<div class="cognito">
<script src="https://services.cognitoforms.com/s/WVc7CcRQ9kquKmiZ_6dfew"></script>
<script>Cognito.load("forms", { id: "59" });
Cognito.resources["payment"] = "Monthly Cost"; Cognito.resources["payment-subtotal"] = "Monthly Cost";Cognito.resources["payment"] = "Monthly Cost"; Cognito.resources["payment-amount-due"] = "Initial Payment";</script>
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