<!– TargetX FORM –>

<!-- FORM: HEAD SECTION -->
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<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://kcc.tfaforms.net/dist/form-builder/5.0.0/wforms-layout.css?v=548-1" rel="stylesheet" type="text/css" />
<link href="https://kcc.tfaforms.net/uploads/themes/theme-7.css" rel="stylesheet" type="text/css" />
<link href="https://kcc.tfaforms.net/dist/form-builder/5.0.0/wforms-jsonly.css?v=548-1" rel="alternate stylesheet" title="This stylesheet activated by javascript" type="text/css" />
<script type="text/javascript" src="https://kcc.tfaforms.net/wForms/3.11/js/wforms.js?v=548-1"></script>
<script type="text/javascript">
  wFORMS.behaviors.prefill.skip = false;
</script>
<script type="text/javascript" src="https://kcc.tfaforms.net/wForms/3.11/js/localization-en_US.js?v=548-1"></script>
<!-- END FORM: HEAD SECTION -->