-checkbox-item label,
.form-radio-item label,
span.FITB .qb-checkbox-label,
span.FITB .qb-radiobox-label,
span.FITB .form-radio label,
span.FITB .form-checkbox label,
[data-blotid][data-type=checkbox] [data-labelid],
[data-blotid][data-type=radiobox] [data-labelid],
span.FITB-inptCont[data-type=checkbox] label,
span.FITB-inptCont[data-type=radiobox] label {
color: rgb(0, 65, 104);
}
.form-sub-label {
color: 1a1a1a;
}
.supernova {
background-color: #f5f5f5;
}
.supernova body {
background: transparent;
}
.form-textbox,
.form-textarea,
.form-dropdown,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
background-color: rgba(241, 241, 241, 0);
}
.supernova {
height: 100%;
background-repeat: repeat;
background-attachment: scroll;
background-position: center top;
}
.supernova {
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b265c946ceb5.94237799.jpg");
}
#stage {
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b265c946ceb5.94237799.jpg");
}
.form-all {
background-image: url("https://cms.interlogy.com/uploads/image_upload/image_upload/global/6461_clouds.jpg");
background-repeat: repeat;
background-attachment: scroll;
background-position: center top;
}
.form-all {
position: relative;
}
.form-all:before {
content: "";
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b262a05dab56.71927843.jpg");
display: inline-block;
height: 140px;
position: absolute;
background-size: 140px 140px;
background-repeat: no-repeat;
width: 100%;
}
.form-all {
margin-top: 150px !important;
}
.form-all:before {
top: -150px;
background-position: top center;
left: 0;
}
.ie-8 .form-all:before { display: none; }
.ie-8 {
margin-top: auto;
margin-top: initial;
}
/*PREFERENCES STYLE*//*__INSPECT_SEPERATOR__*/
/*---------------------
Theme: Generic Theme
Author: Elton Cris - idarktech@jotform.com
www.jotform.com
----------------------*/
.form-all {
-moz-box-sizing : border-box;
-webkit-box-sizing : border-box;
box-sizing : border-box;
}
[data-type="control_head"] {
padding-bottom : 20px;
}
/*responsive fields*/
[data-type="control_textbox"] .form-textbox,
[data-type="control_fullname"] .form-textbox,
[data-type="control_email"] .form-textbox,
[data-type="control_textarea"] .form-textarea,
[data-type="control_dropdown"] .form-dropdown {
width : 100% !important;
max-width : none !important;
}
.form-textbox, .form-textarea, .form-dropdown {
max-width : none !important;
box-shadow : none;
outline : none;
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
font-family : inherit;
box-shadow : 1px 1px 2px #ccc;
padding : 7px 5px !important;
}
.form-textarea-limit>span {
display : block;
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
width : 100%;
}
/*input focus*/
.form-line-active input:focus, .form-line-active textarea:focus, .form-line-active select:focus {
box-shadow : none;
}
/*reset error*/
.form-line-error {
box-shadow : none;
}
/*input error*/
.form-line-error input:not(#coupon-input), .form-line-error textarea, .form-line-error select, .form-line-error .form-validation-error {
border : 1px solid #e15353 !important;
box-shadow : none !important;
}
.form-line-active {
color : inherit !important;
}
/*responsive content -wide or shrink*/
.form-label {
width : 35% !important;
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
}
.form-label-top {
width : 100% !important;
}
.form-line {
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
width : 100%;
}
.form-checkbox-other-input {
width : 80% !important;
}
.form-input {
width : 65% !important;
max-width : none !important;
}
.form-input-wide {
max-width : none !important;
display : inline-block;
width : 100%;
}
/*single fields with sublabels*/
[data-type="control_textbox"] .form-input-wide .form-sub-label-container,
[data-type="control_fullname"] .form-input-wide .form-sub-label-container,
[data-type="control_email"] .form-input-wide .form-sub-label-container,
[data-type="control_textarea"] .form-input-wide .form-sub-label-container,
[data-type="control_dropdown"] .form-input-wide .form-sub-label-container,
[data-type="control_textbox"] .form-input .form-sub-label-container,
[data-type="control_fullname"] .form-input .form-sub-label-container,
[data-type="control_email"] .form-input .form-sub-label-container,
[data-type="control_textarea"] .form-input .form-sub-label-container,
[data-type="control_dropdown"] .form-input .form-sub-label-container {
width : 100%;
max-width : none !important;
}
[data-type="control_dropdown"] .form-input-wide {
width : 100%;
}
/*responsive full name*/
[data-type="control_fullname"] .form-sub-label-container {
width : 50% !important;
margin : 0;
float : left;
box-sizing : border-box;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container {
display : inline-block;
padding-right : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
margin-right : 0;
padding-right : 0;
padding-left : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
margin-right : 0;
padding-right : 0;
padding-left : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-left : 0;
padding-right : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-left : 5px;
padding-right : 0;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-right : 5px;
padding-left : 0;
}
#sublabel_prefix, #sublabel_first, #sublabel_middle {
/*margin-bottom : 10px;
*/;
}
/*remove sepatators on date and phone*/
.phone-separate, .date-separate {
display : none;
}
/*responsive phone fields*/
[data-type="control_phone"] input[name$="[area]"] {
width : 100%;
}
[data-type="control_phone"] input[name$="[phone]"] {
width : 100%;
}
[data-type="control_phone"] input[name$="[full]"] {
width : 100%;
}
[data-type="control_phone"] .form-sub-label-container {
width : 40%;
float : left;
box-sizing : border-box;
margin-right : 0;
padding-right : 12px;
}
/* responsive date time field */
[data-type="control_datetime"] .form-textbox,
[data-type="control_datetime"] .form-dropdown {
width : 100%;
}
[data-type="control_datetime"] .form-sub-label-container {
width : 28%;
padding-left : 4px;
box-sizing : border-box;
margin-right : 0;
}
[data-type="control_datetime"] .form-sub-label-container:first-child {
padding-left : 0;
}
[data-type="control_datetime"] .form-sub-label-container:first-child + .form-sub-label-container + .form-sub-label-container {
padding-right : 0;
}
[data-type="control_datetime"] .form-sub-label-container:last-child {
width : auto !important;
}
.allowTime-container .form-sub-label-container:last-child {
width : 20% !important;
}
span.allowTime-container {
width : 80%;
padding-top : 14px;
}
.allowTime-container span.form-sub-label-container {
width : 35%;
}
span.allowTime-container .form-dropdown {
width : 100%;
}
span.allowTime-container > span:first-child {
display : none;
}
span.allowTime-container > span:first-child + span {
padding-left : 0;
}
.showAutoCalendar + label {
display : none;
}
span.allowTime-container + span {
padding-top : 14px;
}
/*calendar lite mode*/
[data-type="control_datetime"] div[style*="none"] + .form-sub-label-container {
width : 84%;
padding-left : 0;
}
/*responsive phone field*/
[data-type="control_phone"] .form-sub-label-container + .form-sub-label-container {
width : 60%;
margin-right : 0;
padding-right : 0;
padding-left : 12px;
}
/*responsive full address fields*/
.form-address-city, .form-address-line, .form-address-postal,
.form-address-state, .form-address-table,
.form-address-table .form-sub-label-container, .form-address-table select {
width : 100%;
max-width : 100%;
}
[data-type="control_address"] input[name$="[city]"],
[data-type="control_address"] input[name$="[postal]"] {
width : 90% !important;
}
[data-type="control_address"] input[name$="[area]"] {
width : 60%;
}
/*reset submit button*/
[data-type="control_button"] {
background : transparent !important;
}
.form-submit-button,
.form-submit-reset,
.form-submit-print {
outline : none;
}
/*remove other checkbox*/
.form-checkbox-other,
.form-radio-other {
visibility : hidden !important;
}
/*shruken fields*/
.form-line-column {
width : 50%;
}
.form-line-column .form-label-top {
width : 100% !important;
}
/*fix form builder display*/
div#stage.form-all {
max-width : none !important;
margin-right : 0;
}
div#stage .form-input {
width : 64% !important;
}
/*remove first pagebreak back button*/
.form-all .page-section:first-child .form-pagebreak .form-pagebreak-back-container {
display : none !important;
}
/* responsive pagebreak */
.form-pagebreak-back-container {
width : 50% !important;
text-align : left;
box-sizing : border-box;
-webkit-box-sizing : border-box;
float : left;
}
.form-pagebreak-next-container {
width : 50% !important;
text-align : right;
box-sizing : border-box;
-webkit-box-sizing : border-box;
float : left;
}
/* radio-checkbox button make border 1px */
.form-radio-item:not(#foo) label:after,
.form-radio-item:not(#foo) label:before {
border-radius : 50%;
}
.form-checkbox-item:not(#foo) label:after,
.form-checkbox-item:not(#foo) label:before {
border-radius : 0;
}
.form-radio-item:not(#foo) label:before,
.form-checkbox-item:not(#foo) label:before {
border-width : 1px;
}
/*responsive credit card on payment fields*/
table td + td {
padding-left : 0;
}
.form-address-table {
width : 100%;
}
[data-type="control_stripe"] .form-address-table,
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table,
[data-type="control_authnet"] .form-address-table .form-textbox,
#creditCardTable.form-address-table,
#creditCardTable.form-address-table .form-textbox {
max-width : none;
}
[data-type="control_stripe"] .form-address-table td:last-child .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td:last-child .form-sub-label-container,
#creditCardTable.form-address-table td:last-child .form-sub-label-container {
margin-left : 0;
white-space : normal;
}
[data-type="control_stripe"] .form-address-table td .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td .form-sub-label-container,
#creditCardTable.form-address-table td .form-sub-label-container {
width : 100%;
}
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_stripe"] .form-address-table .form-dropdown,
[data-type="control_authnet"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table .form-dropdown,
#creditCardTable.form-address-table .form-textbox,
#creditCardTable.form-address-table .form-dropdown {
width : 100%;
visibility : visible;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child span {
margin : 0;
padding-right : 6px;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child + td span {
margin : 0;
padding-left : 6px;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span {
margin : 0;
padding-right : 6px;
width : 50% !important;
visibility : hidden;
float : left;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span {
margin : 0;
padding-top : 0 !important;
padding-right : 0;
padding-left : 6px;
width : 50% !important;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
.cc_ccv {
width : 100% !important;
}
[data-type="control_stripe"] .form-address-table .form-sub-label,
[data-type="control_authnet"] .form-address-table .form-sub-label,
#creditCardTable.form-address-table .form-sub-label {
visibility : visible;
}
/*cc fix city state, country */
[data-type="control_stripe"] .form-address-table td[width="50%"]>span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"]>span:first-child,
#creditCardTable.form-address-table td[width="50%"]>span:first-child {
box-sizing : border-box;
padding-right : 7px;
}
[data-type="control_stripe"] .form-address-table td[width="50%"] + td >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td >span:first-child {
box-sizing : border-box;
padding-left : 7px;
}
[data-type="control_stripe"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td[width="50%"] >span:first-child {
box-sizing : border-box;
padding-right : 0;
}
.hover-product-item:hover {
color : inherit;
}
/*fix for braintree cc styling*/
[data-type="control_braintree"] .form-sub-label-container {
width : 100% !important;
padding : 4px;
box-sizing : border-box;
}
[data-type="control_braintree"] .form-textbox {
width : 100%;
}
.braintree-hosted-fields {
width : 100% !important;
box-sizing : border-box;
min-height : 28px;
}
/*remove bottom spacing on CC section*/
#creditCardTable.form-address-table tbody tr + tr + tr td,
[data-type="control_stripe"] .form-address-table tbody tr + tr + tr td,
[data-type="control_authnet"] .form-address-table tbody tr + tr + tr td {
padding-bottom : 0;
}
@media screen and (max-width:768px){
.form-all {
margin : 0 auto !important;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right : 0;
}
}
@media screen and (max-width:480px){
.jotform-form {
padding : 0;
}
.form-input {
width : 100% !important;
}
.form-label {
width : 100% !important;
float : none !important;
}
.form-line-column {
width : 100% !important;
}
div.form-header-group {
margin : 0 !important;
padding : 24px 20px !important;
}
[data-type="control_datetime"] .form-sub-label-container {
float : left;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right : 0;
}
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
/* Injected CSS Code */
</style>
<form class="jotform-form" action="https://submit.jotform.com/submit/230008589891666/" method="post" name="form_230008589891666" id="230008589891666" accept-charset="utf-8" autocomplete="on"><input type="hidden" name="formID" value="230008589891666" /><input type="hidden" id="JWTContainer" value="" /><input type="hidden" id="cardinalOrderNumber" value="" />
<div role="main" class="form-all">
<ul class="form-section page-section">
<li id="cid_8" class="form-input-wide" data-type="control_head">
<div class="form-header-group header-large">
<div class="header-text httac htvam">
<h1 id="header_8" class="form-header" data-component="header">Contacto Rhema Ecuador</h1>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_3"><label class="form-label form-label-top form-label-auto" id="label_3" for="input_3"> Name<span class="form-required">*</span> </label>
<div id="cid_3" class="form-input-wide jf-required"> <input type="text" id="input_3" name="q3_name" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_3" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_4"><label class="form-label form-label-top form-label-auto" id="label_4" for="input_4"> E-mail<span class="form-required">*</span> </label>
<div id="cid_4" class="form-input-wide jf-required"> <input type="text" id="input_4" name="q4_email" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_4" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_5"><label class="form-label form-label-top form-label-auto" id="label_5" for="input_5"> Contact Number<span class="form-required">*</span> </label>
<div id="cid_5" class="form-input-wide jf-required"> <input type="text" id="input_5" name="q5_contactNumber5" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_5" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textarea" id="id_6"><label class="form-label form-label-top form-label-auto" id="label_6" for="input_6"> Message<span class="form-required">*</span> </label>
<div id="cid_6" class="form-input-wide jf-required"> <textarea id="input_6" class="form-textarea validate[required]" name="q6_message" cols="30" rows="8" data-component="textarea" required="" aria-labelledby="label_6"></textarea> </div>
</li>
<li class="form-line" data-type="control_button" id="id_7">
<div id="cid_7" class="form-input-wide">
<div style="margin-left:156px" data-align="auto" class="form-buttons-wrapper form-buttons-auto jsTest-button-wrapperField"><button id="input_7" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField" data-component="button" data-content="">Submit</button></div>
</div>
</li>
<li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li>
</ul>
</div>
<script>
JotForm.showJotFormPowered = "new_footer";
</script>
<script>
JotForm.poweredByText = "Powered by Jotform";
</script><input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="230008589891666" />
<script type="text/javascript">
var all_spc = document.querySelectorAll("form[id='230008589891666'] .si" + "mple" + "_spc");
for (var i = 0; i < all_spc.length; i++)
{
all_spc[i].value = "230008589891666-230008589891666";
}
</script>
<div class="formFooter-heightMask"></div>
<div class="formFooter f6 branding21">
<div class="formFooter-wrapper formFooter-leftSide"><a href="https://www.jotform.com/?utm_source=formfooter&utm_medium=banner&utm_term=230008589891666&utm_content=jotform_logo&utm_campaign=powered_by_jotform_le" target="_blank" class="formFooter-logoLink"><img class="formFooter-logo" src="https://cdn.jotfor.ms/assets/img/logo2021/jotform-logo-white.svg" alt="Jotform Logo" style="height: 44px;"></a></div>
<div class="formFooter-wrapper formFooter-rightSide"><span class="formFooter-text">Now create your own Jotform - It's free!</span><a class="formFooter-button" href="https://www.jotform.com/?utm_source=formfooter&utm_medium=banner&utm_term=230008589891666&utm_content=jotform_button&utm_campaign=powered_by_jotform_le" target="_blank">Create your own Jotform</a></div>
</div>
</form><script type="text/javascript">JotForm.ownerView=true;</script><script src="https://cdn02.jotfor.ms/static/prototype.forms.js?3.3.38417" type="text/javascript"></script><script src="https://cdn03.jotfor.ms/static/jotform.forms.js?3.3.38417" type="text/javascript"></script>
<script type="text/javascript"> JotForm.newDefaultTheme = false;
JotForm.extendsNewTheme = false;
JotForm.singleProduct = false;
JotForm.newPaymentUIForNewCreatedForms = false;
JotForm.highlightInputs = false;
JotForm.clearFieldOnHide="disable";
JotForm.init(function(){
/*INIT-START*/
if (window.JotForm && JotForm.accessible) $('input_3').setAttribute('tabindex',0);
if (window.JotForm && JotForm.accessible) $('input_4').setAttribute('tabindex',0);
if (window.JotForm && JotForm.accessible) $('input_5').setAttribute('tabindex',0);
if (window.JotForm && JotForm.accessible) $('input_6').setAttribute('tabindex',0);
/*INIT-END*/
});
JotForm.prepareCalculationsOnTheFly([null,null,null,{"name":"name","qid":"3","text":"Name","type":"control_textbox"},{"name":"email","qid":"4","text":"E-mail","type":"control_textbox"},{"name":"contactNumber5","qid":"5","text":"Contact Number","type":"control_textbox"},{"name":"message","qid":"6","text":"Message","type":"control_textarea"},{"name":"submit","qid":"7","text":"Submit","type":"control_button"},{"name":"clickTo","qid":"8","text":"Contacto Rhema Ecuador","type":"control_head"}]);
setTimeout(function() {
JotForm.paymentExtrasOnTheFly([null,null,null,{"name":"name","qid":"3","text":"Name","type":"control_textbox"},{"name":"email","qid":"4","text":"E-mail","type":"control_textbox"},{"name":"contactNumber5","qid":"5","text":"Contact Number","type":"control_textbox"},{"name":"message","qid":"6","text":"Message","type":"control_textarea"},{"name":"submit","qid":"7","text":"Submit","type":"control_button"},{"name":"clickTo","qid":"8","text":"Contacto Rhema Ecuador","type":"control_head"}]);}, 20);
</script>
<link href="https://cdn01.jotfor.ms/static/formCss.css?3.3.38417" rel="stylesheet" type="text/css" />
<style type="text/css">@media print{.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}</style>
<link type="text/css" rel="stylesheet" href="https://cdn02.jotfor.ms/css/styles/nova.css?3.3.38417" />
<link type="text/css" rel="stylesheet" href="https://cdn03.jotfor.ms/themes/CSS/566a91c2977cdfcd478b4567.css?themeRevisionID=58c6459d9a11c7136a8b4567"/>
<link type="text/css" rel="stylesheet" href="https://cdn01.jotfor.ms/css/styles/payment/payment_feature.css?3.3.38417" />
<style type="text/css">
.form-label-left{
width:150px;
}
.form-line{
padding-top:12px;
padding-bottom:12px;
}
.form-label-right{
width:150px;
}
.form-all{
width:480px;
color:rgb(0, 65, 104) !important;
font-family:'Roboto';
font-size:14px;
}
.form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header{
color: #0070B5;
}
</style>
<style type="text/css" id="form-designer-style">
@import "https://fonts.googleapis.com/css?family=Roboto:light,lightitalic,normal,italic,bold,bolditalic";
@import "//support.jotform.com/themes/css/buttons/form-submit-button-simple_carolina_blue.css";
@import (css) "@{buttonFontLink}";
/* Injected CSS Code */
.form-all {
font-family: "Roboto", sans-serif;
}
.form-all {
width: 480px;
}
.form-label-left,
.form-label-right {
width: 150px;
}
.form-label {
white-space: normal;
}
.form-label-left {
display: inline-block;
white-space: normal;
float: left;
text-align: left;
}
.form-label-right {
display: inline-block;
white-space: normal;
float: left;
text-align: right;
}
.form-label-top {
white-space: normal;
display: block;
float: none;
text-align: left;
}
.form-radio-item label:before {
top: 0;
}
.form-all {
font-size: 14px;
}
.form-label {
font-weight: normal;
font-size: 0.95em;
}
.supernova {
background-color: #ffffff;
background-color: #f5f5f5;
}
.supernova body {
background-color: transparent;
}
/*
@width30: (unit(@formWidth, px) + 60px);
@width60: (unit(@formWidth, px)+ 120px);
@width90: (unit(@formWidth, px)+ 180px);
*/
/* | */
@media screen and (min-width: 480px) {
.supernova .form-all {
border: 1px solid #dcdcdc;
-webkit-box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);
-moz-box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);
box-shadow: 0 3px 9px rgba(0, 0, 0, 0.1);
}
}
/* | */
/* | */
@media screen and (max-width: 480px) {
.jotform-form {
padding: 10px 0;
}
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 768px) {
.jotform-form {
padding: 30px 0;
}
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 479px) {
.jotform-form {
padding: 30px 0;
}
}
/* | */
/* | */
@media screen and (min-width: 768px) {
.jotform-form {
padding: 60px 0;
}
}
/* | */
/* | */
@media screen and (max-width: 479px) {
.jotform-form {
padding: 12px;
}
}
/* | */
.supernova .form-all,
.form-all {
background-color: #ffffff;
border: 1px solid transparent;
}
.form-header-group {
border-color: #e6e6e6;
}
.form-matrix-table tr {
border-color: #e6e6e6;
}
.form-matrix-table tr:nth-child(2n) {
background-color: #f2f2f2;
}
.form-all {
color: #004168;
}
.form-header-group .form-header {
color: #004168;
}
.form-header-group .form-subHeader {
color: #00619b;
}
.form-sub-label {
color: #00619b;
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html {
color: #00619b;
}
.form-checkbox-item label,
.form-radio-item label {
color: #004168;
}
.form-line.form-line-active {
-webkit-transition-property: all;
-moz-transition-property: all;
-ms-transition-property: all;
-o-transition-property: all;
transition-property: all;
-webkit-transition-duration: 0.3s;
-moz-transition-duration: 0.3s;
-ms-transition-duration: 0.3s;
-o-transition-duration: 0.3s;
transition-duration: 0.3s;
-webkit-transition-timing-function: ease;
-moz-transition-timing-function: ease;
-ms-transition-timing-function: ease;
-o-transition-timing-function: ease;
transition-timing-function: ease;
background-color: rgba(255, 255, 224, 0);
}
/* omer */
.form-radio-item,
.form-checkbox-item {
padding-bottom: 4px !important;
}
.form-radio-item:last-child,
.form-checkbox-item:last-child {
padding-bottom: 0;
}
/* omer */
.form-single-column .form-checkbox-item,
.form-single-column .form-radio-item {
width: 100%;
}
.form-radio-item:not(#foo) {
margin-bottom: 0;
position: relative;
}
.form-radio-item:not(#foo) input[type="checkbox"],
.form-radio-item:not(#foo) input[type="radio"] {
display: none;
}
.form-radio-item:not(#foo) .form-radio-other,
.form-radio-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-radio-item:not(#foo) .form-checkbox-other-input,
.form-radio-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-radio-item:not(#foo) label {
line-height: 18px;
margin-left: 0;
float: left;
text-indent: 27px;
}
.form-radio-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 18px;
height: 18px;
cursor: pointer;
}
.form-radio-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 5px;
left: 9px;
width: 8px;
height: 8px;
}
.form-radio-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-radio-item:not(#foo) input[type="checkbox"],
.form-radio-item:not(#foo) input[type="radio"] {
display: none;
}
.form-radio-item:not(#foo) .form-radio-other,
.form-radio-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-radio-item:not(#foo) .form-checkbox-other-input,
.form-radio-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-radio-item:not(#foo) label {
line-height: 24px;
margin-left: 0;
float: left;
text-indent: 33px;
}
.form-radio-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 24px;
height: 24px;
cursor: pointer;
}
.form-radio-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 7px;
left: 11px;
width: 10px;
height: 10px;
}
.form-radio-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-radio-item:not(#foo) label:before {
border: 2px solid #0070b5;
}
.form-radio-item:not(#foo) label:after {
background-color: #0070b5;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
cursor: pointer;
}
.form-checkbox-item:not(#foo) {
margin-bottom: 0;
position: relative;
}
.form-checkbox-item:not(#foo) input[type="checkbox"],
.form-checkbox-item:not(#foo) input[type="radio"] {
display: none;
}
.form-checkbox-item:not(#foo) .form-radio-other,
.form-checkbox-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-checkbox-item:not(#foo) .form-checkbox-other-input,
.form-checkbox-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-checkbox-item:not(#foo) label {
line-height: 18px;
margin-left: 0;
float: left;
text-indent: 27px;
}
.form-checkbox-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 18px;
height: 18px;
cursor: pointer;
}
.form-checkbox-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 8px;
left: 9px;
width: 3px;
height: 3px;
}
.form-checkbox-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-checkbox-item:not(#foo) label:before {
border: 2px solid #0070b5;
}
.form-checkbox-item:not(#foo) label:after {
background-color: #0070b5;
box-shadow: 0 2px 0 0 #0070b5, 2px 2px 0 0 #0070b5, 4px 2px 0 0 #0070b5, 6px 2px 0 0 #0070b5;
-moz-transform: rotate(-45deg);
-webkit-transform: rotate(-45deg);
-o-transform: rotate(-45deg);
-ms-transform: rotate(-45deg);
transform: rotate(-45deg);
}
.form-checkbox-item:not(#foo) input[type="checkbox"],
.form-checkbox-item:not(#foo) input[type="radio"] {
display: none;
}
.form-checkbox-item:not(#foo) .form-radio-other,
.form-checkbox-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 4px;
}
.form-checkbox-item:not(#foo) .form-checkbox-other-input,
.form-checkbox-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-checkbox-item:not(#foo) label {
line-height: 24px;
margin-left: 0;
float: left;
text-indent: 33px;
}
.form-checkbox-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 50%;
-moz-border-radius: 50%;
border-radius: 50%;
left: 4px;
width: 24px;
height: 24px;
cursor: pointer;
}
.form-checkbox-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 11px;
left: 10px;
width: 4px;
height: 4px;
}
.form-checkbox-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-checkbox-item:not(#foo) label:after {
background-color: #0070b5;
box-shadow: 0 3px 0 0 #0070b5, 3px 3px 0 0 #0070b5, 6px 3px 0 0 #0070b5, 8px 3px 0 0 #0070b5;
-moz-transform: rotate(-45deg);
-webkit-transform: rotate(-45deg);
-o-transform: rotate(-45deg);
-ms-transform: rotate(-45deg);
transform: rotate(-45deg);
}
.supernova {
height: 100%;
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-repeat: repeat;
}
.supernova {
background-image: none;
}
#stage {
background-image: none;
}
/* | */
.form-all {
background-image: url("https://cms.interlogy.com/uploads/image_upload/image_upload/global/6461_clouds.jpg");
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-size: cover;
}
.form-header-group {
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
}
.form-line {
margin-top: 0px;
margin-bottom: 0px;
}
.form-line {
padding: 12px 36px;
}
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
-webkit-border-radius: 100px;
-moz-border-radius: 100px;
border-radius: 100px;
}
.form-all .form-sub-label {
margin-left: 3px;
}
.form-all {
-webkit-border-radius: 6px;
-moz-border-radius: 6px;
border-radius: 6px;
}
.form-section:first-child {
-webkit-border-radius: 6px 6px 0 0;
-moz-border-radius: 6px 6px 0 0;
border-radius: 6px 6px 0 0;
}
.form-section:last-child {
-webkit-border-radius: 0 0 6px 6px;
-moz-border-radius: 0 0 6px 6px;
border-radius: 0 0 6px 6px;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 1em;
padding: 9px 15px;
font-family: "Roboto", sans-serif;
font-size: 16px;
font-weight: normal;
}
.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next {
font-size: 1em;
padding: 9px 15px;
font-family: "Roboto", sans-serif;
font-size: 14px;
font-weight: normal;
}
/*
& when ( @buttonFontType = google ) {
}
*/
h2.form-header {
line-height: 1.618em;
font-size: 1.714em;
}
h2 ~ .form-subHeader {
line-height: 1.5em;
font-size: 1.071em;
}
.form-header-group {
text-align: center;
}
/*.form-dropdown,
.form-radio-item,
.form-checkbox-item,
.form-radio-other-input,
.form-checkbox-other-input,*/
.form-captcha input,
.form-spinner input,
.form-error-message {
padding: 4px 3px 2px 3px;
}
.form-header-group {
font-family: "Roboto", sans-serif;
}
.form-section {
padding: 0px 0px 0px 0px;
}
.form-header-group {
margin: 12px 0px 12px 0px;
}
.form-header-group {
padding: 24px 36px 24px 36px;
}
.form-header-group .form-header,
.form-header-group .form-subHeader {
color: #024e7e;
}
.form-textbox,
.form-textarea {
border-color: #ffffff;
padding: 4px 3px 2px 3px;
}
.form-textbox,
.form-textarea,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
background-color: rgba(241, 241, 241, 0);
}
.form-dropdown {
border-color: #ffffff;
-webkit-appearance: menulist-button;
background-color: rgba(248, 248, 248, 0);
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
width: 150px;
}
.form-buttons-wrapper {
margin-left: 0 !important;
text-align: center;
}
.form-header-group {
border-bottom: none;
}
.form-label {
font-family: "Roboto", sans-serif;
}
li[data-type="control_image"] div {
text-align: left;
}
li[data-type="control_image"] img {
border: none;
border-width: 0px !important;
border-style: solid !important;
border-color: false !important;
}
.form-line-column {
width: auto;
}
.form-line-error {
background-color: #ffffff;
-webkit-box-shadow: inset 0px 3px 11px -7px #ff3200;
-moz-box-shadow: inset 0px 3px 11px -7px #ff3200;
box-shadow: inset 0px 3px 11px -7px #ff3200;
}
.form-line-error input:not(#coupon-input),
.form-line-error textarea,
.form-line-error .form-validation-error {
-webkit-transition-property: none;
-moz-transition-property: none;
-ms-transition-property: none;
-o-transition-property: none;
transition-property: none;
-webkit-transition-duration: 0.3s;
-moz-transition-duration: 0.3s;
-ms-transition-duration: 0.3s;
-o-transition-duration: 0.3s;
transition-duration: 0.3s;
-webkit-transition-timing-function: ease;
-moz-transition-timing-function: ease;
-ms-transition-timing-function: ease;
-o-transition-timing-function: ease;
transition-timing-function: ease;
border: 1px solid #fff4f4;
-moz-box-shadow: 0 0 3px #fff4f4;
-webkit-box-shadow: 0 0 3px #fff4f4;
box-shadow: 0 0 3px #fff4f4;
}
.form-line-error .form-error-message {
margin: 0;
position: absolute;
color: #fff;
display: inline-block;
right: 0;
font-size: 10px;
position: absolute!important;
box-shadow: none;
top: 0px;
line-height: 20px;
color: #FFF;
background: #ff3200;
padding: 0px 5px;
bottom: auto;
min-width: 105px;
-webkit-border-radius: 0;
-moz-border-radius: 0;
border-radius: 0;
}
.form-line-error .form-error-message img,
.form-line-error .form-error-message .form-error-arrow {
display: none;
}
.ie-8 .form-all {
margin-top: auto;
margin-top: initial;
}
.ie-8 .form-all:before {
display: none;
}
/* | */
@media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) {
.testOne {
letter-spacing: 0;
}
.jotform-form {
padding: 12px 0 0 0;
}
.form-all {
border: 0;
width: 94%!important;
max-width: initial;
}
.form-sub-label-container {
width: 100%;
margin: 0;
margin-right: 0;
float: left;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
span.form-sub-label-container + span.form-sub-label-container {
margin-right: 0;
}
.form-sub-label {
white-space: normal;
}
.form-address-table td,
.form-address-table th {
padding: 0 1px 10px;
}
.form-submit-button,
.form-submit-print,
.form-submit-reset {
width: 100%;
margin-left: 0!important;
}
div[id*=at_] {
font-size: 14px;
font-weight: 700;
height: 8px;
margin-top: 6px;
}
.showAutoCalendar {
width: 20px;
}
img.form-image {
max-width: 100%;
height: auto;
}
.form-matrix-row-headers {
width: 100%;
word-break: break-all;
min-width: 40px;
}
.form-collapse-table,
.form-header-group {
margin: 0;
}
.form-collapse-table {
height: 100%;
display: inline-block;
width: 100%;
}
.form-collapse-hidden {
display: none !important;
}
.form-input {
width: 100%;
}
.form-label {
width: 100% !important;
}
.form-label-left,
.form-label-right {
display: block;
float: none;
text-align: left;
width: auto!important;
}
.form-line,
.form-line.form-line-column {
padding: 2% 5%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
input[type=text],
input[type=email],
input[type=tel],
textarea {
width: 100%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
max-width: initial !important;
}
.form-dropdown,
.form-textarea,
.form-textbox {
width: 100%!important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-input,
.form-input-wide,
.form-textarea,
.form-textbox,
.form-dropdown {
max-width: initial!important;
}
.form-address-city,
.form-address-line,
.form-address-postal,
.form-address-state,
.form-address-table,
.form-address-table .form-sub-label-container,
.form-address-table select,
.form-input {
width: 100%;
}
div.form-header-group {
padding: 24px 36px !important;
padding-left: 5%!important;
padding-right: 5%!important;
margin: 0 12px 2% !important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
div.form-header-group.hasImage img {
max-width: 100%;
}
[data-type="control_button"] {
margin-bottom: 0 !important;
}
[data-type=control_fullname] .form-sub-label-container {
width: 48%;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right: 4%;
}
[data-type=control_phone] .form-sub-label-container {
width: 65%;
}
[data-type=control_phone] .form-sub-label-container:first-child {
width: 31%;
margin-right: 4%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container,
[data-type=control_datetime] .form-sub-label-container:first-child {
width: 27.3%;
margin-right: 6%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
width: 33.3%;
margin-right: 0;
}
[data-type=control_datetime] span + span + span > span:first-child {
display: block;
width: 100% !important;
}
[data-type=control_birthdate] .form-sub-label-container,
[data-type=control_datetime] span + span + span > span:first-child + span + span,
[data-type=control_time] .form-sub-label-container {
width: 27.3%!important;
margin-right: 6% !important;
}
[data-type=control_birthdate] .form-sub-label-container:last-child,
[data-type=control_time] .form-sub-label-container:last-child {
width: 33.3%!important;
margin-right: 0 !important;
}
.form-pagebreak-back-container,
.form-pagebreak-next-container {
width: 50% !important;
}
.form-pagebreak-back,
.form-pagebreak-next,
.form-product-item.hover-product-item {
width: 100%;
}
.form-pagebreak-back-container {
padding: 0;
text-align: right;
}
.form-pagebreak-next-container {
padding: 0;
text-align: left;
}
.form-pagebreak {
margin: 0 auto;
}
.form-buttons-wrapper {
margin: 0!important;
margin-left: 0!important;
}
.form-buttons-wrapper button {
width: 100%;
}
.form-buttons-wrapper .form-submit-print {
margin: 0 !important;
}
table {
width: 100%!important;
max-width: initial!important;
}
table td + td {
padding-left: 3%;
}
.form-checkbox-item,
.form-radio-item {
white-space: normal!important;
}
.form-checkbox-item input,
.form-radio-item input {
width: auto;
}
.form-collapse-table {
margin: 0 5%;
display: block;
zoom: 1;
width: auto;
}
.form-collapse-table:before,
.form-collapse-table:after {
display: table;
content: '';
line-height: 0;
}
.form-collapse-table:after {
clear: both;
}
.fb-like-box {
width: 98% !important;
}
.form-error-message {
clear: both;
bottom: -10px;
}
.date-separate,
.phone-separate {
display: none;
}
.custom-field-frame,
.direct-embed-widgets,
.signature-pad-wrapper {
width: 100% !important;
}
}
/* | */
/*PREFERENCES STYLE*/
.form-all {
font-family: Roboto, sans-serif;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-family: Roboto, sans-serif;
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-family: Roboto, sans-serif;
}
.form-header-group {
font-family: Roboto, sans-serif;
}
.form-label {
font-family: Roboto, sans-serif;
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
.form-line {
margin-top: 12px;
margin-bottom: 12px;
}
.form-all {
max-width: 480px;
width: 100%;
}
.form-label.form-label-left,
.form-label.form-label-right,
.form-label.form-label-left.form-label-auto,
.form-label.form-label-right.form-label-auto {
width: 150px;
}
.form-all {
font-size: 14px
}
.form-all .qq-upload-button,
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 14px
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-size: 14px
}
.supernova .form-all, .form-all {
background-color: #b8e986;
}
.form-all {
color: rgb(0, 65, 104);
}
.form-header-group .form-header {
color: rgb(2, 78, 126);
}
.form-header-group .form-subHeader {
color: rgb(0, 65, 104);
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html,
.form-checkbox-item label,
.form-radio-item label,
span.FITB .qb-checkbox-label,
span.FITB .qb-radiobox-label,
span.FITB .form-radio label,
span.FITB .form-checkbox label,
[data-blotid][data-type=checkbox] [data-labelid],
[data-blotid][data-type=radiobox] [data-labelid],
span.FITB-inptCont[data-type=checkbox] label,
span.FITB-inptCont[data-type=radiobox] label {
color: rgb(0, 65, 104);
}
.form-sub-label {
color: 1a1a1a;
}
.supernova {
background-color: #f5f5f5;
}
.supernova body {
background: transparent;
}
.form-textbox,
.form-textarea,
.form-dropdown,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
background-color: rgba(241, 241, 241, 0);
}
.supernova {
height: 100%;
background-repeat: repeat;
background-attachment: scroll;
background-position: center top;
}
.supernova {
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b265c946ceb5.94237799.jpg");
}
#stage {
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b265c946ceb5.94237799.jpg");
}
.form-all {
background-image: url("https://cms.interlogy.com/uploads/image_upload/image_upload/global/6461_clouds.jpg");
background-repeat: repeat;
background-attachment: scroll;
background-position: center top;
}
.form-all {
position: relative;
}
.form-all:before {
content: "";
background-image: url("https://www.jotform.com/uploads/rhemaecuador/form_files/unnamed.63b262a05dab56.71927843.jpg");
display: inline-block;
height: 140px;
position: absolute;
background-size: 140px 140px;
background-repeat: no-repeat;
width: 100%;
}
.form-all {
margin-top: 150px !important;
}
.form-all:before {
top: -150px;
background-position: top center;
left: 0;
}
.ie-8 .form-all:before { display: none; }
.ie-8 {
margin-top: auto;
margin-top: initial;
}
/*PREFERENCES STYLE*//*__INSPECT_SEPERATOR__*/
/*---------------------
Theme: Generic Theme
Author: Elton Cris - idarktech@jotform.com
www.jotform.com
----------------------*/
.form-all {
-moz-box-sizing : border-box;
-webkit-box-sizing : border-box;
box-sizing : border-box;
}
[data-type="control_head"] {
padding-bottom : 20px;
}
/*responsive fields*/
[data-type="control_textbox"] .form-textbox,
[data-type="control_fullname"] .form-textbox,
[data-type="control_email"] .form-textbox,
[data-type="control_textarea"] .form-textarea,
[data-type="control_dropdown"] .form-dropdown {
width : 100% !important;
max-width : none !important;
}
.form-textbox, .form-textarea, .form-dropdown {
max-width : none !important;
box-shadow : none;
outline : none;
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
font-family : inherit;
box-shadow : 1px 1px 2px #ccc;
padding : 7px 5px !important;
}
.form-textarea-limit>span {
display : block;
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
width : 100%;
}
/*input focus*/
.form-line-active input:focus, .form-line-active textarea:focus, .form-line-active select:focus {
box-shadow : none;
}
/*reset error*/
.form-line-error {
box-shadow : none;
}
/*input error*/
.form-line-error input:not(#coupon-input), .form-line-error textarea, .form-line-error select, .form-line-error .form-validation-error {
border : 1px solid #e15353 !important;
box-shadow : none !important;
}
.form-line-active {
color : inherit !important;
}
/*responsive content -wide or shrink*/
.form-label {
width : 35% !important;
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
}
.form-label-top {
width : 100% !important;
}
.form-line {
box-sizing : border-box;
-webkit-box-sizing : border-box;
-moz-box-sizing : border-box;
width : 100%;
}
.form-checkbox-other-input {
width : 80% !important;
}
.form-input {
width : 65% !important;
max-width : none !important;
}
.form-input-wide {
max-width : none !important;
display : inline-block;
width : 100%;
}
/*single fields with sublabels*/
[data-type="control_textbox"] .form-input-wide .form-sub-label-container,
[data-type="control_fullname"] .form-input-wide .form-sub-label-container,
[data-type="control_email"] .form-input-wide .form-sub-label-container,
[data-type="control_textarea"] .form-input-wide .form-sub-label-container,
[data-type="control_dropdown"] .form-input-wide .form-sub-label-container,
[data-type="control_textbox"] .form-input .form-sub-label-container,
[data-type="control_fullname"] .form-input .form-sub-label-container,
[data-type="control_email"] .form-input .form-sub-label-container,
[data-type="control_textarea"] .form-input .form-sub-label-container,
[data-type="control_dropdown"] .form-input .form-sub-label-container {
width : 100%;
max-width : none !important;
}
[data-type="control_dropdown"] .form-input-wide {
width : 100%;
}
/*responsive full name*/
[data-type="control_fullname"] .form-sub-label-container {
width : 50% !important;
margin : 0;
float : left;
box-sizing : border-box;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container {
display : inline-block;
padding-right : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
margin-right : 0;
padding-right : 0;
padding-left : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
margin-right : 0;
padding-right : 0;
padding-left : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-left : 0;
padding-right : 5px;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-left : 5px;
padding-right : 0;
}
[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
padding-right : 5px;
padding-left : 0;
}
#sublabel_prefix, #sublabel_first, #sublabel_middle {
/*margin-bottom : 10px;
*/;
}
/*remove sepatators on date and phone*/
.phone-separate, .date-separate {
display : none;
}
/*responsive phone fields*/
[data-type="control_phone"] input[name$="[area]"] {
width : 100%;
}
[data-type="control_phone"] input[name$="[phone]"] {
width : 100%;
}
[data-type="control_phone"] input[name$="[full]"] {
width : 100%;
}
[data-type="control_phone"] .form-sub-label-container {
width : 40%;
float : left;
box-sizing : border-box;
margin-right : 0;
padding-right : 12px;
}
/* responsive date time field */
[data-type="control_datetime"] .form-textbox,
[data-type="control_datetime"] .form-dropdown {
width : 100%;
}
[data-type="control_datetime"] .form-sub-label-container {
width : 28%;
padding-left : 4px;
box-sizing : border-box;
margin-right : 0;
}
[data-type="control_datetime"] .form-sub-label-container:first-child {
padding-left : 0;
}
[data-type="control_datetime"] .form-sub-label-container:first-child + .form-sub-label-container + .form-sub-label-container {
padding-right : 0;
}
[data-type="control_datetime"] .form-sub-label-container:last-child {
width : auto !important;
}
.allowTime-container .form-sub-label-container:last-child {
width : 20% !important;
}
span.allowTime-container {
width : 80%;
padding-top : 14px;
}
.allowTime-container span.form-sub-label-container {
width : 35%;
}
span.allowTime-container .form-dropdown {
width : 100%;
}
span.allowTime-container > span:first-child {
display : none;
}
span.allowTime-container > span:first-child + span {
padding-left : 0;
}
.showAutoCalendar + label {
display : none;
}
span.allowTime-container + span {
padding-top : 14px;
}
/*calendar lite mode*/
[data-type="control_datetime"] div[style*="none"] + .form-sub-label-container {
width : 84%;
padding-left : 0;
}
/*responsive phone field*/
[data-type="control_phone"] .form-sub-label-container + .form-sub-label-container {
width : 60%;
margin-right : 0;
padding-right : 0;
padding-left : 12px;
}
/*responsive full address fields*/
.form-address-city, .form-address-line, .form-address-postal,
.form-address-state, .form-address-table,
.form-address-table .form-sub-label-container, .form-address-table select {
width : 100%;
max-width : 100%;
}
[data-type="control_address"] input[name$="[city]"],
[data-type="control_address"] input[name$="[postal]"] {
width : 90% !important;
}
[data-type="control_address"] input[name$="[area]"] {
width : 60%;
}
/*reset submit button*/
[data-type="control_button"] {
background : transparent !important;
}
.form-submit-button,
.form-submit-reset,
.form-submit-print {
outline : none;
}
/*remove other checkbox*/
.form-checkbox-other,
.form-radio-other {
visibility : hidden !important;
}
/*shruken fields*/
.form-line-column {
width : 50%;
}
.form-line-column .form-label-top {
width : 100% !important;
}
/*fix form builder display*/
div#stage.form-all {
max-width : none !important;
margin-right : 0;
}
div#stage .form-input {
width : 64% !important;
}
/*remove first pagebreak back button*/
.form-all .page-section:first-child .form-pagebreak .form-pagebreak-back-container {
display : none !important;
}
/* responsive pagebreak */
.form-pagebreak-back-container {
width : 50% !important;
text-align : left;
box-sizing : border-box;
-webkit-box-sizing : border-box;
float : left;
}
.form-pagebreak-next-container {
width : 50% !important;
text-align : right;
box-sizing : border-box;
-webkit-box-sizing : border-box;
float : left;
}
/* radio-checkbox button make border 1px */
.form-radio-item:not(#foo) label:after,
.form-radio-item:not(#foo) label:before {
border-radius : 50%;
}
.form-checkbox-item:not(#foo) label:after,
.form-checkbox-item:not(#foo) label:before {
border-radius : 0;
}
.form-radio-item:not(#foo) label:before,
.form-checkbox-item:not(#foo) label:before {
border-width : 1px;
}
/*responsive credit card on payment fields*/
table td + td {
padding-left : 0;
}
.form-address-table {
width : 100%;
}
[data-type="control_stripe"] .form-address-table,
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table,
[data-type="control_authnet"] .form-address-table .form-textbox,
#creditCardTable.form-address-table,
#creditCardTable.form-address-table .form-textbox {
max-width : none;
}
[data-type="control_stripe"] .form-address-table td:last-child .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td:last-child .form-sub-label-container,
#creditCardTable.form-address-table td:last-child .form-sub-label-container {
margin-left : 0;
white-space : normal;
}
[data-type="control_stripe"] .form-address-table td .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td .form-sub-label-container,
#creditCardTable.form-address-table td .form-sub-label-container {
width : 100%;
}
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_stripe"] .form-address-table .form-dropdown,
[data-type="control_authnet"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table .form-dropdown,
#creditCardTable.form-address-table .form-textbox,
#creditCardTable.form-address-table .form-dropdown {
width : 100%;
visibility : visible;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child span {
margin : 0;
padding-right : 6px;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child + td span {
margin : 0;
padding-left : 6px;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span {
margin : 0;
padding-right : 6px;
width : 50% !important;
visibility : hidden;
float : left;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span {
margin : 0;
padding-top : 0 !important;
padding-right : 0;
padding-left : 6px;
width : 50% !important;
box-sizing : border-box;
-webkit-box-sizing : border-box;
}
.cc_ccv {
width : 100% !important;
}
[data-type="control_stripe"] .form-address-table .form-sub-label,
[data-type="control_authnet"] .form-address-table .form-sub-label,
#creditCardTable.form-address-table .form-sub-label {
visibility : visible;
}
/*cc fix city state, country */
[data-type="control_stripe"] .form-address-table td[width="50%"]>span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"]>span:first-child,
#creditCardTable.form-address-table td[width="50%"]>span:first-child {
box-sizing : border-box;
padding-right : 7px;
}
[data-type="control_stripe"] .form-address-table td[width="50%"] + td >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td >span:first-child {
box-sizing : border-box;
padding-left : 7px;
}
[data-type="control_stripe"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td[width="50%"] >span:first-child {
box-sizing : border-box;
padding-right : 0;
}
.hover-product-item:hover {
color : inherit;
}
/*fix for braintree cc styling*/
[data-type="control_braintree"] .form-sub-label-container {
width : 100% !important;
padding : 4px;
box-sizing : border-box;
}
[data-type="control_braintree"] .form-textbox {
width : 100%;
}
.braintree-hosted-fields {
width : 100% !important;
box-sizing : border-box;
min-height : 28px;
}
/*remove bottom spacing on CC section*/
#creditCardTable.form-address-table tbody tr + tr + tr td,
[data-type="control_stripe"] .form-address-table tbody tr + tr + tr td,
[data-type="control_authnet"] .form-address-table tbody tr + tr + tr td {
padding-bottom : 0;
}
@media screen and (max-width:768px){
.form-all {
margin : 0 auto !important;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right : 0;
}
}
@media screen and (max-width:480px){
.jotform-form {
padding : 0;
}
.form-input {
width : 100% !important;
}
.form-label {
width : 100% !important;
float : none !important;
}
.form-line-column {
width : 100% !important;
}
div.form-header-group {
margin : 0 !important;
padding : 24px 20px !important;
}
[data-type="control_datetime"] .form-sub-label-container {
float : left;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right : 0;
}
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
/* Injected CSS Code */
</style>
<form class="jotform-form" action="https://submit.jotform.com/submit/230008589891666/" method="post" name="form_230008589891666" id="230008589891666" accept-charset="utf-8" autocomplete="on"><input type="hidden" name="formID" value="230008589891666" /><input type="hidden" id="JWTContainer" value="" /><input type="hidden" id="cardinalOrderNumber" value="" />
<div role="main" class="form-all">
<ul class="form-section page-section">
<li id="cid_8" class="form-input-wide" data-type="control_head">
<div class="form-header-group header-large">
<div class="header-text httac htvam">
<h1 id="header_8" class="form-header" data-component="header">Contacto Rhema Ecuador</h1>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_3"><label class="form-label form-label-top form-label-auto" id="label_3" for="input_3"> Name<span class="form-required">*</span> </label>
<div id="cid_3" class="form-input-wide jf-required"> <input type="text" id="input_3" name="q3_name" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_3" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_4"><label class="form-label form-label-top form-label-auto" id="label_4" for="input_4"> E-mail<span class="form-required">*</span> </label>
<div id="cid_4" class="form-input-wide jf-required"> <input type="text" id="input_4" name="q4_email" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_4" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_5"><label class="form-label form-label-top form-label-auto" id="label_5" for="input_5"> Contact Number<span class="form-required">*</span> </label>
<div id="cid_5" class="form-input-wide jf-required"> <input type="text" id="input_5" name="q5_contactNumber5" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="30" value="" placeholder=" " data-component="textbox" aria-labelledby="label_5" required="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_textarea" id="id_6"><label class="form-label form-label-top form-label-auto" id="label_6" for="input_6"> Message<span class="form-required">*</span> </label>
<div id="cid_6" class="form-input-wide jf-required"> <textarea id="input_6" class="form-textarea validate[required]" name="q6_message" cols="30" rows="8" data-component="textarea" required="" aria-labelledby="label_6"></textarea> </div>
</li>
<li class="form-line" data-type="control_button" id="id_7">
<div id="cid_7" class="form-input-wide">
<div style="margin-left:156px" data-align="auto" class="form-buttons-wrapper form-buttons-auto jsTest-button-wrapperField"><button id="input_7" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField" data-component="button" data-content="">Submit</button></div>
</div>
</li>
<li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li>
</ul>
</div>
<script>
JotForm.showJotFormPowered = "new_footer";
</script>
<script>
JotForm.poweredByText = "Powered by Jotform";
</script><input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="230008589891666" />
<script type="text/javascript">
var all_spc = document.querySelectorAll("form[id='230008589891666'] .si" + "mple" + "_spc");
for (var i = 0; i < all_spc.length; i++)
{
all_spc[i].value = "230008589891666-230008589891666";
}
</script>
<div class="formFooter-heightMask"></div>
<div class="formFooter f6 branding21">
<div class="formFooter-wrapper formFooter-leftSide"><a href="https://www.jotform.com/?utm_source=formfooter&utm_medium=banner&utm_term=230008589891666&utm_content=jotform_logo&utm_campaign=powered_by_jotform_le" target="_blank" class="formFooter-logoLink"><img class="formFooter-logo" src="https://cdn.jotfor.ms/assets/img/logo2021/jotform-logo-white.svg" alt="Jotform Logo" style="height: 44px;"></a></div>
<div class="formFooter-wrapper formFooter-rightSide"><span class="formFooter-text">Now create your own Jotform - It's free!</span><a class="formFooter-button" href="https://www.jotform.com/?utm_source=formfooter&utm_medium=banner&utm_term=230008589891666&utm_content=jotform_button&utm_campaign=powered_by_jotform_le" target="_blank">Create your own Jotform</a></div>
</div>
</form><script type="text/javascript">JotForm.ownerView=true;</script>
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