<!DOCTYPE html>
<html>
<head>
<title></title>
</head>
<body>
<div class="cognito">
<script src="https://www.cognitoforms.com/s/osMhxmcf0E2QmSzDlyjBiQ"></script>
<script>Cognito.load("forms", { id: "18" });</script>
</div>
</body>
</html>