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77 78</head> 79 80<body class=""> 81 <div class="nav-container no-fouc"> 82 <nav> 83 <div class="nav-utility"> 84 <div class="module left"> 85 <em class="fas fa-phone"></em> <span class="sub">For Referrals, Call PerformCare 877-652-7624</span> 86 </div> 87 <div class="module right hidden-xs"> 88 <a class="btn btn-sm btn-blue" href="http://www.bergenresourcenet.org" target="_blank">ResourceNet</a> 89 90 <a class="btn btn-sm btn-filled dbox-donation-button" href="https://donorbox.org/bergenspromise">Donate<span class="hidden-xs"> Now</span></a> 91 </div> 92 <div class="module right visible-md visible-lg" style="margin-right: 0;"><a class="btn btn-sm" href="#" data-toggle="modal" data-target="#translateModal" title="Translate this website" style="margin-right:1em; --fa-primary-color: midnightblue; --fa-secondary-color: firebrick; --fa-secondary-opacity: 1.0;"><i class="fad fa-lg fa-flag-usa"></i> Translate</a> 93 94 <a href="https://www.facebook.com/Bergen-Resourcenet-1491800140966030" title="Facebook" target="_blank"><i class="fab fa-fw fa-lg fa-facebook-square" style="color: #4470cf;"></i></a> 95 96 <a href="https://www.instagram.com/bergenspromise/" title="Instagram" target="_blank"><i class="fab fa-fw fa-lg fa-instagram-square" style="color: #d53581;"></i></a> 97 98 <a href="https://www.linkedin.com/company/bergenspromise/" title="LinkedIn" target="_blank" style="margin-right:1em;"><i class="fab fa-fw fa-lg fa-linkedin" style="color: #3393c1;"></i></a> 99 </div> 100 101 </div> 102 103 <div id="mainMenu" class="nav-bar"> 104 <div class="module left widget-logo"> 105 <a href="/" title="Bergen's Promise"> 106 <div class="vnu"> 107 <img class="logo logo-dark" style="height:100%;" alt="Bergen's Promise logo" src="https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/images/logo-2024.svg?updated=1786458871" /> 108 </div> 109 </a> 110 </div> 111 <div class="module widget-handle mobile-toggle right visible-sm visible-xs"> 112 <i class="fas fa-bars"></i> 113 </div> 114 <div class="module-group right"> 115 <div class="module left main-menu"> 116 117<ul class="menu"><li 118 119 class="menu-item" 120 > 121 <a href="/" >Home</a> 122 </li><li 123 124 class="menu-item families-menu-item has-dropdown" 125 > 126 127 <a href="/families" >Families</a><ul><li 128 129 class="menu-item menu-link" 130 > 131 <a href="/families#who-we-help" >Who We Help</a> 132 </li><li 133 134 class="menu-item menu-link" 135 > 136 <a href="/families#getting-started" >How to Get Started</a> 137 </li><li 138 139 class="menu-item menu-link" 140 > 141 <a href="/families#who-we-are" >Who We Are</a> 142 </li><li 143 144 class="menu-item menu-link" 145 > 146 <a href="/families#how-we-work" >How We Work With You</a> 147 </li><li 148 149 class="menu-item menu-link" 150 > 151 <a href="/success-stories" >Success Stories</a> 152 </li></ul> 153 </li><li 154 155 class="menu-item has-dropdown" 156 > 157 158 <a href="/partners" >Partners</a><ul><li 159 160 class="menu-item" 161 > 162 <a href="/partners#collaboration" >Collaboration</a> 163 </li><li 164 165 class="menu-item menu-link" 166 > 167 <a href="/partners#schools" >Schools</a> 168 </li><li 169 170 class="menu-item menu-link" 171 > 172 <a href="/partners#healthcare-providers" >Healthcare Providers</a> 173 </li><li 174 175 class="menu-item menu-link" 176 > 177 <a href="/partners#substance-treatment-providers" >Substance Treatment</a> 178 </li><li 179 180 class="menu-item menu-link" 181 > 182 <a href="/partners#juvenile-justice-partners" >Youth Justice</a> 183 </li><li 184 185 class="menu-item menu-link" 186 > 187 <a href="/partners#medicaid-providers" >Medicaid Providers</a> 188 </li><li 189 190 class="menu-item" 191 > 192 <a href="/partners#legislative-breakfast" >Legislative Breakfast</a> 193 </li><li 194 195 class="menu-item menu-link" 196 > 197 <a href="http://www.bergenresourcenet.org/join/for-professionals/submit-a-resource/" target="_blank">Register on BergenResourceNet</a> 198 </li></ul> 199 </li><li 200 201 class="menu-item news-menu-item" 202 > 203 <a href="/promising-news" >News</a> 204 </li><li 205 206 class="menu-item about-menu-item has-dropdown" 207 > 208 209 <a href="/about" >About Us</a><ul><li 210 211 class="menu-item menu-link" 212 > 213 <a href="/about#mission" >Our Mission</a> 214 </li><li 215 216 class="menu-item menu-link" 217 > 218 <a href="/about#agency-values" >Our Values</a> 219 </li><li 220 221 class="menu-item menu-link" 222 > 223 <a href="/about#who-we-serve" >Who We Serve</a> 224 </li><li 225 226 class="menu-item has-dropdown" 227 > 228 229 <a href="/about#wraparound-care" >Care Management</a><ul><li 230 231 class="menu-item menu-link" 232 > 233 <a href="/about#wraparound-care" >Wraparound Care</a> 234 </li><li 235 236 class="menu-item menu-link" 237 > 238 <a href="/about#child-family-team" >Child & Family Team</a> 239 </li><li 240 241 class="menu-item" 242 > 243 <a href="/about#enhancing-wraparound" >Family Systems Trauma</a> 244 </li><li 245 246 class="menu-item menu-link" 247 > 248 <a href="/about#behavioral-health-home" >Behavioral Health Home</a> 249 </li><li 250 251 class="menu-item menu-link" 252 > 253 <a href="/about#system-of-care" >NJ System of Care</a> 254 </li></ul> 255 </li><li 256 257 class="menu-item menu-link" 258 > 259 <a href="/about#staff" >Management & Staff</a> 260 </li><li 261 262 class="menu-item menu-link" 263 > 264 <a href="/about#board" >Board of Directors</a> 265 </li><li 266 267 class="menu-item menu-link" 268 > 269 <a href="/about#annual-report" >Agency Reports</a> 270 </li></ul> 271 </li><li 272 273 class="menu-item" 274 > 275 <a href="/faqs" >FAQs</a> 276 </li><li 277 278 class="menu-item" 279 > 280 <a href="/careers" >Careers</a> 281 </li><li 282 283 class="menu-item" 284 > 285 <a href="/donations" >Donations</a> 286 </li><li 287 288 class="menu-item active"> 289 290 <a href="/contact" >Contact</a><ul><li 291 292 class="menu-item menu-link active" > 293 <a href="/contact" >Contact Us</a> 294 </li><li 295 296 class="menu-item" 297 > 298 <a href="https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/files/Speaker's+Bureau+Registry+2025.pdf?updated=1753386480480" target="_blank">Request Presentation</a> 299 </li><li 300 301 class="menu-item menu-link" 302 > 303 <a href="https://forms.office.com/r/KXs8RBgmLN" target="_blank">Family Grievance Form</a> 304 </li></ul> 305 </li></ul></div> 306 <div class="module widget-handle search-widget-handle left"> 307 <div class="search"> 308 <i class="fas fa-search"></i> 309 <span class="title">Search Website</span> 310 </div> 311 <div class="function"> 312 <form class="search-form" method="get" action="/search-results" autocomplete="off"> 313 <input class="s_site_search_input form-control" type="text" data-button-id="submit" data-redirect="search-results" placeholder="Type Here" name="search" id="search" maxlength="50">
313<script> 314 function s_search() { 315 event.preventDefault();//Need to prevent default so it doesn't break when inside <form> element 316 var searchVal, redirectVal; 317 if(event.type!=="keypress"){ 318 var buttonID = event.target.id; 319 if(buttonID) { 320 searchVal = document.querySelector('[data-button-id="'+buttonID+'"]').value; 321 redirectVal = document.querySelector('[data-button-id="'+buttonID+'"]').dataset.redirect; 322 }else{ 323 searchVal = document.querySelector('[data-button-id="submit"]').value; 324 redirectVal = document.querySelector('[data-button-id="submit"]').dataset.redirect; 325 } 326 }else{ 327 searchVal = event.target.value; 328 redirectVal = event.target.dataset.redirect; 329 } 330 window.location.href = `/${redirectVal}?keyword=${encodeURIComponent(searchVal)}`; 331 } 332 //Check if search submit button exists - if so watch it for clicks 333 document.addEventListener('DOMContentLoaded', function(){ 334 var input_fields = document.querySelectorAll('.s_site_search_input'); 335 for(i=0; i<input_fields.length; i++){ 336 input_fields[i].addEventListener('keypress', function(){ 337 var support_event_key = event.which || event.keyCode; 338 if(support_event_key==10 || support_event_key==13){ 339 s_search(); 340 } 341 }); 342 } 343 }); 344 </script>
344<script> 345 document.addEventListener('DOMContentLoaded', function(){ 346 var site_search_submit_button = document.getElementById("submit"); 347 if(site_search_submit_button){ 348 site_search_submit_button.addEventListener('click', s_search); 349 } 350 }); 351</script>
351<button id="submit" class="hidden" type="submit">Submit</button> 352 </form> 353 </div> 354 </div> 355 </div> 356 <div class="module-group text-center bg-white" style="padding: 0"> 357 <a class="text-success hidden-md hidden-lg" href="#" data-toggle="modal" data-target="#alertModal" title="COVID-19 Information" style="margin-right:.5em;--fa-primary-color: green; --fa-secondary-color: limegreen; --fa-secondary-opacity: 1.0;"><i class="fad fa-lg fa-virus"></i></a> 358 359 <a class="btn btn-sm hidden-md hidden-lg" href="#" data-toggle="modal" data-target="#translateModal" title="Translate this website" style="margin-right:1em; --fa-primary-color: midnightblue; --fa-secondary-color: firebrick; --fa-secondary-opacity: 1.0;"><i class="fad fa-lg fa-flag-usa"></i> Translate</a> 360 361 <a href="https://www.facebook.com/Bergen-Resourcenet-1491800140966030" title="Facebook" target="_blank"><i class="fab fa-fw fa-lg fa-facebook-square hidden-md hidden-lg" style="color: #4470cf;"></i></a> 362 363 <a href="https://www.instagram.com/bergenspromise/" title="Instagram" target="_blank"><i class="fab fa-fw fa-lg fa-instagram-square hidden-md hidden-lg" style="color: #d53581;"></i></a> 364 365 <a href="https://www.linkedin.com/company/bergenspromise/" title="LinkedIn" target="_blank" style="margin-right:1em;"><i class="fab fa-fw fa-lg fa-linkedin hidden-md hidden-lg" style="color: #3393c1;"></i></a> 366 <div class="visible-xs"> 367 <div class="display-block"> 368 <a class="btn btn-sm btn-blue" href="http://www.bergenresourcenet.org" target="_blank">ResourceNet</a> 369 370 <a class="btn btn-sm btn-filled dbox-donation-button" href="https://donorbox.org/bergenspromise">Donate</a> 371 </div> 372 </div> 373 </div> 374 </div></nav> 375</div><div class="modal fade" id="translateModal" tabindex="-1" role="dialog" aria-hidden="true" style="display: none;"> 376 <div class="modal-dialog"> 377 <div class="modal-content"> 378 <div class="modal-header text-center"> 379 <button type="button" class="close" data-dismiss="modal" aria-hidden="true">Ã</button> 380 <h4 class="mb0">Translate This Website<i class="far fa-lg fa-language" style="margin-left: .25em;"></i></h4> 381 </div> 382 <div class="modal-body text-center bg-info"> 383 <div id="google_translate_element"></div> 384 </div> 385 <div class="modal-footer" style="text-align: center !important;"> 386 <a class="btn btn-sm btn-outline mb0" data-dismiss="modal" href="#">Close</a> 387 </div> 388 </div> 389 </div> 390</div><div class="page main-container"> 391 <style>#ifk39{border:none;}</style> 392<section class="page-title page-title-4 image-bg text-shadow overlay"> 393 <div class="background-image-holder"><img alt="Bergen's Promise office lobby" src="https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/images/page-titles/team-photo.jpeg?updated=1786458871" class="background-image"></div> 394 <div class="container"> 395 <div class="row"> 396 <div class="col-md-12"> 397 <h1 class="mb0">Contact Us</h1> 398 </div> 399 </div> 400 </div> 401</section> 402<section id="contact" class="pt0"> 403 <div class="container"> 404 <div class="row"> 405 <div class="col-12 pt48 pb48"> 406 <div role="alert" class="alert alert-success alert-dismissible"><button aria-label="Close" type="button" data-dismiss="alert" class="close"> Ã </button> 407 <p class="alert-text"> 408 Looking for Internship Opportunities? See our Careers page <a href="/careers#internships">for more information.</a></p> 409 </div> 410 </div> 411 <div class="col-sm-12 col-md-5"> 412 <p class="lead">Please note that we can not respond to any requests for in-home assistance using this contact form. If you are a family in need of assistance, you must first contact <a href="http://www.performcarenj.org" target="_blank">PerformCare</a>. PerformCare is the single point of entry to services. You can call 1-877-652-7624, 24/7. Be sure to check our <a href="/families">Families</a> page for specifics on the referral process</p> 413 <p>If you have questions, feedback, or would like to schedule a presentation / inservice, please let us know. View our <a href="https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/files/Speaker's+Bureau+Registry+(3).pdf?updated=1685562748191" title="">Outreach Presentation Directory</a> and contact us to schedule!</p> 414 <p>For all other inquiries, a member of our team will generally follow up within one to two business days.<br></p> 415 <p>If you would like to request medical records, please send an email to <a href="" id="itwnj">[email protected]</a><br><br>Have a compliance issue? <a href="https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/files/FINAL+Bergen's+Promise_Confidential+Hotline_8.5x11.pdf?updated=1694454595125" target="_blank">Contact our Reporting Hotline</a> (<a href="https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/files/BP+Confidential+Hotline+Poster+Spanish+2024.pdf?updated=1712336764605" target="_blank">Spanish Version</a>)</p> 416 <hr> 417 <p> 418 419 <em class="bp-logo icon-sm"></em><br>Bergen's Promise, Inc. 420 <a href="https://maps.google.com?daddr=3+University+Plaza+H
420ackensack+NJ+07601" target="_blank" class="btn btn-sm pull-right"><em class="fas fa-map-marker-alt"></em> Directions</a><br>3 University Plaza Drive 421 <br>Hackensack, NJ 07601 422 </p> 423 <hr> 424 <p><strong>E:</strong> [email protected] 425 <br><strong>P:</strong> (201)Â 712-1170 426 <br><strong>F:</strong> (201)Â 712-0391 427 </p> 428 </div> 429 <div class="col-sm-7 col-md-6 col-md-offset-1"> 430 <h3>Contact Us</h3> 431 <p class="color-primary sub">All form fields are required.</p><form id="contact-form" class="simple_form form" enctype="multipart/form-data" action="/api/customizations" accept-charset="UTF-8" method="post"><input type="hidden" name="utf8" value="✓" autocomplete="off" /><input type="hidden" name="authenticity_token" value="7FTZ6YoG6VUbtsBfUVZSW6nY8NtDM6LTHCRowpADau4EybYsHYgR4qYrNu3VXAjAt7RlVrlNtjBxglTXNDY1fA" autocomplete="off" /><input type="hidden" name="form_id" value="35715" autocomplete="off" /> 432<input type="hidden" name="page_id" value="84085" autocomplete="off" /> 433<input type="hidden" name="slug" value="contact" autocomplete="off" /> 434<input type="hidden" name="slug2" autocomplete="off" /> 435<input type="hidden" name="slug3" autocomplete="off" /> 436<input type="hidden" name="slugs" autocomplete="off" /> 437<input type="hidden" name="resource_id" value="new" autocomplete="off" /> 438<input type="hidden" name="parent_resource_id" value="form_1" autocomplete="off" /> 439<input type="hidden" name="parent_resource_class" value="CustomModelType" autocomplete="off" /> 440<input name="form[properties_attributes][user_id]" id="s_user_id" type="hidden" value="" /><div id="spinner-front"> 441 <i class="fad fa-spinner-third fa-7x fa-spin mx-auto"></i><br> 442 <h4 class="text-white mt-4 mb-0">Processing Form Submission...</h4> 443</div> 444<div id="spinner-back"></div><div class="row mb24"> 445 <div class="col-md-12"> 446 <select class="required mb0" style="width: 100%;" name="form[properties_attributes][form_field_1_4]" data-custom-msg="Please make a selection."> 447 <option value="">-- Please Select Who You Are --</option> 448 <option value="Family Member">Family Member</option> 449 <option value="School Representative">School Representative</option> 450 <option value="Healthcare Provider">Healthcare Provider</option> 451 <option value="Substance Treatment Provider">Substance Treatment Provider</option> 452 <option value="Medicaid Provider">Medicaid Provider</option> 453 <option value="Donor">Donor</option> 454 <option value="Other">Other</option> 455 </select> 456 </div> 457 </div> 458 459 <div class="row mb24"> 460 <div class="col-md-5"> 461 <input id="firstname" class="required" name="form[properties_attributes][form_field_1_1]" data-crm="user_field_1" type="text" onblur="capitalize(this); updateName();" data-custom-msg="Please enter your first name." placeholder="First Name"> 462 </div> 463 <div class="col-md-7"> 464 <input id="lastname" class="required" name="form[properties_attributes][form_field_1_2]" data-crm="user_field_2" type="text" onblur="capitalize(this); updateName();" data-custom-msg="Please enter your last name." placeholder="Last Name"> 465 </div> 466 <div class="col-md-12 hidden"> 467 <label for="s_name">Fullname</label><br> 468 <input type="text" id="s_name" class="required" name="form[properties_attributes][name]"> 469 </div> 470 </div> 471 472 <div class="row mb24"> 473 <div class="col-md-5"> 474 <input id="phone" class="phoneUS required" name="form[properties_attributes][form_field_1_3]" data-crm="user_field_3" type="text" data-custom-msg="Please enter a phone number." placeholder="Phone Number"> 475 </div> 476 <div class="col-md-7"> 477 <input id="s_email" type="email" class="required" name="form[properties_attributes][email]" onblur="this.value=this.value.toLowerCase();" data-custom-msg="Please enter a valid email address." placeholder="Email Address"> 478 </div> 479 </div> 480 481 <div class="row mb24"> 482 <div class="col-md-12"> 483 <textarea id="form_field_1_7" class="required" name="form[properties_attributes][form_field_1_5]" rows="10" cols="30" data-custom-msg="Please enter your message." placeholder="Message"></textarea> 484 </div> 485 </div> 486 487 <div class="row mt16 mb48"> 488 <div class="col-md-12"> 489 <div class='h-captcha' data-sitekey='ce2a4f04-a5cf-4da6-bd8a-da2e74c8913a' ></div>
490<script src='https://hcaptcha.com/1/api.js' async defer></script>
490 491 <button type="submit" class="btn btn-lg" onClick="s_form_submit_v2(this,'form_1',errors)">Send Message</button> 492 </div> 493 </div> 494 495 <input class="upload_dir" value="" type="hidden"> 496</form></div> 497 </div> 498 </div> 499</section> 500<section id="map" class="pt0 pb0"><iframe frameborder="0" src="https://snazzymaps.com/embed/73085" title="Map of the two Bergen's Promise offices" width="100%" height="480px" id="ifk39"></iframe></section> 501 </div><section id="footer" class="footer-2 bg-darkblue text-center-xs"> 502 <div class="container"> 503 <div class="row"> 504 <div class="col-sm-6"> 505 <a href="/" role="button" alt="Return to Homepage" title="Return to Homepage"> 506 <div class="vnu"> 507 <img class="icon fade-half" style="max-width:260px;" src="https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/images/logo-footer-2024.svg?updated=1786458871" /> 508 </div> 509 </a> 510 </div> 511 <div class="col-sm-6 text-center"> 512 <address class="notranslate"> 513 <div id="address-1" class="footer-address fade-half"> 514 3 University Plaza Drive, Suite 300, Hackensack, NJ 07601 515 </div> 516 <div id="footer-phone" class="fade-half"> 517 (201)Â 712-1170 | Fax: (201)Â 712-0391 518 </div> 519 </address> 520 <div id="footer-copyright" class="sub fade-half"> 521
521<script> 522 function setCopyright(){ 523 var startdate = parseInt(2018); 524 var year = new Date().getFullYear(); 525 if(year > startdate) copyrightDate = "Copyright © "+ startdate +"-"+ year; 526 else copyrightDate = "© "+ startdate; 527 document.write(copyrightDate) 528 } 529 setCopyright(); 530 </script>
530 <span class="notranslate">Bergen's Promise, Inc.</span>, All Rights Reserved. 531 </div> 532 <div class="social mt16"> 533 <a href="https://www.facebook.com/Bergen-Resourcenet-1491800140966030"><i class="fab fa-fw fa-lg fa-facebook-square fade-half" style="color: #ffffff;"></i></a> 534 <a href="https://www.instagram.com/bergenspromise/"><i class="fab fa-fw fa-lg fa-instagram-square fade-half" style="color: #ffffff;"></i></a> 535 <a href="https://www.linkedin.com/company/bergenspromise/"><i class="fab fa-fw fa-lg fa-linkedin fade-half" style="color: #ffffff;"></i></a> 536 </div> 537 </div> 538 </div> 539 </div> 540</section> 541<a href="#" role="button" class="back-to-top" alt="Back to Top" title="Back to Top"><em class="bp-chevron-up"></em></a> 542<!-- JS --> 543
543<script> 544 // JS Boilerplate 545 head.load([ 546 "//cdnjs.cloudflare.com/ajax/libs/twitter-bootstrap/3.3.7/css/bootstrap.min.css", 547 "//cdnjs.cloudflare.com/ajax/libs/flexslider/2.7.0/flexslider.min.css", 548 // Theme 549 "https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/css/theme.css?updated=1786458871", 550 ]); 551 head.load( 552 { respond: "//cdnjs.cloudflare.com/ajax/libs/respond.js/1.4.2/respond.min.js"}, 553 { jquery: "//code.jquery.com/jquery-1.12.4.min.js"}, 554 // JS Framework 555 { bootstrap: "//cdnjs.cloudflare.com/ajax/libs/twitter-bootstrap/3.3.7/js/bootstrap.min.js"}, 556 { flexslider: "//cdnjs.cloudflare.com/ajax/libs/flexslider/2.7.0/jquery.flexslider.min.js"}, 557 { masonry: "//cdnjs.cloudflare.com/ajax/libs/masonry/4.2.1/masonry.pkgd.min.js"}, 558 { easing: "//cdnjs.cloudflare.com/ajax/libs/jquery-easing/1.4.1/jquery.easing.min.js"}, 559 { masked: "//cdnjs.cloudflare.com/ajax/libs/jquery.maskedinput/1.4.1/jquery.maskedinput.min.js"}, 560 { smoothscroll: "//cdnjs.cloudflare.com/ajax/libs/jquery-smooth-scroll/2.2.0/jquery.smooth-scroll.min.js"}, 561 { matchHeights: "//cdnjs.cloudflare.com/ajax/libs/jquery.matchHeight/0.7.2/jquery.matchHeight-min.js"}, 562 { sweetalert: "//cdnjs.cloudflare.com/ajax/libs/sweetalert/2.1.0/sweetalert.min.js"}, 563 { donorbox: "//donorbox.org/install-popup-button.js"}, 564 // JS Non-CDN 565 { parallax: "https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/js/parallax.js?updated=1786458871"}, 566 { scripts: "https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/js/scripts.js?updated=1786458871"}, 567 { custom: "https://uploads.prod01.oregon.platform-os.com/instances/1604/assets/js/custom.js?updated=1786458871"} 568 ); 569 // JS Page 570 head.ready(function(){ 571 // Eliminate FOUC 572 $('.no-fouc').removeClass('no-fouc'); 573 }); 574 </script>
574 575
575<script> 576 (function (d) { 577 var s = d.createElement("script"); 578 s.setAttribute("data-account", "dK19eejXgn"); 579 s.setAttribute("src", "https://cdn.userway.org/widget.js"); 580 (d.body || d.head).appendChild(s); 581 })(document) 582 </script>
582 583 <noscript>Please ensure Javascript is enabled for purposes of <a href="https://userway.org">website accessibility</a></noscript>
583<script> head.ready(function() { $(".phoneUS").mask("(999) 999-9999"); });</script>
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584<script>function errors(error) {/* Format the error message */error = s_error_formatter(error);/* Select the key DOM elements */var standard_errors = document.querySelectorAll(".input-error:not([data-custom-msg])");var custom_errors = document.querySelectorAll(".input-error[data-custom-msg]");var old_errors = document.querySelectorAll(".my-input-error");var standard_error_message = "<div class=\"my-input-error\">This field is required.</div>";/* Delete old error messages */for (e = 0; e < old_errors.length; e++) {old_errors[e].parentNode.removeChild(old_errors[e]);}/* Add standard field validation messages */for (e = 0; e < standard_errors.length; e++) {var this_error = standard_errors[e];this_error.insertAdjacentHTML("afterend", standard_error_message);}/* Add custom field validation messages */for (e = 0; e < custom_errors.length; e++) {var this_error = custom_errors[e];var custom_message = "<div class=\"my-input-error\">" + this_error.getAttribute("data-custom-msg") + "</div>";this_error.insertAdjacentHTML("afterend", custom_message);}if (error) {var forms_submitting = document.querySelectorAll("form.form_submitting");for (i = 0; i < forms_submitting.length; i++) {forms_submitting[i].classList.remove("form_submitting");}}};</script>
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585<script type="text/javascript"> function googleTranslateElementInit() { new google.translate.TranslateElement({ pageLanguage: 'en',layout: google.translate.TranslateElement.InlineLayout.HORIZONTAL }, 'google_translate_element'); }</script>
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586<script type="text/javascript" src="//translate.google.com/translate_a/element.js?cb=googleTranslateElementInit"></script>
586 587</body> 588 589</html>
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