var captchaWidgetmpFrm2e257bbcd2d0408787aa7796d22b69c3; var mpCurrentScriptmpFrm2e257bbcd2d0408787aa7796d22b69c3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2e257bbcd2d0408787aa7796d22b69c3"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); if(document.currentScript && document.currentScript.parentNode && document.currentScript.parentNode.nodeName && document.currentScript.parentNode.nodeName.toLowerCase() === "head") { document.addEventListener("DOMContentLoaded", (event) => { var bodyHolder = document.getElementsByTagName("body"); if (bodyHolder && bodyHolder[0]) { bodyHolder[0].appendChild(containerDiv); } }) } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); mpFormmpFrm2e257bbcd2d0408787aa7796d22b69c3Find(); } })(); function mpFormmpFrm2e257bbcd2d0408787aa7796d22b69c3Find() { if(!mpCurrentScriptmpFrm2e257bbcd2d0408787aa7796d22b69c3Container) return; if (mpCurrentScriptmpFrm2e257bbcd2d0408787aa7796d22b69c3Container && mpCurrentScriptmpFrm2e257bbcd2d0408787aa7796d22b69c3Container.nodeName && mpCurrentScriptmpFrm2e257bbcd2d0408787aa7796d22b69c3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2e257bbcd2d0408787aa7796d22b69c3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2e257bbcd2d0408787aa7796d22b69c3Container.children).forEach(c => { if (c.id === "mpFrm2e257bbcd2d0408787aa7796d22b69c3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7140ca265e214b03abd0f5ab2cbcd435Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2e257bbcd2d0408787aa7796d22b69c3"; } } } } function mpForm7140ca265e214b03abd0f5ab2cbcd435Check() { let checkBoxes = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; var attr = checkBox.getAttribute('data-prevval'); if (typeof attr !== typeof undefined && attr !== false) { checkBox.value = checkBox.getAttribute("data-prevval"); checkBox.removeAttribute("data-prevval"); checkBox.removeAttribute("checked"); } } } } function mpForm7140ca265e214b03abd0f5ab2cbcd435Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; if( checkBox.checked == true ) { if(checkBox.getAttribute('data-prevval')) { checkBox.value = checkBox.getAttribute('data-prevval'); } else { checkBox.value = 1; } } else { checkBox.setAttribute('data-prevval',checkBox.value); checkBox.value = 0; } } } let form_data = Array.from( new FormData(document.getElementById('mpform-7140ca265e214b03abd0f5ab2cbcd435')), function(e) { return { name: e[0], value: e[1] } } ) try { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; let found = form_data.find(f=>f.name == checkBox.name) if(!found) { form_data.push({name: checkBox.name, value: checkBox.checked ? checkBox.value : "0"}) } } } catch(err){} try { form_data.push({ name: "mpTrkH", value: document.location.host }) form_data.push({ name: "mpTrkO", value: document.location.origin }) form_data.push({ name: "mpTrkP", value: document.location.pathname }) form_data.push({ name: "mpTrkQ", value: document.location.search }) form_data.push({ name: "mpTrkUUID", value: getTrackingId7140ca265e214b03abd0f5ab2cbcd435() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInput = telInputs[i]; var iti = window.intlTelInputGlobals.getInstance(telInput); telInput.classList.remove("mpm-field-error"); if(iti.isValidNumber() == false && telInput.value && telInput.value.length) { telInput.classList.add("mpm-field-error"); failed = "Please enter a valid telephone number"; } else { let found = form_data.find(f=> f.name == telInput.name); if (found) { found.value = iti.getNumber(); // intenationally formatted version of the number } } } } if(failed != "") { mpMsg.innerHTML = failed; msgHlder.style.display = "block"; return; } let button = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelector('button'); if(button) { button.disabled = true; button.opacity = "0.5"; } mpMsg.innerHTML = 'Sending your details...'; var xhr = new XMLHttpRequest(); xhr.open("POST", "https://api.transpond.io/form?am=40129&fid=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm7140ca265e214b03abd0f5ab2cbcd435Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); if (!response || (!response.download && !response.downloads)) { try { document.getElementById('mpform-7140ca265e214b03abd0f5ab2cbcd435').reset(); } catch(e) {} } if(response) { if (response.redirect) { window.location.href = response.redirect; } else if (response.message) { if (response.download) window.open(response.download, '_blank'); if (response.downloads && response.downloads.length) { const parent = button.parentElement; response.downloads.forEach(link => { const hiddenButton = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'block'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-7140ca265e214b03abd0f5ab2cbcd435').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2e257bbcd2d0408787aa7796d22b69c3); } else { mpForm7140ca265e214b03abd0f5ab2cbcd435Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; var error = "Error submitting form"; if (xhr.responseText) { const errorJson = JSON.parse(xhr.responseText); if(errorJson.error && typeof errorJson.error === 'string') { error = errorJson.error; } } mpMsg.innerHTML = error; grecaptcha.reset(); } }; let urlEncodedDataPairs = []; form_data.forEach((m, i) => { let name = m.name; if (name === 'capsule_note') { name += '_' + i; } urlEncodedDataPairs.push(encodeURIComponent(name)+ "=" + encodeURIComponent(m.value)); }); const urlEncodedData = urlEncodedDataPairs.join('&').replace(/%20/g, '+'); xhr.setRequestHeader('Content-type', 'application/x-www-form-urlencoded'); xhr.send(urlEncodedData); return; } function mpmRecaptchaLoaded7140ca265e214b03abd0f5ab2cbcd435() { captchaWidgetmpFrm2e257bbcd2d0408787aa7796d22b69c3 = grecaptcha.render('mpmRecaptchampFrm2e257bbcd2d0408787aa7796d22b69c3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7140ca265e214b03abd0f5ab2cbcd435() { try { let uuid = document.cookie.match('(^|;)\s*mpz\s*=\s*([^;]+)')?.pop() || ''; if(!uuid) { let found = document.cookie.split(';').find(c => c.indexOf('mpz=') > -1); if (found) uuid = found.split('=')[1]; } return uuid; } catch(e) { } }; function mpmFormInit7140ca265e214b03abd0f5ab2cbcd435 () { var subscriberData = undefined; var form = '
First Name
Last Name
Email
Job Title
Company Name
Type of Provider
Number of Learners
If you don\'t want Cognassist to let you know when we publish new events and neuro-inclusion content, check this box
'; let failedCount = 0 function finishedLoading7140ca265e214b03abd0f5ab2cbcd435() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2e257bbcd2d0408787aa7796d22b69c3'); if (!container) { mpFormmpFrm2e257bbcd2d0408787aa7796d22b69c3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2e257bbcd2d0408787aa7796d22b69c3'); return setTimeout(finishedLoading7140ca265e214b03abd0f5ab2cbcd435, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInp = telInputs[i]; telInp.style.width = "100%"; telInp.style.paddingLeft = "50px"; window.intlTelInput(telInp, { initialCountry: "us", utilsScript: "https://cdn1.ourmailsender.com/scripts/telinput/utils.js" } ); } } if(subscriberData) { let customFields = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelectorAll('input[name*="customField-"]') if(customFields) { for(var i = 0; i < customFields.length; i++) { let customField = customFields[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue } } } let customFieldsTextArea = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelectorAll('textarea[name*="customField-"]') if(customFieldsTextArea) { for(var i = 0; i < customFieldsTextArea.length; i++) { let customField = customFieldsTextArea[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue; } } } let emailAddressFields = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } var mpmRecaptchaScript = document.createElement("SCRIPT"); mpmRecaptchaScript.src = 'https://www.google.com/recaptcha/api.js?onload=mpmRecaptchaLoaded7140ca265e214b03abd0f5ab2cbcd435&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7140ca265e214b03abd0f5ab2cbcd435() { let popups = document.getElementById("mpform-7140ca265e214b03abd0f5ab2cbcd435").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7140ca265e214b03abd0f5ab2cbcd435() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading7140ca265e214b03abd0f5ab2cbcd435(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7140ca265e214b03abd0f5ab2cbcd435(); } } var link = document.createElement("link"); link.href = "https://api.transpond.io/public/css/form.css"; link.type = "text/css"; link.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(link); var mTelI = document.createElement("link"); mTelI.href = "https://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.css"; mTelI.type = "text/css"; mTelI.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(mTelI); mploadTelInput7140ca265e214b03abd0f5ab2cbcd435(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7140ca265e214b03abd0f5ab2cbcd435(); } else { function waitForOtherFormsmpFrm2e257bbcd2d0408787aa7796d22b69c3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7140ca265e214b03abd0f5ab2cbcd435(); } else { setTimeout(waitForOtherFormsmpFrm2e257bbcd2d0408787aa7796d22b69c3,300); } } waitForOtherFormsmpFrm2e257bbcd2d0408787aa7796d22b69c3(); }