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<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
                        <style>
                    .captcha {
                        padding-bottom: 1em !important;
                    }
                    .wForm .captcha .oneField {
                        margin: 0;
                        padding: 0;
                    }
                </style>
                <script type="text/javascript">
                    // initialize our variables
                    var captchaReady = 0;
                    var wFORMSReady = 0;

                    // when wForms is loaded call this
                    var wformsReadyCallback = function () {
                        // using this var to denote if wForms is loaded
                        wFORMSReady = 1;
                        // call our recaptcha function which is dependent on both
                        // wForms and an async call to google
                        // note the meat of this function wont fire until both
                        // wFORMSReady = 1 and captchaReady = 1
                        onloadCallback();
                    }
                    var gCaptchaReadyCallback = function() {
                        // using this var to denote if captcha is loaded
                        captchaReady = 1;
                        // call our recaptcha function which is dependent on both
                        // wForms and an async call to google
                        // note the meat of this function wont fire until both
                        // wFORMSReady = 1 and captchaReady = 1
                        onloadCallback();
                    };

                    // add event listener to fire when wForms is fully loaded
                    document.addEventListener("wFORMSLoaded", wformsReadyCallback);

                    var enableSubmitButton = function() {
                        var submitButton = document.getElementById('submit_button');
                        var explanation = document.getElementById('disabled-explanation');
                        if (submitButton != null) {
                            submitButton.removeAttribute('disabled');
                            if (explanation != null) {
                                explanation.style.display = 'none';
                            }
                        }
                    };
                    var disableSubmitButton = function() {
                        var submitButton = document.getElementById('submit_button');
                        var explanation = document.getElementById('disabled-explanation');
                        if (submitButton != null) {
                            submitButton.disabled = true;
                            if (explanation != null) {
                                explanation.style.display = 'block';
                            }
                        }
                    };

                    // call this on both captcha async complete and wforms fully
                    // initialized since we can't be sure which will complete first
                    // and we need both done for this to function just check that they are
                    // done to fire the functionality
                    var onloadCallback = function () {
                        // if our captcha is ready (async call completed)
                        // and wFORMS is completely loaded then we are ready to add
                        // the captcha to the page
                        if (captchaReady && wFORMSReady) {
                            grecaptcha.render('g-recaptcha-render-div', {
                                'sitekey': '6LeISQ8UAAAAAL-Qe-lDcy4OIElnii__H_cEGV0C',
                                'theme': 'light',
                                'size': 'normal',
                                'callback': 'enableSubmitButton',
                                'expired-callback': 'disableSubmitButton'
                            });
                            var oldRecaptchaCheck = parseInt('1');
                            if (oldRecaptchaCheck === -1) {
                                var standardCaptcha = document.getElementById("tfa_captcha_text");
                                standardCaptcha = standardCaptcha.parentNode.parentNode.parentNode;
                                standardCaptcha.parentNode.removeChild(standardCaptcha);
                            }

                            if (!wFORMS.instances['paging']) {
                                document.getElementById("g-recaptcha-render-div").parentNode.parentNode.parentNode.style.display = "block";
                                //document.getElementById("g-recaptcha-render-div").parentNode.parentNode.parentNode.removeAttribute("hidden");
                            }
                            document.getElementById("g-recaptcha-render-div").getAttributeNode('id').value = 'tfa_captcha_text';

                            var captchaError = '';
                            if (captchaError == '1') {
                                var errMsgText = 'The CAPTCHA was not completed successfully.';
                                var errMsgDiv = document.createElement('div');
                                errMsgDiv.id = "tfa_captcha_text-E";
                                errMsgDiv.className = "err errMsg";
                                errMsgDiv.innerText = errMsgText;
                                var loc = document.querySelector('.g-captcha-error');
                                loc.insertBefore(errMsgDiv, loc.childNodes[0]);

                                /* See wFORMS.behaviors.paging.applyTo for origin of this code */
                                if (wFORMS.instances['paging']) {
                                    var b = wFORMS.instances['paging'][0];
                                    var pp = base2.DOM.Element.querySelector(document, wFORMS.behaviors.paging.CAPTCHA_ERROR);
                                    if (pp) {
                                        var lastPage = 1;
                                        for (var i = 1; i < 100; i++) {
                                            if (b.behavior.isLastPageIndex(i)) {
                                                lastPage = i;
                                                break;
                                            }
                                        }
                                        b.jumpTo(lastPage);
                                    }
                                }
                            }
                        }
                    };
                </script>
                <script src='https://www.google.com/recaptcha/api.js?onload=gCaptchaReadyCallback&render=explicit' async
                        defer></script>
                <script type="text/javascript">
                    document.addEventListener("DOMContentLoaded", function() {
                        var warning = document.getElementById("javascript-warning");
                        if (warning != null) {
                            warning.parentNode.removeChild(warning);
                        }
                        var oldRecaptchaCheck = parseInt('1');
                        if (oldRecaptchaCheck !== -1) {
                            var explanation = document.getElementById('disabled-explanation');
                            var submitButton = document.getElementById('submit_button');
                            if (submitButton != null) {
                                submitButton.disabled = true;
                                if (explanation != null) {
                                    explanation.style.display = 'block';
                                }
                            }
                        }
                    });
                </script>
                <script type="text/javascript">
        document.addEventListener("DOMContentLoaded", function(){
            const FORM_TIME_START = Math.floor((new Date).getTime()/1000);
            let formElement = document.getElementById("tfa_0");
            if (null === formElement) {
                formElement = document.getElementById("0");
            }
            let appendJsTimerElement = function(){
                let formTimeDiff = Math.floor((new Date).getTime()/1000) - FORM_TIME_START;
                let cumulatedTimeElement = document.getElementById("tfa_dbCumulatedTime");
                if (null !== cumulatedTimeElement) {
                    let cumulatedTime = parseInt(cumulatedTimeElement.value);
                    if (null !== cumulatedTime && cumulatedTime > 0) {
                        formTimeDiff += cumulatedTime;
                    }
                }
                let jsTimeInput = document.createElement("input");
                jsTimeInput.setAttribute("type", "hidden");
                jsTimeInput.setAttribute("value", formTimeDiff.toString());
                jsTimeInput.setAttribute("name", "tfa_dbElapsedJsTime");
                jsTimeInput.setAttribute("id", "tfa_dbElapsedJsTime");
                jsTimeInput.setAttribute("autocomplete", "off");
                if (null !== formElement) {
                    formElement.appendChild(jsTimeInput);
                }
            };
            if (null !== formElement) {
                if(formElement.addEventListener){
                    formElement.addEventListener('submit', appendJsTimerElement, false);
                } else if(formElement.attachEvent){
                    formElement.attachEvent('onsubmit', appendJsTimerElement);
                }
            }
        });
    </script>

    <link href="https://www.tfaforms.com/dist/form-builder/5.0.0/wforms-layout.css?v=571-10" rel="stylesheet" type="text/css" />

    <link href="https://www.tfaforms.com/uploads/themes/theme-53391.css" rel="stylesheet" type="text/css" />
    <link href="https://www.tfaforms.com/dist/form-builder/5.0.0/wforms-jsonly.css?v=571-10" rel="alternate stylesheet" title="This stylesheet activated by javascript" type="text/css" />
    <script type="text/javascript" src="https://www.tfaforms.com/wForms/3.11/js/wforms.js?v=571-10"></script>
    <script type="text/javascript">
        wFORMS.behaviors.prefill.skip = false;
    </script>
        <script type="text/javascript" src="https://www.tfaforms.com/wForms/3.11/js/localization-en_US.js?v=571-10"></script>


<div class="wFormContainer"  >
    <div class="wFormHeader"></div>
    <style type="text/css">
                #tfa_1,
                *[id^="tfa_1["] {
                    width: 276px !important;
                }
                #tfa_1-D,
                *[id^="tfa_1["][class~="field-container-D"] {
                    width: auto !important;
                }
            
                #tfa_2,
                *[id^="tfa_2["] {
                    width: 267px !important;
                }
                #tfa_2-D,
                *[id^="tfa_2["][class~="field-container-D"] {
                    width: auto !important;
                }
            
                #tfa_3,
                *[id^="tfa_3["] {
                    width: 268px !important;
                }
                #tfa_3-D,
                *[id^="tfa_3["][class~="field-container-D"] {
                    width: auto !important;
                }
            
                #tfa_195,
                *[id^="tfa_195["] {
                    width: 671px !important;
                }
                #tfa_195-D,
                *[id^="tfa_195["][class~="field-container-D"] {
                    width: auto !important;
                }
            
                #tfa_195,
                *[id^="tfa_195["] {
                    height: 
                }
                #tfa_195-D,
                *[id^="tfa_195["][class~="field-container-D"] {
                    height: auto !important;
                }
                #tfa_195-L,
                label[id^="tfa_195["],
                *[id^="tfa_195["][id$="-L"] {
                    height: auto !important;
                }
            </style><div class=""><div class="wForm" id="4775586-WRPR" dir="ltr">
<div class="codesection" id="code-4775586"></div>
<h3 class="wFormTitle" id="4775586-T"><b>Contact Us</b></h3>
<form method="post" action="https://www.tfaforms.com/responses/processor" class="hintsBelow labelsAbove" id="4775586" role="form">
<fieldset id="tfa_32" class="section">
<legend id="tfa_32-L">Contact Information</legend>
<div id="tfa_35" class="section inline group">
<div class="oneField field-container-D    " id="tfa_1-D">
<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>
</div>
<div class="oneField field-container-D    " id="tfa_2-D">
<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>
</div>
</div>
<div id="tfa_33" class="section inline group"><div class="oneField field-container-D    " id="tfa_3-D">
<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="validate-email required"></div>
</div></div>
<div class="oneField field-container-D    " id="tfa_195-D">
<label id="tfa_195-L" class="label preField " for="tfa_195">Your Message</label><br><div class="inputWrapper"><textarea data-maxwords="1000" id="tfa_195" name="tfa_195" title="Your Message" class="count-words"></textarea></div>
</div>
</fieldset>
<div class="actions" id="4775586-A">
<div id="google-captcha" style="display: none">
<br><div class="captcha">
<div class="oneField">
<div class="g-recaptcha" id="g-recaptcha-render-div"></div>
<div class="g-captcha-error"></div>
<br>
</div>
<div class="captchaHelp">reCAPTCHA helps prevent automated form spam.<br>
</div>
<div id="disabled-explanation" class="captchaHelp" style="display: none">The submit button will be disabled until you complete the CAPTCHA.</div>
</div>
</div>
<input type="submit" data-label="Submit" class="primaryAction" id="submit_button" value="Submit">
</div>
<div style="clear:both"></div>
<input type="hidden" value="4775586" name="tfa_dbFormId" id="tfa_dbFormId"><input type="hidden" value="" name="tfa_dbResponseId" id="tfa_dbResponseId"><input type="hidden" value="c37e4ba7a9db631d0b15ee3bd82fe163" name="tfa_dbControl" id="tfa_dbControl"><input type="hidden" value="8" name="tfa_dbVersionId" id="tfa_dbVersionId"><input type="hidden" value="" name="tfa_switchedoff" id="tfa_switchedoff">
</form>
</div></div><div class="wFormFooter"><p class="supportInfo"><a target="new" class="contactInfoLink" href="https://www.genderspectrum.org"></a><br><a target="new" class="gdprLink" href="https://www.formassembly.com/gdpr-rights">Your Rights Under GDPR</a></p></div>
  <p class="supportInfo" >
    

      </p>
 </div>

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