var captchaWidgetmpFrm0468241d2b7e4d168369e14c6fa5635d; var mpCurrentScriptmpFrm0468241d2b7e4d168369e14c6fa5635dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0468241d2b7e4d168369e14c6fa5635d"; 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); mpFormmpFrm0468241d2b7e4d168369e14c6fa5635dFind(); } })(); function mpFormmpFrm0468241d2b7e4d168369e14c6fa5635dFind() { if(!mpCurrentScriptmpFrm0468241d2b7e4d168369e14c6fa5635dContainer) return; if (mpCurrentScriptmpFrm0468241d2b7e4d168369e14c6fa5635dContainer && mpCurrentScriptmpFrm0468241d2b7e4d168369e14c6fa5635dContainer.nodeName && mpCurrentScriptmpFrm0468241d2b7e4d168369e14c6fa5635dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0468241d2b7e4d168369e14c6fa5635d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0468241d2b7e4d168369e14c6fa5635dContainer.children).forEach(c => { if (c.id === "mpFrm0468241d2b7e4d168369e14c6fa5635d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9a2b0ac317704667b72dfb971a03ee6eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0468241d2b7e4d168369e14c6fa5635d"; } } } } function mpForm9a2b0ac317704667b72dfb971a03ee6eCheck() { let checkBoxes = document.getElementById("mpform-9a2b0ac317704667b72dfb971a03ee6e").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 mpForm9a2b0ac317704667b72dfb971a03ee6eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9a2b0ac317704667b72dfb971a03ee6e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9a2b0ac317704667b72dfb971a03ee6e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9a2b0ac317704667b72dfb971a03ee6e").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-9a2b0ac317704667b72dfb971a03ee6e')), 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: getTrackingId9a2b0ac317704667b72dfb971a03ee6e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9a2b0ac317704667b72dfb971a03ee6e").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-9a2b0ac317704667b72dfb971a03ee6e").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) { mpForm9a2b0ac317704667b72dfb971a03ee6eCheck(); 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-9a2b0ac317704667b72dfb971a03ee6e').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-9a2b0ac317704667b72dfb971a03ee6e").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-9a2b0ac317704667b72dfb971a03ee6e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0468241d2b7e4d168369e14c6fa5635d); } else { mpForm9a2b0ac317704667b72dfb971a03ee6eCheck(); 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 mpmRecaptchaLoaded9a2b0ac317704667b72dfb971a03ee6e() { captchaWidgetmpFrm0468241d2b7e4d168369e14c6fa5635d = grecaptcha.render('mpmRecaptchampFrm0468241d2b7e4d168369e14c6fa5635d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9a2b0ac317704667b72dfb971a03ee6e() { 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 mpmFormInit9a2b0ac317704667b72dfb971a03ee6e () { 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 finishedLoading9a2b0ac317704667b72dfb971a03ee6e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0468241d2b7e4d168369e14c6fa5635d'); if (!container) { mpFormmpFrm0468241d2b7e4d168369e14c6fa5635dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0468241d2b7e4d168369e14c6fa5635d'); return setTimeout(finishedLoading9a2b0ac317704667b72dfb971a03ee6e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9a2b0ac317704667b72dfb971a03ee6e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9a2b0ac317704667b72dfb971a03ee6e").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-9a2b0ac317704667b72dfb971a03ee6e").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-9a2b0ac317704667b72dfb971a03ee6e").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-9a2b0ac317704667b72dfb971a03ee6e").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=mpmRecaptchaLoaded9a2b0ac317704667b72dfb971a03ee6e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9a2b0ac317704667b72dfb971a03ee6e() { let popups = document.getElementById("mpform-9a2b0ac317704667b72dfb971a03ee6e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9a2b0ac317704667b72dfb971a03ee6e() { 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 () { finishedLoading9a2b0ac317704667b72dfb971a03ee6e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9a2b0ac317704667b72dfb971a03ee6e(); } } 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); mploadTelInput9a2b0ac317704667b72dfb971a03ee6e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9a2b0ac317704667b72dfb971a03ee6e(); } else { function waitForOtherFormsmpFrm0468241d2b7e4d168369e14c6fa5635d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9a2b0ac317704667b72dfb971a03ee6e(); } else { setTimeout(waitForOtherFormsmpFrm0468241d2b7e4d168369e14c6fa5635d,300); } } waitForOtherFormsmpFrm0468241d2b7e4d168369e14c6fa5635d(); }