.gf-cntr {
    font-family: Arial, sans-serif;
    font-size: 12px;
    font-weight: 700;
    color: #000000;
    width: 800px;
    margin: 0 auto;
}

    .gf-cntr h1 {
        color: #365F91;
        font-family: "Cambria", "serif";
        font-size: 19px;
        font-weight: 700;
        margin: 32px 0 18px 0;
        text-align: center;
    }

    .gf-cntr p {
        margin-bottom: 0;
    }

    .gf-cntr a {
        color: rgb(0, 0, 238);
        text-decoration: underline;
    }

.gf-form-cntr {
    width: 705px;
    margin-top: 18px;
}

    .gf-form-cntr .js-rqd-msg,
    .gf-form-cntr .js-ptrn-msg {
        display: none !important;
    }

   /* .gf-form-cntr p {
        text-decoration: underline;
    }*/

        .gf-form-cntr p:first-of-type {
            margin: 0 7px;
        }

    .gf-form-cntr label {
        margin: 0;
        line-height: normal;
    }

.gf-mem-info {
    overflow: hidden;
    margin-bottom: 18px;
}

    .gf-mem-info div {
        float: left;
        border-top: 1px solid #000000;
        border-left: 1px solid #000000;
        padding: 2px 5px
    }

    .gf-mem-info .gf-medi-mkt-cbx {
        float: none;
        border: 0;
        padding: 0;
    }

    .gf-mem-info input[type="text"] {
        width: 100%;
        height: 23px;
        border: none;
        background: #f7f7ff;
    }

.gf-last-name {
    width: 334px;
}

.gf-first-name {
    width: 295px;
}

.gf-intial {
    width: 76px;
    border-right: 1px solid #000000;
}

.gf-dob {
    width: 334px;
}

.gf-doi {
    width: 371px;
    border-right: 1px solid #000000;
}

.gf-addr {
    width: 334px;
}

.gf-city {
    width: 148px;
}

.gf-state {
    width: 148px;
    height:46px;
}
    .gf-state select {
        width: 132px !important;
        font-size: 13px;
    }
.gf-zip {
    width: 75px;
    border-right: 1px solid #000000;
}

.gf-evn-ph {
    width: 251px;
    padding-bottom: 14px !important;
}

.gf-day-ph {
    width: 152px;
    padding-bottom: 14px !important
}

.gf-cnt-hrs {
    width: 302px;
    border-right: 1px solid #000000;
}

.gf-medi-mkt {
    width: 337px;
    border-bottom: 1px solid #000000;
}

.gf-medi-mkt-cbx {
    margin-top: 5px;
}

    .gf-medi-mkt-cbx input {
        position: relative;
        top: 2px;
    }

.gf-mem-num {
    width: 100%;
    border-right: 1px solid #000000;
    border-bottom: 1px solid #000000;
}

.gf-txt-rsn {
    padding: 5px;
    border: 1px solid #000000;
    margin-bottom: 18px;
}

    .gf-txt-rsn textarea {
        font-family: monospace;
        font-size: 16px;
        resize: none;
        width: 100%;
        vertical-align: top;
        height: 95px;
        border: none;
        background: #f7f7ff;
    }

::-webkit-input-placeholder {
    color: gray;
    font-style: italic;
}

.gf-sign-section {
    font-weight: 400;
    padding: 0 5px;
    margin-bottom: 18px;
}

    .gf-sign-section p {
        text-decoration: none;
        margin: 0 !important;
    }

    .gf-sign-section input {
        width: 100%;
        border: 0;
        border-bottom: 1px solid #000000;
    }

.gf-sign {
    padding: 5px 5px 5px 0;
    width: 400px;
    display: inline-block;
}

    .gf-sign p {
        font-weight: 700;
    }

.gf-sign-date {
    width: 290px;
    padding: 5px 0;
    display: inline-block;
}

    .gf-sign-date input {
        width: 100%;
        background: #f7f7ff;
    }

    .gf-sign-date p {
        font-weight: 700;
    }

.gf-per-rep p {
    width: 260px;
    padding: 5px 5px 5px 0;
    display: inline-block;
}

.gf-per-rep input {
    width: 430px;
    margin: 5px 0;
    display: inline-block;
    background: #f7f7ff;
}

.gf-per-rep-sign {
    width: 400px;
    padding: 5px 5px 5px 0;
    display: inline-block;
}

    .gf-per-rep-sign p {
        font-weight: 700;
    }

.gf-per-rep-sign-date {
    width: 290px;
    padding: 5px 0;
    display: inline-block;
}

    .gf-per-rep-sign-date p {
        font-weight: 700;
    }

    .gf-per-rep-sign-date input {
        background: #f7f7ff;
    }

.gf-per-rel-type {
    padding: 5px 0;
}

    .gf-per-rel-type div {
        width: 20%;
        display: inline-block;
    }

    .gf-per-rel-type input {
        width: auto;
        position: relative;
        top: 2px;
    }

.gf-per-rel-type-other div {
    width: 140px;
    padding: 5px 0;
    display: inline-block;
}

.gf-per-rel-type-other input[type='checkbox'] {
    width: auto;
    position: relative;
    top: 2px;
}

.gf-per-rel-type-other input[type='text'] {
    width: 548px;
    margin: 5px 0;
    display: inline-block;
    background: #f7f7ff;
}

.gf-disclaimer-section {
    font-size: 16px;
    text-align: justify;
    font-weight: 400;
    line-height: normal;
}

p.gf-ref-num {
    text-align: right;
    font-weight: 400;
    text-decoration: none;
    font-size: 14px;
    margin: 16px 0;
}

.gf-form-cntr .g-recaptcha-cntr {
    display: none;
    font-family: "Times New Roman";
    font-weight: 400;
    font-size: 16px;
    line-height: normal;
}

.form-submit-section {
    text-align: center;
}

    .form-submit-section button {
        margin-top: 15px;
    }

.form-footer {
    text-align: center;
}

    .form-footer a {
        display: block;
        text-decoration: none;
        font-size: 16px;
        font-family: "Times New Roman";
        font-weight: 400;
    }

    .form-footer .gf-abt-ssl {
        color: #000000;
        font: bold 7px verdana, sans-serif;
        letter-spacing: .5px;
        margin-top: 35px;
    }

    .form-footer .gf-tnc-link {
        color: #00a0b0;
        text-decoration: underline;
        margin-bottom: 10px;
        font-family: "Times New Roman"
    }

.gf-edit-form,
.gf-submit-form {
    display: none;
}

.gf-light-box {
    display: none;
    top: 0;
    position: fixed;
    height: 100%;
    width: 100%;
    background: gray;
    opacity: .5;
    left: 0;
}

.gf-submit-modal {
    display: none;
    top: 0;
    position: fixed;
    height: 100%;
    width: 100%;
    justify-content: center;
    align-items: center;
    left: 0;
}

.gf-submit-modal-content {
    background-color: #ffffff;
    padding: 30px 60px;
    border-radius: 5px;
}

.gf-submit-modal-content {
    font-family: Arial, sans-serif;
    font-size: 12px;
}

    .gf-submit-modal-content p {
        margin: 0;
        line-height: 16px;
    }

    .gf-submit-modal-content button,
    .gf-submit-modal-content input[type='submit'] {
        cursor: pointer;
        background: #038BD2;
        color: white;
        border-radius: 5px;
        border: #038BD2;
        padding: 5px;
        margin: 15px 3px 0 3px;
        width: 50px;
    }

.gf-submit-modal-btn-pnl {
    text-align: center;
}

.blockUI.blockMsg {
    border: 0 !important;
    background: transparent !important;
}

@media (max-width: 768px) {
    .gf-cntr {
        width: 100%;
        padding: 0 20px;
    }

        .gf-cntr h1 {
            margin-top: 20px;
        }

    .gf-form-cntr {
        width: 100%;
    }

        .gf-form-cntr p:first-of-type {
            margin: 0;
        }

    .gf-last-name,
    .gf-first-name,
    .gf-intial,
    .gf-dob,
    .gf-doi,
    .gf-addr,
    .gf-city,
    .gf-state,
    .gf-zip,
    .gf-evn-ph,
    .gf-day-ph,
    .gf-cnt-hrs,
    .gf-medi-mkt,
    .gf-mem-num {
        width: 100%;
        border: 0;
        border-top: 1px solid #000000;
        border-left: 1px solid #000000;
        border-right: 1px solid #000000;
    }

    .gf-mem-num {
        border-bottom: 1px solid #000000;
    }

    .gf-sign,
    .gf-sign-date,
    .gf-per-rep input,
    .gf-per-rep-sign,
    .gf-per-rep-sign-date,
    .gf-per-rel-type-other input[type='text'],
    .gf-per-rel-type div {
        width: 100%;
    }

    .gf-sign,
    .gf-per-rep p,
    .gf-per-rep-sign {
        padding: 5px 0;
    }

    .gf-sign-section {
        padding: 0;
    }
}

.gf-mem-info label {
    font-weight: normal;
}

.gf-form-cntr.hmong .gf-cnt-hrs, .gf-form-cntr.hmong .gf-evn-ph {
    height: 70px;
}

.gf-cntr.hmong h1 label {
    font-size: 14.0pt !important;
    font-family: "Cambria","serif" !important;
}

form.gf-form-cntr.tag .gf-cnt-hrs, form.gf-form-cntr.tag .gf-evn-ph {
    height: 70px;
}

.gf-form-cntr.tag .gf-per-rel-type div {
    width: auto;
    padding-right: 4px;
}
form.gf-form-cntr.tag table td {
    line-height: 1;
}

form.gf-form-cntr.tag table {
    font-weight: normal;
}

form.gf-form-cntr.tag .MsoNormal {
    font-weight: normal;
    font-size: 12pt;
}

.gf-cntr.hmong .gf-per-rel-type div {
    width: auto;
}
.gf-cntr.tag h1 label {
    font-family: "Cambria","serif" !important;
}
.gf-cntr.spanish .gf-city, .gf-cntr.spanish .gf-state, .gf-cntr.spanish .gf-day-ph, .gf-cntr.spanish .gf-addr {
    height: 58px;
}

.gf-cntr.spanish .gf-per-rel-type div {
    width: auto;
    padding-right: 20px;
}
.gf-cntr.russian .gf-cnt-hrs {
    height: 70px;
}

.gf-cntr.russian .gf-per-rel-type div {
    width: auto;
    padding-right: 20px;
}
.gf-cntr.russian label.MsoNormal, .gf-cntr.russian table, .gf-cntr.russian table td {
    font-size: 12pt !important;
    font-weight: normal;
    line-height: 1;
}

.gf-cntr.vietnamese .gf-per-rel-type div {
    width: auto;
    padding-right: 25px;
}

.gf-cntr.vietnamese label.MsoNormal, .gf-cntr.vietnamese table, .gf-cntr.vietnamese table td {
    font-size: 12pt !important;
    font-weight: normal;
    line-height: 1;
}
.gf-form-cntr.arabic table {
    font-weight: normal;
}

.gf-form-cntr.arabic {
    text-align: right;
    display: block;
    direction: rtl;
}
.gf-form-cntr.arabic > label {
    direction: ltr;
    text-align: left;
    display: block;
    margin-bottom: 20px;
}