@import url("https://fonts.googleapis.com/css2?family=Poppins:wght@400;500;700&display=swap");:root{--color-1:var(--gradient-2,linear-gradient(260deg,var(--Primary-Blue,rgba(26,134,162,0.9)) -0.03%,var(--Dark-Mode,rgba(7,43,59,0.9)) 99.55%));--color-2:#fffce5;--color-3:#461e96;--color-4:#fff;--color-5:#ffa400;--color-6:#5e5e5e;--logo:url("https://www.domespharmaconnect.com/assets/forms/contact_us/1edd6f8bc458fac8fa36263a3576508ff0569a57.png");--mobile-background-image:url("https://www.domespharmaconnect.com/assets/forms/contact_us/background_image_375px.jpg");--tablet-background-image:url("https://www.domespharmaconnect.com/assets/forms/contact_us/background_image_992px.jpg");--desktop-background-image:url("https://www.domespharmaconnect.com/assets/forms/contact_us/background_image_1400px.jpg");--linkedin-logo:url("https://www.domespharmaconnect.com/assets/forms/contact_us/frame_21.svg");--pinterest-logo:url("https://www.domespharmaconnect.com/assets/forms/contact_us/frame_23.svg ");--x-logo:url("https://www.domespharmaconnect.com/assets/forms/contact_us/frame_22.svg");--instagram-logo:url("https://www.domespharmaconnect.com/assets/forms/contact_us/frame_20.svg");--select-icon:url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 24 24'%3E%3Cpath d='M6 9L12 15L18 9' stroke='%23FBFBFB' stroke-width='2' stroke-linecap='round' stroke-linejoin='round' fill='none'/%3E%3C/svg%3E");--gothom-font-light:url("https://www.domespharmaconnect.com/assets/forms/contact_us/gotham_light.otf");--gothom-font-regular:url("https://www.domespharmaconnect.com/assets/forms/contact_us/gotham_book.otf");--gothom-font-bold:url("https://www.domespharmaconnect.com/assets/forms/contact_us/gotham_bold.otf");--gothom-font-medium:url("https://www.domespharmaconnect.com/assets/forms/contact_us/gotham_medium.otf");--gothom-font-thin:url("https://www.domespharmaconnect.com/assets/forms/contact_us/gotham_thin.otf");--background-color:var(--color-1);--border-radius-primary:var(--full-rounded);--button-bg-color:var(--color-5);--button-hover-bg-color:var(--color-4);--button-text-color:var(--color-4);--font-family-base:Poppins,sans-serif;--font-family-header:Poppins,sans-serif;--font-family-button:Poppins,sans-serif;--font-size-base:16px;--font-size-bigger:18px;--font-size-button:var(--font-size-text);--font-size-header:1.5rem;--font-size-text:1rem;--font-size-tiny:14px;--font-weight-base:400;--font-weight-button:500;--font-weight-bold:700;--full-rounded:9999px;--text-color:var(--color-4);--text-color-2:var(--color-4);--inputDisplay:none;--svgDisplay:initial;--svgRadioBackground:var(--color-2);--svgRadioFill:var(--color-2);--svgRadioFillChecked:var(--color-5);--svgRadioRadius:5px;--svgRadioStrokeWidth:1px;--svgStroke:var(--color-1);--svgRadioStroke:var(--color-1);--svgStrokeChecked:var(--color-5);--svgWidth:14px;--svgHeight:14px}html,body{-webkit-font-smoothing:antialiased;font-family:var(--font-family-base);font-size:var(--font-size-base);min-height:100vh}h1,h2,h3,h4,h5,h6,p,label,input{color:var(--text-color);font-family:var(--font-family-base);font-size:var(--font-size-text);font-weight:var(--font-weight-base);line-height:1.875rem;margin:0}body{inset:0;background-image:var(--mobile-background-image);background-size:100% 100%;background-position:center;z-index:-1}.dp-logo{display:flex;width:7.39644rem;height:1.4995rem;background-image:var(--logo);background-size:contain;background-repeat:no-repeat;background-position:center}.inner-wrapper{padding-left:2rem;padding-right:2rem}.dp-banner{display:flex;height:3.375rem;border-radius:1.875rem;background:#fbfbfb;box-shadow:0 128px 36px 0 rgba(60,60,59,0),0 82px 33px 0 rgba(60,60,59,0.01),0 46px 28px 0 rgba(60,60,59,0.05),0 20px 20px 0 rgba(60,60,59,0.09),0 5px 11px 0 rgba(60,60,59,0.1);margin-top:1rem;margin-bottom:2.5rem;justify-content:center;align-items:center}.left-side h1{color:var(--Light-Blue-Background,#e8f3f6);font-family:var(--gothom-font-bold);font-size:1.875rem;font-style:normal;font-weight:500;line-height:normal;letter-spacing:-0.0375rem;padding-bottom:2rem}.left-side h2{color:#fff;font-family:var(--gothom-font-light);font-size:0.875rem;font-style:normal;font-weight:325;line-height:160%;}.details-text{color:var(--Off-White-Background,#fbfbfb);font-family:var(--gothom-font-regular);font-size:1rem;font-style:normal;font-weight:500;line-height:160%;padding-bottom:2.5rem;padding-top:3rem;width:100%}.form-group .formTopLabel,.form-group .formInputLabel{font-family:var(--gothom-font-light);font-size:0.875rem;font-style:normal;font-weight:325;line-height:160%;padding-bottom:1rem}select option{color:#333}.form-group input,.form-group select{display:flex;height:3.75rem;padding:1.5rem 1.25rem;align-items:center;gap:0.625rem;border-radius:0.75rem;background:transparent;border:1px solid #6eb2d1;opacity:80%}.form-group select{appearance:none;-webkit-appearance:none;background-image:var(--select-icon);background-repeat:no-repeat;background-position:right 5px center;background-size:24px 24px}.form-group input:hover,.form-group select:hover{display:flex;height:3.75rem;align-items:center;gap:0.625rem;border-radius:0.75rem;border:1px solid #6eb2d1;opacity:100%}.valIndicator span{color:#ff5353 !important;font-size:0.875rem;font-style:normal;font-weight:325;line-height:160%}.form-group select{padding:0 1.25rem}.form-control{color:var(--Off-White-Background,#fbfbfb);font-family:var(--gothom-font-light);font-size:1rem;font-style:normal;font-weight:325;line-height:160%;}#SubmitContainer{width:100%;padding-top:1rem;padding-bottom:5.25rem;padding-right:0;padding-left:0}#main_SubmitButton{display:flex;width:100%;border-radius:2.5rem;background:linear-gradient(270deg,var(--Primary-Blue,#1a86a2) 0,var(--Secondary-Blue,#6eb2d1) 100%);color:#fff;font-family:var(--gothom-font-light);font-size:1rem;font-style:normal;font-weight:325;line-height:normal;border:none}p.footer-text{color:#fbfbfb;text-align:center;font-family:var(--gothom-font-light);font-size:0.875rem;font-style:normal;font-weight:325;line-height:170%;padding-bottom:2.5rem;padding-top:2.5rem}.logo-icons{display:flex;align-items:center;gap:1.25rem;justify-content:center;padding-bottom:2.5rem}.logo{display:flex;width:1.875rem;height:1.875rem;opacity:80%}.logo:hover{opacity:100%;cursor:pointer}.x-logo{background-image:var(--x-logo);background-size:contain;background-repeat:no-repeat;flex-shrink:0;aspect-ratio:9/8}.linkedin-logo{background-image:var(--linkedin-logo);background-size:contain;background-repeat:no-repeat;flex-shrink:0;aspect-ratio:9/8}.pinterest-logo{background-image:var(--pinterest-logo);background-size:contain;background-repeat:no-repeat;flex-shrink:0;aspect-ratio:9/8}.instagram-logo{background-image:var(--instagram-logo);background-size:contain;background-repeat:no-repeat;flex-shrink:0;aspect-ratio:9/8}.line{width:100%;height:0.0625rem;background:var(--Secondary-Blue,#6eb2d1)}.ty-content{display:flex;flex-direction:column;align-items:center;justify-content:space-between;height:75vh}.ty-content .header-text{gap:2rem;display:flex;flex-direction:column}.header-text h1{color:var(--Light-Blue-Background,#e8f3f6);font-family:var(--gothom-font-bold);font-size:1.875rem;font-style:normal;font-weight:500;line-height:normal;letter-spacing:-0.0375rem}.header-text h2{color:#fff;font-family:var(--gothom-font-light);font-size:0.875rem;font-style:normal;font-weight:325;line-height:160%;}.page_1 #SubmitContainer{display:none}.right-side{justify-content:center;display:flex;flex-direction:column}.desktop-icons{display:none}input::placeholder{color:#fbfbfb !important;font-size:1rem;font-style:normal;font-weight:325;line-height:160%;}#main_SubmitButton:hover,#main_SubmitButton:focus{border-radius:2.5rem;background:var(--Dark-Mode,#072b3b);display:inline-flex;justify-content:center;align-items:center;gap:0.625rem;outline:none}@media screen and (min-width:992px){body{background-image:var(--tablet-background-image)}.dp-banner{justify-content:flex-start;padding-left:2.5rem}.stackable{padding-left:2rem;padding-right:2rem}.left-side h1{padding-bottom:2.5rem}.details-text{padding-top:3.75rem}.second{padding-top:3rem !important}#SubmitContainer{display:flex;justify-content:end;padding-bottom:5.75rem}#main_SubmitButton{display:flex;justify-content:center;align-items:center;gap:0.625rem;border-radius:2.5rem;background:linear-gradient(270deg,var(--Primary-Blue,#1a86a2) 0,var(--Secondary-Blue,#6eb2d1) 100%);width:121px;height:51px;padding:0 2rem}.ty-content .header-text{width:100%}.ty-content{width:100%;padding-left:2.5rem;padding-right:2.5rem}.bottom-text{width:100%}.left-side h1{color:var(--Light-Blue-Background,#e8f3f6);font-size:2.5rem;font-style:normal;font-weight:500;line-height:normal;letter-spacing:-0.05rem}.left-side h2{color:#fff;font-size:1rem;font-style:normal;font-weight:325;line-height:160%;}.ty-content .header-text{gap:2.5rem}.left-side h1{color:var(--Light-Blue-Background,#e8f3f6);font-family:var(--gothom-font-bold);font-size:1.875rem;font-style:normal;font-weight:500;line-height:normal;letter-spacing:-0.0375rem;padding-bottom:2rem;font-size:2.5rem;font-style:normal;font-weight:500;line-height:normal;letter-spacing:-0.05rem}.stackable{padding:0 2.5rem}.header-text h1{color:var(--Light-Blue-Background,#e8f3f6);font-family:var(--gothom-font-bold);font-size:2.5rem;font-style:normal;font-weight:500;line-height:normal;letter-spacing:-0.05rem}.header-text h2{color:#fff;font-family:var(--gothom-font-light);color:#fff;font-size:1rem;font-style:normal;font-weight:325;line-height:160%}}@media screen and (min-width:1400px){body{background-image:var(--desktop-background-image)}.header-text h1{color:var(--Light-Blue-Background,#e8f3f6);font-family:var(--gothom-font-bold);font-size:1.875rem;font-style:normal;font-weight:500;line-height:normal;letter-spacing:-0.0375rem;font-size:3.125rem;font-style:normal;font-weight:500;line-height:normal;letter-spacing:-0.0625rem}.left-side h1{font-size:3.125rem;font-style:normal;font-weight:500;line-height:normal;letter-spacing:-0.0625rem;width:15ch}.left-side h2{font-size:1rem;font-style:normal;font-weight:325;line-height:160%;max-width:50ch}.details-text{padding-top:1.125rem}.stackable{padding-left:2rem;padding-right:2rem;display:flex;justify-content:space-between;max-width:1370px;margin:0 auto}.logo-icons{display:none}.desktop-icons{display:flex;align-items:center;gap:1.25rem;justify-content:center;padding-top:3.75rem}.left-side{display:flex;flex-direction:column;align-items:flex-start}.ty-content .header-text{align-items:flex-start}.page_1 .desktop-icons{padding-top:1.75rem}.header-text h2{width:45ch;color:#fff;font-size:1rem;font-style:normal;font-weight:325;line-height:160%;}#SubmitContainer{padding-bottom:5rem}#main_DynamicControl_0_3_2_PartContainer{padding-right:0.75rem}#main_DynamicControl_0_3_3_PartContainer{padding-left:0.75rem}#main_DynamicControl_0_3_4_SingleSelectList{padding-right:0.75rem}#main_DynamicControl_0_3_5_PartContainer{padding-left:0.75rem}#main_DynamicControl_0_3_8_PartContainer{padding-right:0.75rem}#main_DynamicControl_0_3_9_Address1Row{padding-left:0.75rem}#main_DynamicControl_0_3_9_CityColSpec{padding-right:0.75rem}#main_DynamicControl_0_3_9_StateColSpec{padding-right:0.25rem;padding-left:0.75rem}}