<style><!-- [et_pb_line_break_holder] -->@import url('https://fonts.googleapis.com/css?family=Roboto');<!-- [et_pb_line_break_holder] --> /*** THIS CHANGES THE LOOK OF THE FORM FIELDS ***/<!-- [et_pb_line_break_holder] -->.wForm {<!-- [et_pb_line_break_holder] --> font-size:15px;<!-- [et_pb_line_break_holder] --> padding: 16px;<!-- [et_pb_line_break_holder] --> height: auto;<!-- [et_pb_line_break_holder] --> box-shadow: none;<!-- [et_pb_line_break_holder] --> color: #999;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/*** FIELD STYLING ***/<!-- [et_pb_line_break_holder] -->.wForm input[type=text],<!-- [et_pb_line_break_holder] -->textarea {<!-- [et_pb_line_break_holder] --> background: #eee;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> border-radius: 5px;<!-- [et_pb_line_break_holder] --> color: #666666 !important;<!-- [et_pb_line_break_holder] --> padding: 10px !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.wForm input::placeholder {<!-- [et_pb_line_break_holder] --> font-family: 'Roboto', sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] -->/*** THIS CHANGES THE BUTTON STYLE ***/<!-- [et_pb_line_break_holder] -->.wForm input[type=submit] {<!-- [et_pb_line_break_holder] --> padding: 5px 10px;<!-- [et_pb_line_break_holder] --> border-radius: 2px;<!-- [et_pb_line_break_holder] --> background: transparent;<!-- [et_pb_line_break_holder] --> color: #d4b33f;<!-- [et_pb_line_break_holder] --> font-size: 16px;<!-- [et_pb_line_break_holder] --> border: 2px solid #d4b33f;<!-- [et_pb_line_break_holder] --> float: right;<!-- [et_pb_line_break_holder] --> transition: all 0.3s ease-in-out;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] -->/*** THIS CHANGES THE BUTTON HOVER STYLE ***/<!-- [et_pb_line_break_holder] -->.wForm input[type=submit]:hover {<!-- [et_pb_line_break_holder] --> background: #d4b33f;<!-- [et_pb_line_break_holder] --> border-color: transparent;<!-- [et_pb_line_break_holder] --> color: #ffffff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.wForm input{<!-- [et_pb_line_break_holder] --> float:left;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.captcha {<!-- [et_pb_line_break_holder] --> padding-bottom: 1em !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.wForm .captcha .oneField {<!-- [et_pb_line_break_holder] --> margin: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- FORM: HEAD SECTION --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /><!-- [et_pb_line_break_holder] --> <script type="text/javascript"><!-- [et_pb_line_break_holder] --> // initialize our variables<!-- [et_pb_line_break_holder] --> var captchaReady = 0;<!-- [et_pb_line_break_holder] --> var wFORMSReady = 0;<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> // when wForms is loaded call this<!-- [et_pb_line_break_holder] --> var wformsReadyCallback = function () {<!-- [et_pb_line_break_holder] --> // using this var to denote if wForms is loaded<!-- [et_pb_line_break_holder] --> wFORMSReady = 1;<!-- [et_pb_line_break_holder] --> // call our recaptcha function which is dependent on both<!-- [et_pb_line_break_holder] --> // wForms and an async call to google<!-- [et_pb_line_break_holder] --> // note the meat of this function wont fire until both<!-- [et_pb_line_break_holder] --> // wFORMSReady = 1 and captchaReady = 1<!-- [et_pb_line_break_holder] --> onloadCallback();<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> var gCaptchaReadyCallback = function() {<!-- [et_pb_line_break_holder] --> // using this var to denote if captcha is loaded<!-- [et_pb_line_break_holder] --> captchaReady = 1;<!-- [et_pb_line_break_holder] --> // call our recaptcha function which is dependent on both<!-- [et_pb_line_break_holder] --> // wForms and an async call to google<!-- [et_pb_line_break_holder] --> // note the meat of this function wont fire until both<!-- [et_pb_line_break_holder] --> // wFORMSReady = 1 and captchaReady = 1<!-- [et_pb_line_break_holder] --> onloadCallback();<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> // add event listener to fire when wForms is fully loaded<!-- [et_pb_line_break_holder] --> document.addEventListener("wFORMSLoaded", wformsReadyCallback);<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> var enableSubmitButton = function() {<!-- [et_pb_line_break_holder] --> var submitButton = document.getElementById('submit_button');<!-- [et_pb_line_break_holder] --> var explanation = document.getElementById('disabled-explanation');<!-- [et_pb_line_break_holder] --> if (submitButton != null) {<!-- [et_pb_line_break_holder] --> submitButton.removeAttribute('disabled');<!-- [et_pb_line_break_holder] --> if (explanation != null) {<!-- [et_pb_line_break_holder] --> explanation.style.display = 'none';<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var disableSubmitButton = function() {<!-- [et_pb_line_break_holder] --> var submitButton = document.getElementById('submit_button');<!-- [et_pb_line_break_holder] --> var explanation = document.getElementById('disabled-explanation');<!-- [et_pb_line_break_holder] --> if (submitButton != null) {<!-- [et_pb_line_break_holder] --> submitButton.disabled = true;<!-- [et_pb_line_break_holder] --> if (explanation != null) {<!-- [et_pb_line_break_holder] --> explanation.style.display = 'block';<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> // call this on both captcha async complete and wforms fully<!-- [et_pb_line_break_holder] --> // initialized since we can't be sure which will complete first<!-- [et_pb_line_break_holder] --> // and we need both done for this to function just check that they are<!-- [et_pb_line_break_holder] --> // done to fire the functionality<!-- [et_pb_line_break_holder] --> var onloadCallback = function () {<!-- [et_pb_line_break_holder] --> // if our captcha is ready (async call completed)<!-- [et_pb_line_break_holder] --> // and wFORMS is completely loaded then we are ready to add<!-- [et_pb_line_break_holder] --> // the captcha to the page<!-- [et_pb_line_break_holder] --> if (captchaReady && wFORMSReady) {<!-- [et_pb_line_break_holder] --> grecaptcha.render('g-recaptcha-render-div', {<!-- [et_pb_line_break_holder] --> 'sitekey': '6LeISQ8UAAAAAL-Qe-lDcy4OIElnii__H_cEGV0C',<!-- [et_pb_line_break_holder] --> 'theme': 'light',<!-- [et_pb_line_break_holder] --> 'size': 'normal',<!-- [et_pb_line_break_holder] --> 'callback': 'enableSubmitButton',<!-- [et_pb_line_break_holder] --> 'expired-callback': 'disableSubmitButton'<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> var oldRecaptchaCheck = parseInt('1');<!-- [et_pb_line_break_holder] --> if (oldRecaptchaCheck === -1) {<!-- [et_pb_line_break_holder] --> var standardCaptcha = document.getElementById("tfa_captcha_text");<!-- [et_pb_line_break_holder] --> standardCaptcha = standardCaptcha.parentNode.parentNode.parentNode;<!-- [et_pb_line_break_holder] --> standardCaptcha.parentNode.removeChild(standardCaptcha);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> if (!wFORMS.instances['paging']) {<!-- [et_pb_line_break_holder] --> document.getElementById("g-recaptcha-render-div").parentNode.parentNode.parentNode.style.display = "block";<!-- [et_pb_line_break_holder] --> //document.getElementById("g-recaptcha-render-div").parentNode.parentNode.parentNode.removeAttribute("hidden");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> document.getElementById("g-recaptcha-render-div").getAttributeNode('id').value = 'tfa_captcha_text';<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> var captchaError = '';<!-- [et_pb_line_break_holder] --> if (captchaError == '1') {<!-- [et_pb_line_break_holder] --> var errMsgText = 'The CAPTCHA was not completed successfully.';<!-- [et_pb_line_break_holder] --> var errMsgDiv = document.createElement('div');<!-- [et_pb_line_break_holder] --> errMsgDiv.id = "tfa_captcha_text-E";<!-- [et_pb_line_break_holder] --> errMsgDiv.className = "err errMsg";<!-- [et_pb_line_break_holder] --> errMsgDiv.innerText = errMsgText;<!-- [et_pb_line_break_holder] --> var loc = document.querySelector('.g-captcha-error');<!-- [et_pb_line_break_holder] --> loc.insertBefore(errMsgDiv, loc.childNodes[0]);<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> /* See wFORMS.behaviors.paging.applyTo for origin of this code */<!-- [et_pb_line_break_holder] --> if (wFORMS.instances['paging']) {<!-- [et_pb_line_break_holder] --> var b = wFORMS.instances['paging'][0];<!-- [et_pb_line_break_holder] --> var pp = base2.DOM.Element.querySelector(document, wFORMS.behaviors.paging.CAPTCHA_ERROR);<!-- [et_pb_line_break_holder] --> if (pp) {<!-- [et_pb_line_break_holder] --> var lastPage = 1;<!-- [et_pb_line_break_holder] --> for (var i = 1; i < 100; i++) {<!-- [et_pb_line_break_holder] --> if (b.behavior.isLastPageIndex(i)) {<!-- [et_pb_line_break_holder] --> lastPage = i;<!-- [et_pb_line_break_holder] --> break;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> b.jumpTo(lastPage);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> </script><!-- [et_pb_line_break_holder] --> <script src='https://www.google.com/recaptcha/api.js?onload=gCaptchaReadyCallback&render=explicit' async<!-- [et_pb_line_break_holder] --> defer></script><!-- [et_pb_line_break_holder] --> <script type="text/javascript"><!-- [et_pb_line_break_holder] --> document.addEventListener("DOMContentLoaded", function() {<!-- [et_pb_line_break_holder] --> var warning = document.getElementById("javascript-warning");<!-- [et_pb_line_break_holder] --> if (warning != null) {<!-- [et_pb_line_break_holder] --> warning.parentNode.removeChild(warning);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> var oldRecaptchaCheck = parseInt('1');<!-- [et_pb_line_break_holder] --> if (oldRecaptchaCheck !== -1) {<!-- [et_pb_line_break_holder] --> var explanation = document.getElementById('disabled-explanation');<!-- [et_pb_line_break_holder] --> var submitButton = document.getElementById('submit_button');<!-- [et_pb_line_break_holder] --> if (submitButton != null) {<!-- [et_pb_line_break_holder] --> submitButton.disabled = true;<!-- [et_pb_line_break_holder] --> if (explanation != null) {<!-- [et_pb_line_break_holder] --> explanation.style.display = 'block';<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> </script><!-- [et_pb_line_break_holder] --> <script type="text/javascript"><!-- [et_pb_line_break_holder] --> document.addEventListener("DOMContentLoaded", function(){<!-- [et_pb_line_break_holder] --> const FORM_TIME_START = Math.floor((new Date).getTime()/1000);<!-- [et_pb_line_break_holder] --> let formElement = document.getElementById("tfa_0");<!-- [et_pb_line_break_holder] --> if (null === formElement) {<!-- [et_pb_line_break_holder] --> formElement = document.getElementById("0");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> let appendJsTimerElement = function(){<!-- [et_pb_line_break_holder] --> let formTimeDiff = Math.floor((new Date).getTime()/1000) - FORM_TIME_START;<!-- [et_pb_line_break_holder] --> let cumulatedTimeElement = document.getElementById("tfa_dbCumulatedTime");<!-- [et_pb_line_break_holder] --> if (null !== cumulatedTimeElement) {<!-- [et_pb_line_break_holder] --> let cumulatedTime = parseInt(cumulatedTimeElement.value);<!-- [et_pb_line_break_holder] --> if (null !== cumulatedTime && cumulatedTime > 0) {<!-- [et_pb_line_break_holder] --> formTimeDiff += cumulatedTime;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> let jsTimeInput = document.createElement("input");<!-- [et_pb_line_break_holder] --> jsTimeInput.setAttribute("type", "hidden");<!-- [et_pb_line_break_holder] --> jsTimeInput.setAttribute("value", formTimeDiff.toString());<!-- [et_pb_line_break_holder] --> jsTimeInput.setAttribute("name", "tfa_dbElapsedJsTime");<!-- [et_pb_line_break_holder] --> jsTimeInput.setAttribute("id", "tfa_dbElapsedJsTime");<!-- [et_pb_line_break_holder] --> jsTimeInput.setAttribute("autocomplete", "off");<!-- [et_pb_line_break_holder] --> if (null !== formElement) {<!-- [et_pb_line_break_holder] --> formElement.appendChild(jsTimeInput);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> if (null !== formElement) {<!-- [et_pb_line_break_holder] --> if(formElement.addEventListener){<!-- [et_pb_line_break_holder] --> formElement.addEventListener('submit', appendJsTimerElement, false);<!-- [et_pb_line_break_holder] --> } else if(formElement.attachEvent){<!-- [et_pb_line_break_holder] --> formElement.attachEvent('onsubmit', appendJsTimerElement);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --></script><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <link href="https://www.tfaforms.com/dist/form-builder/5.0.0/wforms-jsonly.css?v=512-8" rel="alternate stylesheet" title="This stylesheet activated by javascript" type="text/css" /><!-- [et_pb_line_break_holder] --> <script type="text/javascript" src="https://www.tfaforms.com/wForms/3.11/js/wforms.js?v=512-8"></script><!-- [et_pb_line_break_holder] --> <script type="text/javascript"><!-- [et_pb_line_break_holder] --> wFORMS.behaviors.prefill.skip = false;<!-- [et_pb_line_break_holder] --> </script><!-- [et_pb_line_break_holder] --> <script type="text/javascript" src="https://www.tfaforms.com/wForms/3.11/js/localization-en_GB.js?v=512-8"></script><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- FORM: BODY SECTION --><!-- [et_pb_line_break_holder] --><div class="wFormContainer" style="max-width: 600px; width:auto;" ><!-- [et_pb_line_break_holder] --> <div class="wFormHeader"></div><!-- [et_pb_line_break_holder] --> <style type="text/css"></style><div class=""><div class="wForm" id="4702288-WRPR" dir="ltr"><!-- [et_pb_line_break_holder] --><div class="codesection" id="code-4702288"></div><!-- [et_pb_line_break_holder] --><form method="post" action="https://www.tfaforms.com/responses/processor" class="hintsBelow labelsAbove" id="4702288" role="form"><!-- [et_pb_line_break_holder] --><div class="oneField field-container-D " id="tfa_1-D"><!-- [et_pb_line_break_holder] --><label id="tfa_1-L" class="label preField reqMark" for="tfa_1">First Name:*</label><br><div class="inputWrapper"><input type="text" id="tfa_1" name="tfa_1" value="" aria-required="true" title="First Name:" class="required"></div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="oneField field-container-D " id="tfa_2-D"><!-- [et_pb_line_break_holder] --><label id="tfa_2-L" class="label preField reqMark" for="tfa_2">Last Name:*</label><br><div class="inputWrapper"><input type="text" id="tfa_2" name="tfa_2" value="" aria-required="true" title="Last Name:" class="required"></div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="oneField field-container-D " id="tfa_3-D"><!-- [et_pb_line_break_holder] --><label id="tfa_3-L" class="label preField reqMark" for="tfa_3">Email:*</label><br><div class="inputWrapper"><input type="text" id="tfa_3" name="tfa_3" value="" aria-required="true" title="Email:" class="required"></div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="oneField field-container-D " id="tfa_4-D"><!-- [et_pb_line_break_holder] --><label id="tfa_4-L" class="label preField reqMark" for="tfa_4">Phone Number:*</label><br><div class="inputWrapper"><input type="text" id="tfa_4" name="tfa_4" value="" aria-required="true" title="Phone Number:" class="required"></div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="oneField field-container-D " id="tfa_5-D"><!-- [et_pb_line_break_holder] --><label id="tfa_5-L" class="label preField " for="tfa_5">Zip Code:</label><br><div class="inputWrapper"><input type="text" id="tfa_5" name="tfa_5" value="" title="Zip Code:" class=""></div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="oneField field-container-D " id="tfa_6-D"><!-- [et_pb_line_break_holder] --><label id="tfa_6-L" class="label preField " for="tfa_6">Message:</label><br><div class="inputWrapper"><textarea id="tfa_6" name="tfa_6" title="Message:" class=""></textarea></div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="actions" id="4702288-A"><!-- [et_pb_line_break_holder] --><div id="google-captcha" style="display: none"><!-- [et_pb_line_break_holder] --><br><div class="captcha"><!-- [et_pb_line_break_holder] --><div class="oneField"><!-- [et_pb_line_break_holder] --><div class="g-recaptcha" id="g-recaptcha-render-div"></div><!-- [et_pb_line_break_holder] --><div class="g-captcha-error"></div><!-- [et_pb_line_break_holder] --><br><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="captchaHelp">reCAPTCHA helps prevent automated form spam.<br><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div id="disabled-explanation" class="captchaHelp" style="display: none">The submit button will be disabled until you complete the CAPTCHA.</div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><input type="submit" class="primaryAction" id="submit_button" value="Submit"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div style="clear:both"></div><!-- [et_pb_line_break_holder] --><input type="hidden" value="4702288" name="tfa_dbFormId" id="tfa_dbFormId"><input type="hidden" value="" name="tfa_dbResponseId" id="tfa_dbResponseId"><input type="hidden" value="83018d345d0b5078ca881429d11460d1" name="tfa_dbControl" id="tfa_dbControl"><input type="hidden" value="2" name="tfa_dbVersionId" id="tfa_dbVersionId"><input type="hidden" value="" name="tfa_switchedoff" id="tfa_switchedoff"><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --></div></div><div class="wFormFooter"><p class="supportInfo"><br></p></div><!-- [et_pb_line_break_holder] --> <p class="supportInfo" ><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </div>