.elementor-590 .elementor-element.elementor-element-534caf5{--display:flex;--min-height:300px;--flex-direction:column;--container-widget-width:100%;--container-widget-height:initial;--container-widget-flex-grow:0;--container-widget-align-self:initial;--flex-wrap-mobile:wrap;--justify-content:center;--margin-top:0px;--margin-bottom:0px;--margin-left:0px;--margin-right:0px;--padding-top:0px;--padding-bottom:0px;--padding-left:0px;--padding-right:0px;}.elementor-590 .elementor-element.elementor-element-534caf5:not(.elementor-motion-effects-element-type-background), .elementor-590 .elementor-element.elementor-element-534caf5 > .elementor-motion-effects-container > .elementor-motion-effects-layer{background-color:var( --e-global-color-077a6e4 );background-image:url("https://nuhwbhamstg.wpenginepowered.com/wp-content/uploads/2024/05/Join-Hero-BG-scaled.jpg");background-position:bottom center;background-repeat:no-repeat;background-size:cover;}.elementor-590 .elementor-element.elementor-element-534caf5 > .elementor-shape-bottom .elementor-shape-fill, .elementor-590 .elementor-element.elementor-element-534caf5 > .e-con-inner > .elementor-shape-bottom .elementor-shape-fill{fill:var( --e-global-color-639984c );}.elementor-590 .elementor-element.elementor-element-534caf5 > .elementor-shape-bottom svg, .elementor-590 .elementor-element.elementor-element-534caf5 > .e-con-inner > .elementor-shape-bottom svg{width:calc(195% + 1.3px);}.elementor-widget-heading .elementor-heading-title{font-family:var( --e-global-typography-primary-font-family ), Sans-serif;font-weight:var( --e-global-typography-primary-font-weight );color:var( --e-global-color-primary );}.elementor-590 .elementor-element.elementor-element-4858865d{text-align:center;}.elementor-590 .elementor-element.elementor-element-4858865d .elementor-heading-title{font-family:"Poppins", Sans-serif;font-size:33px;font-weight:700;line-height:1.15em;letter-spacing:-0.3px;color:#FFFFFF;}.elementor-590 .elementor-element.elementor-element-8734536 > .elementor-widget-container{margin:0px 0px 0px 0px;}.elementor-590 .elementor-element.elementor-element-8734536{text-align:center;}.elementor-590 .elementor-element.elementor-element-8734536 .elementor-heading-title{font-family:"Poppins", Sans-serif;font-size:40px;font-weight:700;line-height:1.15em;letter-spacing:-0.3px;color:#FFFFFF;}.elementor-590 .elementor-element.elementor-element-6e90d2b6{--display:flex;--flex-direction:row;--container-widget-width:calc( ( 1 - var( --container-widget-flex-grow ) ) * 100% );--container-widget-height:100%;--container-widget-flex-grow:1;--container-widget-align-self:stretch;--flex-wrap-mobile:wrap;--justify-content:space-between;--align-items:flex-start;--gap:48px 48px;--row-gap:48px;--column-gap:48px;--margin-top:0px;--margin-bottom:0px;--margin-left:0px;--margin-right:0px;--padding-top:40px;--padding-bottom:80px;--padding-left:20px;--padding-right:20px;}.elementor-590 .elementor-element.elementor-element-6e90d2b6:not(.elementor-motion-effects-element-type-background), .elementor-590 .elementor-element.elementor-element-6e90d2b6 > .elementor-motion-effects-container > .elementor-motion-effects-layer{background-color:var( --e-global-color-639984c );}.elementor-590 .elementor-element.elementor-element-b230567{--display:flex;--flex-direction:column;--container-widget-width:100%;--container-widget-height:initial;--container-widget-flex-grow:0;--container-widget-align-self:initial;--flex-wrap-mobile:wrap;--gap:0px 0px;--row-gap:0px;--column-gap:0px;--padding-top:16px;--padding-bottom:0px;--padding-left:0px;--padding-right:0px;}.elementor-590 .elementor-element.elementor-element-7eeae11e > .elementor-widget-container{margin:0px 0px 12px 0px;}.elementor-590 .elementor-element.elementor-element-7eeae11e{text-align:start;}.elementor-590 .elementor-element.elementor-element-7eeae11e .elementor-heading-title{font-family:"Poppins", Sans-serif;font-size:21px;font-weight:700;line-height:1.3em;color:#FFFFFF;}.elementor-widget-text-editor{font-family:var( --e-global-typography-text-font-family ), Sans-serif;font-weight:var( --e-global-typography-text-font-weight );color:var( --e-global-color-text );}.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:var( --e-global-color-primary );}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap, .elementor-widget-text-editor.elementor-drop-cap-view-default .elementor-drop-cap{color:var( --e-global-color-primary );border-color:var( --e-global-color-primary );}.elementor-590 .elementor-element.elementor-element-38303995{text-align:start;font-family:"Open Sans", Sans-serif;font-size:17px;font-weight:400;line-height:1.6em;color:#D9E0E6;}.elementor-widget-image .widget-image-caption{color:var( --e-global-color-text );font-family:var( --e-global-typography-text-font-family ), Sans-serif;font-weight:var( --e-global-typography-text-font-weight );}.elementor-590 .elementor-element.elementor-element-46e0c410 > .elementor-widget-container{margin:15px 0px 15px 0px;}.elementor-590 .elementor-element.elementor-element-46e0c410{text-align:start;}.elementor-590 .elementor-element.elementor-element-46e0c410 img{width:140px;}.elementor-590 .elementor-element.elementor-element-5d217e8a > .elementor-widget-container{margin:0px 0px 8px 0px;}.elementor-590 .elementor-element.elementor-element-5d217e8a{text-align:start;}.elementor-590 .elementor-element.elementor-element-5d217e8a .elementor-heading-title{font-family:"Poppins", Sans-serif;font-size:30px;font-weight:700;line-height:1.2em;color:#FFFFFF;}.elementor-590 .elementor-element.elementor-element-35a1cf1d{text-align:start;font-family:"Open Sans", Sans-serif;font-size:17px;font-weight:400;line-height:1.6em;color:#D9E0E6;}.elementor-590 .elementor-element.elementor-element-33e26de8 > .elementor-widget-container{margin:24px 0px 0px -36px;}.elementor-590 .elementor-element.elementor-element-33e26de8{text-align:start;}.elementor-590 .elementor-element.elementor-element-33e26de8 img{width:112%;}.elementor-590 .elementor-element.elementor-element-166960ad{--display:flex;--flex-direction:column;--container-widget-width:100%;--container-widget-height:initial;--container-widget-flex-grow:0;--container-widget-align-self:initial;--flex-wrap-mobile:wrap;--gap:0px 0px;--row-gap:0px;--column-gap:0px;border-style:solid;--border-style:solid;border-width:1px 1px 1px 1px;--border-top-width:1px;--border-right-width:1px;--border-bottom-width:1px;--border-left-width:1px;border-color:#33495A;--border-color:#33495A;--border-radius:10px 10px 10px 10px;--padding-top:28px;--padding-bottom:28px;--padding-left:28px;--padding-right:28px;}.elementor-590 .elementor-element.elementor-element-166960ad:not(.elementor-motion-effects-element-type-background), .elementor-590 .elementor-element.elementor-element-166960ad > .elementor-motion-effects-container > .elementor-motion-effects-layer{background-color:#1A2A35;}.elementor-590 .elementor-element.elementor-element-3e25e210{text-align:start;font-family:"Open Sans", Sans-serif;font-size:14px;font-weight:400;line-height:1.55em;color:#D9E0E6;}.elementor-590 .elementor-element.elementor-element-30cbdb98 > .elementor-widget-container{margin:0px 0px 0px 0px;}:root{--page-title-display:none;}@media(min-width:768px){.elementor-590 .elementor-element.elementor-element-534caf5{--content-width:700px;}.elementor-590 .elementor-element.elementor-element-6e90d2b6{--content-width:1140px;}.elementor-590 .elementor-element.elementor-element-b230567{--width:46%;}.elementor-590 .elementor-element.elementor-element-166960ad{--width:50%;}}@media(max-width:1024px) and (min-width:768px){.elementor-590 .elementor-element.elementor-element-b230567{--width:100%;}.elementor-590 .elementor-element.elementor-element-166960ad{--width:100%;}}@media(max-width:1024px){.elementor-590 .elementor-element.elementor-element-4858865d .elementor-heading-title{font-size:34px;}.elementor-590 .elementor-element.elementor-element-8734536 .elementor-heading-title{font-size:34px;}.elementor-590 .elementor-element.elementor-element-6e90d2b6{--flex-direction:column;--container-widget-width:calc( ( 1 - var( --container-widget-flex-grow ) ) * 100% );--container-widget-height:initial;--container-widget-flex-grow:0;--container-widget-align-self:initial;--flex-wrap-mobile:wrap;--align-items:stretch;--gap:36px 36px;--row-gap:36px;--column-gap:36px;--padding-top:32px;--padding-bottom:64px;--padding-left:24px;--padding-right:24px;}.elementor-590 .elementor-element.elementor-element-b230567{--padding-top:0px;--padding-bottom:0px;--padding-left:0px;--padding-right:0px;}}@media(max-width:767px){.elementor-590 .elementor-element.elementor-element-534caf5{--min-height:300px;}.elementor-590 .elementor-element.elementor-element-4858865d .elementor-heading-title{font-size:26px;}.elementor-590 .elementor-element.elementor-element-8734536 .elementor-heading-title{font-size:26px;}.elementor-590 .elementor-element.elementor-element-6e90d2b6{--flex-direction:column;--container-widget-width:100%;--container-widget-height:initial;--container-widget-flex-grow:0;--container-widget-align-self:initial;--flex-wrap-mobile:wrap;--gap:32px 32px;--row-gap:32px;--column-gap:32px;--padding-top:28px;--padding-bottom:48px;--padding-left:16px;--padding-right:16px;}.elementor-590 .elementor-element.elementor-element-b230567{--width:100%;}.elementor-590 .elementor-element.elementor-element-7eeae11e .elementor-heading-title{font-size:19px;}.elementor-590 .elementor-element.elementor-element-38303995{font-size:16px;}.elementor-590 .elementor-element.elementor-element-46e0c410 img{width:110px;}.elementor-590 .elementor-element.elementor-element-5d217e8a .elementor-heading-title{font-size:26px;}.elementor-590 .elementor-element.elementor-element-35a1cf1d{font-size:16px;}.elementor-590 .elementor-element.elementor-element-166960ad{--width:100%;--padding-top:22px;--padding-bottom:22px;--padding-left:18px;--padding-right:18px;}}/* Start custom CSS for html, class: .elementor-element-30cbdb98 */<style>
/* ===== BHAM "AI: Eyes on the Ground" story page ===== */

/* ---------- Hero ---------- */
.bhamai-hero .bhamai-kicker .elementor-heading-title{text-shadow:0 2px 14px rgba(0,0,0,.35)}
.bhamai-hero .bhamai-script .elementor-heading-title{transform:rotate(-2deg);text-shadow:0 2px 14px rgba(0,0,0,.35)}
.bhamai-hero .elementor-shape-bottom{z-index:1}
.bhamai-hero > .e-con-inner,.bhamai-hero > .elementor-widget{position:relative;z-index:2}

/* ---------- Main ---------- */
.bhamai-main{position:relative;overflow:hidden}
.bhamai-intro .elementor-widget-text-editor p{margin:0 0 1em}
.bhamai-intro .elementor-widget-text-editor p:last-child{margin-bottom:0}
.bhamai-intro .elementor-widget-text-editor strong{color:#fff;font-weight:700}
.bhamai-art img{display:block;width:100%;height:auto;-webkit-mask-image:linear-gradient(to bottom,#000 86%,transparent 100%);mask-image:linear-gradient(to bottom,#000 86%,transparent 100%)}

/* ---------- Form card ---------- */
.bhamai-card{box-shadow:0 24px 48px -24px rgba(0,0,0,.55)}
.bhamai-card .bhamai-card-intro p{margin:0 0 .7em}
.bhamai-card .bhamai-card-intro p:last-child{margin-bottom:0}

/* ---------- NGP / ActionTag form, dark theme ---------- */
.bhamai-form .at{font-family:"Poppins",sans-serif;color:#fff;background:none;margin:0;padding:0;max-width:none;width:100%}
.bhamai-form .at .at-inner,
.bhamai-form .at .at-form{background:none;padding:0;margin:0;max-width:none;box-shadow:none;border:0;color:#fff}
.bhamai-form .at header.HeaderHtml,
.bhamai-form .at footer.FooterHtml{display:none}

/* sections */
.bhamai-form .at fieldset.at-fieldset{border:0;border-top:1px solid rgba(255,255,255,.14);margin:0;padding:20px 0 4px;min-width:0;background:none}
.bhamai-form .at fieldset.at-fieldset:first-of-type{margin-top:18px}
.bhamai-form .at .at-legend{
  float:left;width:100%;padding:0;margin:0 0 12px;border:0;background:none;
  font-family:"Poppins",sans-serif;font-size:15px;font-weight:600;line-height:1.3;color:#fff;text-transform:none;letter-spacing:0;
}
.bhamai-form .at .at-fields{clear:both}

/* rows / columns */
.bhamai-form .at .at-row{margin-left:-8px;margin-right:-8px}
.bhamai-form .at .at-row>[class^=at-],
.bhamai-form .at .at-row>[class*=" at-"]{margin-left:8px;margin-right:8px;min-width:0}
.bhamai-form .at .at-row.PostalCode>label.StateProvince{flex-basis:100%}
.bhamai-form .at .at-row.at-row-full{width:auto}

/* labels */
.bhamai-form .at label,
.bhamai-form .at .checkbox-list-label{
  font-family:"Poppins",sans-serif;font-size:13px;font-weight:500;line-height:1.4;color:#E9EDF0;margin-bottom:0;
}
.bhamai-form .at label small,
.bhamai-form .at .checkbox-list-label small{font-size:12px;font-weight:400;color:#8C9AA6}
.bhamai-form .at .checkbox-list-label br{display:none}

/* text inputs, selects, textarea */
.bhamai-form .at input[type=text],
.bhamai-form .at input[type=email],
.bhamai-form .at input[type=tel],
.bhamai-form .at input[type=number],
.bhamai-form .at select,
.bhamai-form .at textarea{
  font-family:"Open Sans",sans-serif;font-size:14px;line-height:1.4;color:#fff;
  background-color:#0F1A22;border:1px solid #3A4E5C;border-radius:4px;box-shadow:none;
  height:42px;padding:8px 12px;margin:4px 0 14px;width:100%;
  transition:border-color .15s,box-shadow .15s;
}
.bhamai-form .at select{
  -webkit-appearance:none;appearance:none;padding-right:36px;cursor:pointer;
  background-image:url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' width='12' height='8' viewBox='0 0 12 8'%3E%3Cpath d='M1 1.5l5 5 5-5' fill='none' stroke='%23E9EDF0' stroke-width='1.6'/%3E%3C/svg%3E");
  background-repeat:no-repeat;background-position:right 14px center;background-size:12px 8px;
}
.bhamai-form .at select option{color:#15222B;background:#fff}
.bhamai-form .at textarea{height:auto;min-height:130px;resize:vertical}
.bhamai-form .at input::placeholder,
.bhamai-form .at textarea::placeholder{color:#7D8B97;opacity:1}
.bhamai-form .at input[type=text]:focus,
.bhamai-form .at input[type=email]:focus,
.bhamai-form .at input[type=tel]:focus,
.bhamai-form .at select:focus,
.bhamai-form .at textarea:focus{
  outline:none;border-color:#E2382F;box-shadow:0 0 0 3px rgba(226,56,47,.25);background-color:#0F1A22;
}
.bhamai-form .at input:-webkit-autofill{-webkit-text-fill-color:#fff;-webkit-box-shadow:0 0 0 40px #0F1A22 inset;caret-color:#fff}

/* phone (intl-tel-input) */
.bhamai-form .at .intl-tel-input,
.bhamai-form .at .iti{display:block;width:100%;margin:4px 0 14px}
.bhamai-form .at .iti input[type=tel]{margin:0;padding-left:52px}
.bhamai-form .at .iti__selected-flag{background:transparent!important}
.bhamai-form .at .iti__arrow{border-top-color:#E9EDF0}
.bhamai-form .at .iti__arrow--up{border-bottom-color:#E9EDF0;border-top-color:transparent}

/* license type (select2, if used) */
.bhamai-form .at .select2-container{width:100%!important;margin:4px 0 14px;display:block}
.bhamai-form .at .select2-container--default .select2-selection--multiple,
.bhamai-form .at .select2-container--default .select2-selection--single{
  min-height:42px;border:1px solid #3A4E5C;border-radius:4px;padding:4px 36px 4px 4px;cursor:pointer;
  background:#0F1A22 url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' width='12' height='8' viewBox='0 0 12 8'%3E%3Cpath d='M1 1.5l5 5 5-5' fill='none' stroke='%23E9EDF0' stroke-width='1.6'/%3E%3C/svg%3E") no-repeat right 14px center/12px 8px;
}
.bhamai-form .at .select2-container--default .select2-selection--single .select2-selection__rendered{color:#fff;line-height:32px;padding-left:8px}
.bhamai-form .at .select2-container--default .select2-selection--single .select2-selection__arrow{display:none}
.bhamai-form .at .select2-container--default.select2-container--focus .select2-selection--multiple,
.bhamai-form .at .select2-container--default.select2-container--open .select2-selection--multiple,
.bhamai-form .at .select2-container--default.select2-container--open .select2-selection--single{
  border-color:#E2382F;box-shadow:0 0 0 3px rgba(226,56,47,.25);
}
.bhamai-form .at .select2-container .select2-search--inline .select2-search__field{
  font-family:"Open Sans",sans-serif;font-size:14px;color:#fff;margin:6px 0 0 4px;height:22px;border:0;box-shadow:none;padding:0;background:transparent;
}
.bhamai-form .at .select2-container .select2-search--inline .select2-search__field::placeholder{color:#E9EDF0}
.bhamai-form .at .select2-container--default .select2-selection--multiple .select2-selection__choice{
  background:#24394A;border:1px solid #3A4E5C;border-radius:3px;font-family:"Open Sans",sans-serif;font-size:13px;color:#fff;margin-top:4px;
}
.bhamai-form .at .select2-container--default .select2-selection--multiple .select2-selection__choice__remove{color:#C5CED6}
.select2-container--default .select2-results__option--highlighted[aria-selected],
.select2-container--default .select2-results__option--highlighted.select2-results__option--selectable{background:#C42D24!important;color:#fff!important}
.select2-results__option{font-family:"Open Sans",sans-serif;font-size:14px}

/* checkboxes */
.bhamai-form .at label.at-check{
  display:flex;align-items:flex-start;gap:10px;font-family:"Open Sans",sans-serif;font-size:14px;font-weight:400;color:#E9EDF0;cursor:pointer;margin:0 0 10px;
}
.bhamai-form .at label.at-check input[type=checkbox]{
  -webkit-appearance:none;appearance:none;position:static;opacity:1;flex:0 0 18px;width:18px;height:18px;margin:1px 0 0;
  border:1.5px solid #5A6E7C;border-radius:3px;background:#0F1A22;cursor:pointer;display:inline-grid;place-content:center;
}
.bhamai-form .at label.at-check input[type=checkbox]::before{
  content:"";width:10px;height:6px;border:2px solid #fff;border-top:0;border-right:0;transform:rotate(-45deg) translate(1px,-1px);opacity:0;
}
.bhamai-form .at label.at-check input[type=checkbox]:checked{background:#E2382F;border-color:#E2382F}
.bhamai-form .at label.at-check input[type=checkbox]:checked::before{opacity:1}
.bhamai-form .at label.at-check input[type=checkbox]:focus-visible{outline:2px solid #E2382F;outline-offset:2px}
.bhamai-form .at .at-checkbox-title-container,
.bhamai-form .at .at-checkbox-title{padding:0;margin:0;position:static;line-height:1.45;color:#E9EDF0}
.bhamai-form .at .at-checkbox-title-container::before,
.bhamai-form .at .at-checkbox-title-container::after,
.bhamai-form .at .at-checkbox-title::before,
.bhamai-form .at .at-checkbox-title::after{display:none!important}
.bhamai-form .at .YesSignMeUpForUpdatesForBinder label.at-check{font-size:13px;margin-top:-4px}
.bhamai-form .at .checkbox-list-label{display:block;margin-bottom:10px}

/* terms: checkbox beside the statement */
.bhamai-form .at .EligibilityInformation .at-fields{display:flex;align-items:flex-start;gap:0}
.bhamai-form .at .EligibilityInformation .at-row.ConfirmedEligibililty{order:-1;flex:0 0 auto;width:auto;margin:0 10px 0 0}
.bhamai-form .at .EligibilityInformation .at-row.EligibilityHtml{flex:1 1 auto;width:auto;margin:0}
.bhamai-form .at .EligibilityInformation .ConfirmedEligibililty .at-checkbox-title-container,
.bhamai-form .at .EligibilityInformation .ConfirmedEligibililty .at-checkbox-title{
  position:absolute!important;width:1px;height:1px;overflow:hidden;clip:rect(0 0 0 0);white-space:nowrap;
}
.bhamai-form .at .EligibilityInformation .ConfirmedEligibililty label.at-check{margin:0;gap:0}
.bhamai-form .at .ConfirmedEligibililty.error input[type=checkbox],
.bhamai-form .at label.error input[type=checkbox]{border-color:#FF6B61}
.bhamai-form .at .EligibilityHtml p{font-family:"Open Sans",sans-serif;font-size:12.5px;line-height:1.5;color:#C5CED6;margin:0}
.bhamai-form .at .EligibilityHtml p strong{font-weight:400}

/* submit */
.bhamai-form .at .at-form-submit{padding:8px 0 0;margin:0;border-top:0}
.bhamai-form .at .at-form-submit .at-submit,
.bhamai-form .at input.at-submit.btn-at.btn-at-primary{
  float:none;display:block;width:100%;margin:12px 0 0;height:auto;padding:14px 20px;
  background:#E2231A;border:0;border-radius:4px;color:#fff;cursor:pointer;
  font-family:"Poppins",sans-serif;font-size:16px;font-weight:600;letter-spacing:.01em;text-transform:none;
  transition:background-color .15s;box-shadow:none;
}
.bhamai-form .at .at-form-submit .at-submit:hover,
.bhamai-form .at .at-form-submit .at-submit:focus{background:#C42D24}
.bhamai-form .at .at-form-submit .at-submit:focus-visible{outline:2px solid #fff;outline-offset:2px}

/* errors */
.bhamai-form .at .error input,
.bhamai-form .at .error select,
.bhamai-form .at .error textarea,
.bhamai-form .at input.error,
.bhamai-form .at textarea.error{border-color:#FF6B61}
.bhamai-form .at label small.error,
.bhamai-form .at small.error{display:block;margin:-10px 0 12px;padding:0;background:none;border:0}
.bhamai-form .at label small.error,
.bhamai-form .at small.error,
.bhamai-form .at .error-message,
.bhamai-form .at .checkbox-list-required-text{font-family:"Open Sans",sans-serif;font-size:12px;color:#FF8A82;font-weight:600}
.bhamai-form .at .at-error-console{font-family:"Open Sans",sans-serif;font-size:14px;color:#fff}

/* thank-you state */
.bhamai-form .at .thankYou,
.bhamai-form .at .at-markup.ConfirmationHtml{font-family:"Open Sans",sans-serif;font-size:16px;line-height:1.6;color:#E9EDF0}
.bhamai-form .at .thankYou h1,
.bhamai-form .at .thankYou h2,
.bhamai-form .at .thankYou h3{font-family:"Poppins",sans-serif;color:#fff}

/* ---------- Mobile ---------- */
@media (max-width:767px){
  .bhamai-form .at .at-row>[class^=at-],
  .bhamai-form .at .at-row>[class*=" at-"]{flex-basis:100%}
}

</style>
<script>
/* Relabel the NGP submit button after ActionTag renders the form */
window.nvtag_callbacks = window.nvtag_callbacks || {};
window.nvtag_callbacks.postRender = window.nvtag_callbacks.postRender || [];
window.nvtag_callbacks.postRender.push(function (args) {
  var b = document.querySelector('.bhamai-form .at-submit');
  if (b) b.value = 'Submit Your Story \u2192';
  return args;
});
</script>
<link rel='preload' href='https://static.everyaction.com/ea-actiontag/at.js' as='script' crossorigin='anonymous'>
<link rel='preload' href='https://static.everyaction.com/ea-actiontag/at.min.css' as='style'>
<script type='text/javascript' src='https://static.everyaction.com/ea-actiontag/at.js' crossorigin='anonymous'></script>
<div class="bhamai-form"><div class="ngp-form"
     data-form-url="https://secure.ngpvan.com/v1/Forms/NbJP_5l5wEy5NxsH8yWPtA2"
     data-fastaction-endpoint="https://fastaction.ngpvan.com"
     data-inline-errors="true"
     data-fastaction-nologin="true"
     data-mobile-autofocus="false">
</div></div>/* End custom CSS */