https://www.lmaweb.com/_next/static/chunks/410-022fa65c6a81b25a.js

1"use strict";(self.webpackChunk_N_E=self.webpackChunk_N_E||[]).push([[410],{9430:(e,t,n)=>{n.d(t,{x:()=>a.x});var a=n(15596);n(70702)},76334:(e,t,n)=>{n.d(t,{BI:()=>a,Wv:()=>l,kR:()=>r,l:()=>i});let a=e=>{let t;if(e&&e.current)t=e.current;else{if(!e||!e.elements&&"FORM"!==e.nodeName)return console.warn("Form reference is invalid"),[];t=e}let n=[],a=t.elements||t,i=a.length||0;for(let e=0;e<i;e++){let t=a[e];if(t){if("radio"===t.type){t.checked&&n.push({key:t.name,value:t.value});continue}if("wlacEvent"===t.name){if(t.checked){let e=n.findIndex(e=>"wlacEvent"===e.key);-1!==e?n[e].value.push(t.id):n.push({key:"wlacEvent",value:[t.id]})}continue}if("checkbox"===t.type){n.push({key:t.id,value:t.checked});continue}if("INPUT"===t.nodeName||"TEXTAREA"===t.nodeName&&!t.readOnly){let e=t.id||t.name;e&&n.push({key:e,value:t.value})}}}return n},i=e=>{let t=!0,n={},a=/^(([^<>()[\]\.,;:\s@\"]+(\.[^<>()[\]\.,;:\s@\"]+)*)|(\".+\"))@(([^<>()[\]\.,;:\s@\"]+\.)+[^<>()[\]\.,;:\s@\"]{2,})$/i,i=/^[0-9]+(?:.[0-9]{2})?$/i,r=/^(\+\d{1,2}\s)?\(?\d{3}\)?[\s.-]?\d{3}[\s.-]?\d{4}$/i,l=/^[0-9]{5}(?:-[0-9]{4})?$/i,s=/^[ A-Za-z]*$/i;return e.forEach(e=>{e.key.toLowerCase().includes("email")&&""!==e.value&&!a.test(e.value)&&(t=!1,n[e.key.toString()]=!0),"SignatureExists"!==e.key||e.value||(t=!1,n.sigPad=!0),"businessEstimatedPurchase"!==e.key||""===e.value||i.test(e.value)||(t=!1,n.businessEstimatedPurchase=!0),e.key.toLowerCase().includes("phonenumber")&&""!==e.value&&!r.test(e.value)&&(t=!1,n[e.key.toString()]=!0),e.key.toLowerCase().includes("zip")&&!l.test(e.value)&&""!==e.value&&(t=!1,n[e.key.toString()]=!0),"buyersName"!==e.key||""===e.value||s.test(e.value)||(t=!1,n[e.key.toString()]=!0)}),{isValid:t,tempErrors:n}},r=e=>{let t={};return e.forEach(e=>{t[e.key.toString()]=e.value}),t},l=e=>{let t;if(e&&e.current)t=e.current;else{if(!e||!e.elements&&"FORM"!==e.nodeName)return void console.warn("Form reference is invalid");t=e}let n=t.elements||t,a=n.length||0;for(let e=0;e<a;e++){let t=n[e];t&&("checkbox"===t.type||"radio"===t.type?t.checked=!1:"INPUT"!==t.nodeName&&("TEXTAREA"!==t.nodeName||t.readOnly)||(t.value=""))}}},85877:(e,t,n)=>{n.d(t,{A:()=>H});var a=n(37876),i=n(14232),r=n(55751),l=n(35003),s=n(65754),o=n(87619),u=n(64266),c=n(24779),d=n(76572),m=n(18952),h=n(9135),g=n(55815),x=n(76790),b=n(14379),p=n(52187),A=n.n(p),y=n(57870),f=n(80560),v=n.n(f),S=n(76334),j=n(38650);let k=(0,b.A)(A())(e=>{let{theme:t}=e;return{width:"100%",height:"100%"}}),N=(0,b.A)("form")(e=>{let{theme:t}=e;return{width:"95%",display:"flex",flexDirection:"column",marginBottom:50,maxWidth:800,[t.breakpoints.down("md")]:{width:"100%"}}}),B=(0,b.A)(l.A)(()=>({fontFamily:"Source Sans Pro",fontSize:16,lineHeight:"60px",color:"#4A4A4A"})),P=(0,b.A)(r.A)(()=>({fontFamily:"Source Sans Pro",fontSize:16,lineHeight:"20px",color:"#454545","& img":{maxWidth:"100%",maxHeight:"100%"}})),w=(0,b.A)(h.A)(e=>{let{theme:t}=e;return{lineHeight:1.5,"&.authorization-label p ":{lineHeight:"1.5"}}}),C=(0,b.A)(o.A)(()=>({width:"100%",boxShadow:"0px 3px 6px #00000029"})),D=(0,b.A)(r.A)(e=>{let{theme:t}=e;return{display:"flex",flexDirection:"column",alignItems:"center",marginTop:"15px","& .signature-container":{width:"100%",height:"200px",border:"1px solid black",borderTopLeftRadius:"2px",borderTopRightRadius:"2px",borderBottom:"unset",position:"relative",[t.breakpoints.down("md")]:{height:"150px"}},"& .signature-canvas":{width:"100% !important",height:"100% !important"}}}),E=(0,b.A)(r.A)(e=>{let{theme:t}=e;return{display:"flex",gap:25,[t.breakpoints.down("md")]:{flexDirection:"column","& :not(:last-child)":{paddingRight:0}}}}),F=(0,b.A)(r.A)(()=>({paddingLeft:50,marginBottom:30,"& .MuiTextField-root":{marginBottom:10}})),R=(0,b.A)(s.A)(e=>{let{theme:t}=e;return{backgroundColor:t.palette.primary.red,color:"#fff",fontFamily:"Source Sans Pro",fontSize:14,padding:"5px 25px",borderRadius:19,alignSelf:"flex-start",margin:"20px 0 10px","&:hover":{backgroundColor:t.palette.primary.red}}}),T=(0,b.A)(s.A)(()=>({backgroundColor:"rgba(0,0,0,.04)",fontFamily:"Source Sans Pro",fontSize:18,color:"#454545",border:"1px solid #000",borderTop:"unset",borderRadius:0,marginBottom:5})),z=(0,b.A)("canvas")(e=>{let{theme:t}=e;return{width:"100%",height:200,border:"1px solid #000",borderBottom:"unset",[t.breakpoints.down("md")]:{height:300}}}),I=(0,b.A)("label")(e=>{let{theme:t}=e;return{display:"block",fontWeight:600,marginBottom:4,color:t.palette.text.primary,fontSize:15,fontFamily:"Source Sans Pro"}});(0,b.A)("span")(e=>{let{theme:t}=e;return{color:t.palette.error.main,marginLeft:2,fontWeight:700}});let q=(0,b.A)("span")({border:0,clip:"rect(0 0 0 0)",height:1,margin:-1,overflow:"hidden",padding:0,position:"absolute",width:1,whiteSpace:"nowrap"}),H=e=>{var t,n,s;let{props:o,formType:b}=e,p=(0,i.useRef)(null),A=(0,i.useRef)(null),f=new Date,H="".concat(f.getFullYear(),"-").concat(String(f.getUTCMonth()+1).padStart(2,"0"),"-").concat(String(f.getDate()).padStart(2,"0")),[O,L]=(0,i.useState)([]),[W,_]=(0,i.useState)(""),[M,$]=(0,i.useState)(""),[V,Z]=(0,i.useState)(""),[U,Y]=(0,i.useState)(""),[G,X]=(0,i.useState)(""),[Q,J]=(0,i.useState)(""),[K,ee]=(0,i.useState)(""),[et,en]=(0,i.useState)(""),[ea,ei]=(0,i.useState)(""),[er,el]=(0,i.useState)(""),[es,eo]=(0,i.useState)(""),[eu,ec]=(0,i.useState)(""),[ed,em]=(0,i.useState)(""),[eh,eg]=(0,i.useState)(""),[ex,eb]=(0,i.useState)(""),[ep,eA]=(0,i.useState)(""),[ey,ef]=(0,i.useState)(""),[ev,eS]=(0,i.useState)(""),[ej,ek]=(0,i.useState)(""),[eN,eB]=(0,i.useState)(""),[eP,ew]=(0,i.useState)(""),[eC,eD]=(0,i.useState)(""),[eE,eF

1]=(0,i.useState)(""),[eR,eT]=(0,i.useState)(""),[ez,eI]=(0,i.useState)(""),[eq,eH]=(0,i.useState)(""),[eO,eL]=(0,i.useState)(""),[eW,e_]=(0,i.useState)(""),[eM,e$]=(0,i.useState)(!1),[eV,eZ]=(0,i.useState)(null),[eU,eY]=(0,i.useState)(""),[eG,eX]=(0,i.useState)("SUBMIT"),[eQ,eJ]=(0,i.useState)({}),[eK,e0]=(0,i.useState)(!1),[e1,e5]=(0,i.useState)(!1),e2=async e=>{var t,n,a;e.preventDefault(),eX("SENDING");let i={};M.trim()||(i.businessName="Business name is required."),G.trim()||(i.businessIndividualName="Business/Individual name on bank account is required."),K.trim()||(i.billingCity="Billing city is required."),et.trim()||(i.billingState="State is required."),ea.trim()||(i.billingZip="Zip code is required."),er.trim()||(i.billingEmail="Email is required."),eu.trim()||(i.bankName="Bank name is required."),ed.trim()||(i.bankCityState="Bank city/state is required."),ej!==eN&&(i.accountError="Account numbers do not match!"),9!==eC.length||9!==eE.length?i.routingError="Routing number must be exactly 9 digits.":eC!==eE&&

1(i.routingError="Routing numbers do not match!"),10!==ep.replace(/\D/g,"").length&&(i.phoneError="Phone number must be exactly 10 digits.");let r=(e,t)=>{if(!e)return;let n=Number.parseFloat(e.replace(/[$,]/g,""));(Number.isNaN(n)||n<=0)&&(i[t]="Please enter a valid ".concat(t.replace(/([A-Z])/g," $1").trim()," amount."))};if(r(ez,"oneTimeAmount"),r(eq,"recurringAmount"),r(eO,"insuranceAmount"),r(eW,"pastDueAmount"),ev||(i.achEnabled="Please select whether ACH is enabled."),eM||(i.achConsent="You must authorize ACH transactions."),(null==(t=A.current)?void 0:t.isEmpty())&&(i.signatureError="Signature is required."),Object.keys(i).length){eJ(i),e5(!0),e0(!1),eX("SEND");return}eJ({}),e5(!1);let l=(0,S.BI)(p),s=e=>{var t;return(null==(t=o.data)?void 0:t[e])?v().RichText.asHtml(o.data[e],j.yk):""};l.push({key:"termsAndConditions",value:s("terms_and_conditions")},{key:"withdrawalSchedule",value:s("withdrawal_schedule")},{key:"authorization",value:s("authorization")},{key:"signature",value:null==(n=A.current)?void 0:n.toDataURL()},{key:"SignatureExists",value:!(null==(a=A.current)?void 0:a.isEmpty())});let u=new FormData;l.forEach(e=>{let{key:t,value:n}=e;return t.trim()&&u.append(t,n)}),eV&&u.append("attachment",eV);let c=await fetch("/api/handleAchAgreementForm",{method:"POST",body:u}),{error:d}=await c.json();if(d){e5(!0),e0(!1),eX("SEND");return}(()=>{var e;null==(e=A.current)||e.clear(),(0,S.Wv)(p),L([]),_(""),$(""),Z(""),Y(""),X(""),J(""),ee(""),en(""),ei(""),el(""),eo(""),ec(""),em(""),eg(""),eb(""),[eA,ef,eS,ek,eB,ew,eD,eF,eT,eI,eH,eL,e_].forEach(e=>e("")),e$(!1),eZ(null),eY("")})(),e0(!0),eX("SEND")},e4=function(e,t,n,i){let l=arguments.length>4&&void 0!==arguments[4]&&arguments[4];return(0,a.jsxs)(r.A,{sx:{mb:2},children:[(0,a.jsx)(I,{htmlFor:t,children:e}),(0,a.jsx)(C,{id:t,name:t,value:n,onChange:e=>{if(t.includes("Amount"))(e=>{let t=e.target.value.replace(/[^0-9.]/g,"");((t=t.replace(/^0+/,"")).match(/\./g)||[]).length>1||i(t)})(e);else i(e.target.value)},onFocus:()=>{t.includes("Amount")&&i(n.replace(/[$,]/g,""))},onBlur:()=>{t.includes("Amount")&&((e,t)=>{if(!t||"."===t)return e("");let n=Number.parseFloat(t);if(Number.isNaN(n))return e("");e("$".concat(n.toLocaleString(void 0,{minimumFractionDigits:2,maximumFractionDigits:2})))})(i,n)},inputProps:t.includes("Amount")?{inputMode:"decimal"}:{},required:l,"aria-label":e})]})},e6=e=>{let{value:t,checked:n}=e.target;L(e=>n?e.includes(t)?e:[...e,t]:e.filter(e=>e!==t))};return(0,a.jsxs)(N,{ref:p,onSubmit:e2,"aria-label":"ACH Agreement Form",children:[(null==(t=o.data)?void 0:t.terms_and_conditions)&&(0,a.jsx)(P,{children:(0,a.jsx)(y.RichText,{render:o.data.terms_and_conditions,htmlSerializer:j.yk})}),e4("Business Name","businessName",M,$,!0),e4("Which LMA Staff referred you to this form?","referralName",V,Z),(0,a.jsxs)(E,{children:["lmia"===b&&(0,a.jsxs)(r.A,{children:[(0,a.jsx)(B,{children:"Payment to: Livestock Marketing Insurance Agency"}),(0,a.jsxs)(F,{children:[e4("Account/Customer ID # on Form","insuranceAccountId",U,Y),e4("Amount","insuranceAmount",eO,eL,!0),(0,a.jsxs)(r.A,{children:[(0,a.jsx)("label",{htmlFor:"insuranceDate",style:{display:"block",fontWeight:600,marginBottom:4},children:"Please pull amount on this date"}),(0,a.jsx)(C,{id:"insuranceDate",name:"insuranceDate",type:"date",inputProps:{min:H},"aria-label":"Insurance Date"})]})]})]}),"lma"===b&&(0,a.jsxs)(r.A,{children:[(0,a.jsx)(B,{children:"Payment to: Livestock Marketing Association"}),(0,a.jsx)(F,{children:(0,a.jsxs)(x.A,{children:[(0,a.jsx)(h.A,{control:(0,a.jsx)(u.A,{checked:O.includes("One Time Payment"),onChange:e6,value:"One Time Payment"}),label:"One Time Payment"}),O.includes("One Time Payment")&&(0,a.jsxs)(F,{children:[e4("Amount","oneTimeAmount",ez,eI,!0),(0,a.jsxs)(r.A,{children:[(0,a.jsx)("label",{htmlFor:"oneTimeDate",style:{display:"block",fontWeight:600,marginBottom:4},children:"Please pull amount on this date"}),(0,a.jsx)(C,{id:"oneTimeDate",name:"oneTimeDate",type:"date",inputProps:{min:H},"aria-label":"One Time Date"})]})]}),(0,a.jsx)(h.A,{control:(0,a.jsx)(u.A,{checked:O.includes("Recurring Payment"),onChange:e6,value:"Recurring Payment"}),label:"Recurring Payment"}),O.includes("Recurring Payment")&&(0,a.jsxs)(F,{children:[e4("Amount","recurringAmount",eq,eH,!0),(0,a.jsx)(d.A,{name:"recurringPayment",value:W,onChange:e=>_(e.target.value),children:["Monthly","Quarterly","Semi-Annually","Annually"].map(e=>(0,a.jsx)(h.A,{value:e,control:(0,a.jsx)(c.A,{}),label:e},e))}),(null==(n=o.data)?void 0:n.withdrawal_schedule)&&(0,a.jsx)(P,{children:(0,a.jsx)(y.RichText,{render:o.data.withdrawal_schedule,htmlSerializer:j.yk})})]}),(0,a.jsx)(h.A,{control:(0,a.jsx)(u.A,{checked:O.includes("Past Due"),onChange:e6,value:"Past Due"}),label:"Please use this account for past due"}),O.includes("Past Due")&&(0,a.jsxs)(F,{children:[e4("Amount","pastDueAmount",eW,e_,!0),(0,a.jsxs)(r.A,{children:[(0,a.jsx)("label",{htmlFor:"pastDueDate",style:{display:"block",fontWeight:600,marginBottom:4},children:"Please pull amount on this date"}),(0,a.jsx)(C,{id:"pastDueDate",name:"pastDueDate",type:"date",inputProps:{min:H},"aria-label":"Past Due Date"})]})]})]})})]})]}),e4("Business/Individual Name on Bank Account *","businessIndividualName",G,X,!0),e4("Billing Address","businessAddress",Q,J),(0,a.jsxs)(E,{children:[(0,a.jsx)(r.A,{sx:{flexBasis:"50%"},children:e4("Billing City *","billingCity",K,ee,!0)}),(0,a.jsx)(r.A,{sx:{flexBasis:"25%"},children:e4("State *","billingState",et,en,!0)}),(0,a.jsx)(r.A,{sx:{flexBasis:"25%"}

1,children:e4("Zip *","billingZip",ea,ei,!0)})]}),(0,a.jsxs)(E,{children:[(0,a.jsx)(r.A,{sx:{flexBasis:"50%"},children:e4("Email *","billingEmail",er,el,!0)}),(0,a.jsxs)(r.A,{sx:{flexBasis:"25%"},children:[(0,a.jsx)(I,{htmlFor:"billingPhone",children:"Phone #"}),(0,a.jsx)(C,{id:"billingPhone",name:"billingPhone",value:ep,onChange:e=>{let t=(e=>{let t=e.replace(/\D/g,"");return t.length<=3?t:t.length<=6?"".concat(t.slice(0,3),"-").concat(t.slice(3)):"".concat(t.slice(0,3),"-").concat(t.slice(3,6),"-").concat(t.slice(6,10))})(e.target.value);eA(t),ef(10!==t.replace(/\D/g,"").length?"Phone number must be 10 digits.":"")},error:!!ey,helperText:ey,required:!0,"aria-label":"Phone Number"})]}),(0,a.jsx)(r.A,{sx:{flexBasis:"25%"},children:e4("Ext","extension",es,eo)})]}),e4("Bank Name *","bankName",eu,ec,!0),e4("Bank City/State *","bankCityState",ed,em,!0),(0,a.jsxs)(r.A,{sx:{mb:2},children:[(0,a.jsx)(I,{htmlFor:"bankAccountNumber",children:"Bank Account Number *"}),(0,a.jsx)(C,{id:"bankAccountNumber",name:"bankAccountNumber",value:ej,onChange:e=>{ek(e.target.value),ew(e.target.value!==eN&&eN?"Account numbers do not match.":"")},required:!0,"aria-label":"Bank Account Number"})]}),(0,a.jsxs)(r.A,{sx:{mb:2},children:[(0,a.jsx)(I,{htmlFor:"verifyBankAccountNumber",children:"Verify Bank Account Number *"}),(0,a.jsx)(C,{id:"verifyBankAccountNumber",name:"verifyBankAccountNumber",value:eN,onChange:e=>{eB(e.target.value),ew(e.target.value!==ej?"Account numbers do not match.":"")},error:!!eP,helperText:eP,required:!0,"aria-label":"Verify Bank Account Number"})]}),(0,a.jsxs)(r.A,{sx:{mb:2},children:[(0,a.jsx)(I,{htmlFor:"bankRoutingNumber",children:"Bank Routing Number (9 digit #) *"}),(0,a.jsx)(C,{id:"bankRoutingNumber",name:"bankRoutingNumber",value:eC,onChange:e=>{let t=e.target.value;/^\d*$/.test(t)&&(eD(t),eT(9!==t.length?"Routing number must be exactly 9 digits.":""),eE&&t!==eE&&eT("Routing numbers do not match."))},error:!!eR,helperText:eR,required:!0,"aria-label":"Bank Routing Number"})]}),(0,a.jsxs)(r.A,{sx:{mb:2},children:[(0,a.jsx)(I,{htmlFor:"verifyBankRoutingNumber",children:"Verify Bank Routing Number (9 digit #) *"}),(0,a.jsx)(C,{id:"verifyBankRoutingNumber",name:"verifyBankRoutingNumber",value:eE,onChange:e=>{let t=e.target.value;/^\d*$/.test(t)&&(eF(t),9!==t.length?eT("Routing number must be exactly 9 digits."):t!==eC?eT("Routing numbers do not match."):eT(""))},error:!!eR,helperText:eR,required:!0,"aria-label":"Verify Bank Routing Number"})]}),(0,a.jsxs)(m.A,{required:!0,error:!!eQ.achEnabled,sx:{mt:2},children:[(0,a.jsx)(g.A,{component:"legend",sx:{display:"flex",alignItems:"center"},children:(0,a.jsx)(B,{sx:{lineHeight:"40px",display:"inline",mr:1},children:"Business bank account is enabled for ACH transactions?"})}),(0,a.jsxs)(d.A,{name:"achEnabled",value:ev,onChange:e=>eS(e.target.value),children:[(0,a.jsx)(h.A,{value:"Yes",control:(0,a.jsx)(c.A,{}),label:"Yes"}),(0,a.jsx)(h.A,{value:"No",control:(0,a.jsx)(c.A,{}),label:"No"})]}),"No"===ev&&(0,a.jsx)(l.A,{color:"error",sx:{fontSize:14},children:"Please contact your bank to enable ACH transactions. The form will be submitted, but we will reach out to you before processing the payment."}),eQ.achEnabled&&(0,a.jsx)(l.A,{color:"error",sx:{fontSize:14},children:eQ.achEnabled})]}),(0,a.jsx)(E,{sx:{my:3},children:(0,a.jsxs)(r.A,{children:[(0,a.jsx)(I,{htmlFor:"attachmentFile",children:"Please attach invoice (if applicable)"}),(0,a.jsx)("input",{type:"file",id:"attachmentFile",style:{display:"none"},onChange:e=>{e.target.files.length&&(eZ(e.target.files[0]),eY(e.target.files[0].name))}}),(0,a.jsx)("label",{htmlFor:"attachmentFile",children:(0,a.jsx)(R,{component:"span",children:"CHOOSE FILE"})}),eU&&(0,a.jsx)(l.A,{sx:{fontSize:14},children:eU})]})}),(0,a.jsx)(w,{className:"authorization-label",control:(0,a.jsx)(u.A,{checked:eM,onChange:e=>e$(e.target.checked)}),label:(0,a.jsx)(B,{sx:{fontSize:16},children:"lma"===b?"I Authorize Livestock Marketing Association to initiate ACH Debits and Credits to the bank account indicated above, provided each transaction is initiated per the terms of this Agreement."

1:"I Authorize Livestock Marketing Insurance Agency to initiate ACH Debits and Credits to the bank account indicated above, provided each transaction is initiated per the terms of this Agreement."})}),eQ.achConsent&&(0,a.jsx)(l.A,{color:"error",sx:{fontSize:14},children:eQ.achConsent}),(0,a.jsx)(B,{sx:{mt:2},children:"Signature"}),(0,a.jsx)(D,{children:(0,a.jsxs)("div",{className:"signature-container",style:{width:"100%"},children:[(0,a.jsx)(I,{htmlFor:"signaturePad",children:(0,a.jsx)(q,{children:"Signature (draw in the box below)"})}),(0,a.jsx)(k,{ref:A,canvasProps:{className:z,id:"signaturePad","aria-label":"Signature",style:{width:"100%",height:"100%"}},options:{backgroundColor:"rgb(255, 255, 255)",penColor:"rgb(0, 0, 0)",dotSize:1,minWidth:.5,maxWidth:2.5,velocityFilterWeight:.8}})]})}),(0,a.jsx)(T,{onClick:()=>{var e;return null==(e=A.current)?void 0:e.clear()},children:"Clear"}),eQ.signatureError&&(0,a.jsx)(l.A,{color:"error",sx:{fontSize:14},children:eQ.signatureError}),(0,a.jsxs)(E,{children:[(0,a.jsx)(r.A,{sx:{flexBasis:"50%"},children:e4("Printed Name","printedNameOfBuyer",eh,eg)}),(0,a.jsx)(r.A,{sx:{flexBasis:"25%"},children:e4("Title","buyerTitle",ex,eb)}),(0,a.jsxs)(r.A,{sx:{flexBasis:"25%"},children:[(0,a.jsx)(I,{htmlFor:"signatureDate",children:"Date"}),(0,a.jsx)(C,{id:"signatureDate",name:"signatureDate",type:"date",defaultValue:H,InputProps:{readOnly:!0},"aria-label":"Signature Date"})]})]}),(null==(s=o.data)?void 0:s.authorization)&&(0,a.jsx)(P,{sx:{mt:2},children:(0,a.jsx)(y.RichText,{render:o.data.authorization,htmlSerializer:j.yk})}),(0,a.jsx)(R,{type:"submit",disabled:"SENDING"===eG,children:eG}),(0,a.jsx)(B,{sx:{alignSelf:"center",mt:1},children:eK?"Thank you for reaching out!":e1?"Something went wrong, please verify fields and try again.":""})]})}}}]);