var captchaWidgetmpFrmce7b2f463b8146f89d3d52e5978e74dc; var mpCurrentScriptmpFrmce7b2f463b8146f89d3d52e5978e74dcContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmce7b2f463b8146f89d3d52e5978e74dc"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmce7b2f463b8146f89d3d52e5978e74dcFind(); } else 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); mpFormmpFrmce7b2f463b8146f89d3d52e5978e74dcFind(); } })(); function mpFormmpFrmce7b2f463b8146f89d3d52e5978e74dcFind() { if(!mpCurrentScriptmpFrmce7b2f463b8146f89d3d52e5978e74dcContainer) return; if (mpCurrentScriptmpFrmce7b2f463b8146f89d3d52e5978e74dcContainer && mpCurrentScriptmpFrmce7b2f463b8146f89d3d52e5978e74dcContainer.nodeName && mpCurrentScriptmpFrmce7b2f463b8146f89d3d52e5978e74dcContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmce7b2f463b8146f89d3d52e5978e74dc" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmce7b2f463b8146f89d3d52e5978e74dcContainer.children).forEach(c => { if (c.id === "mpFrmce7b2f463b8146f89d3d52e5978e74dc") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript24005ab0de05485d856270f35994bfd4Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmce7b2f463b8146f89d3d52e5978e74dc"; } } } } function mpForm24005ab0de05485d856270f35994bfd4Check() { let checkBoxes = document.getElementById("mpform-24005ab0de05485d856270f35994bfd4").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 mpForm24005ab0de05485d856270f35994bfd4Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-24005ab0de05485d856270f35994bfd4").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-24005ab0de05485d856270f35994bfd4").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-24005ab0de05485d856270f35994bfd4").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-24005ab0de05485d856270f35994bfd4')), 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: getTrackingId24005ab0de05485d856270f35994bfd4() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-24005ab0de05485d856270f35994bfd4").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-24005ab0de05485d856270f35994bfd4").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) { mpForm24005ab0de05485d856270f35994bfd4Check(); 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-24005ab0de05485d856270f35994bfd4').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-24005ab0de05485d856270f35994bfd4").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-24005ab0de05485d856270f35994bfd4').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmce7b2f463b8146f89d3d52e5978e74dc); } else { mpForm24005ab0de05485d856270f35994bfd4Check(); 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 mpmRecaptchaLoaded24005ab0de05485d856270f35994bfd4() { captchaWidgetmpFrmce7b2f463b8146f89d3d52e5978e74dc = grecaptcha.render('mpmRecaptchampFrmce7b2f463b8146f89d3d52e5978e74dc', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId24005ab0de05485d856270f35994bfd4() { 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 mpmFormInit24005ab0de05485d856270f35994bfd4 () { 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 finishedLoading24005ab0de05485d856270f35994bfd4() { window.mpFormLoading = false; let container = document.getElementById('mpFrmce7b2f463b8146f89d3d52e5978e74dc'); if (!container) { mpFormmpFrmce7b2f463b8146f89d3d52e5978e74dcFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmce7b2f463b8146f89d3d52e5978e74dc'); return setTimeout(finishedLoading24005ab0de05485d856270f35994bfd4, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-24005ab0de05485d856270f35994bfd4").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-24005ab0de05485d856270f35994bfd4").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-24005ab0de05485d856270f35994bfd4").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-24005ab0de05485d856270f35994bfd4").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-24005ab0de05485d856270f35994bfd4").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=mpmRecaptchaLoaded24005ab0de05485d856270f35994bfd4&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup24005ab0de05485d856270f35994bfd4() { let popups = document.getElementById("mpform-24005ab0de05485d856270f35994bfd4").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput24005ab0de05485d856270f35994bfd4() { 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 () { finishedLoading24005ab0de05485d856270f35994bfd4(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading24005ab0de05485d856270f35994bfd4(); } } 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); mploadTelInput24005ab0de05485d856270f35994bfd4(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit24005ab0de05485d856270f35994bfd4(); } else { function waitForOtherFormsmpFrmce7b2f463b8146f89d3d52e5978e74dc() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit24005ab0de05485d856270f35994bfd4(); } else { setTimeout(waitForOtherFormsmpFrmce7b2f463b8146f89d3d52e5978e74dc,300); } } waitForOtherFormsmpFrmce7b2f463b8146f89d3d52e5978e74dc(); }