var captchaWidgetmpFrmf473a1178ccb4205a55c157d7f0213ba; var mpCurrentScriptmpFrmf473a1178ccb4205a55c157d7f0213baContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf473a1178ccb4205a55c157d7f0213ba"; 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); mpFormmpFrmf473a1178ccb4205a55c157d7f0213baFind(); } })(); function mpFormmpFrmf473a1178ccb4205a55c157d7f0213baFind() { if(!mpCurrentScriptmpFrmf473a1178ccb4205a55c157d7f0213baContainer) return; if (mpCurrentScriptmpFrmf473a1178ccb4205a55c157d7f0213baContainer && mpCurrentScriptmpFrmf473a1178ccb4205a55c157d7f0213baContainer.nodeName && mpCurrentScriptmpFrmf473a1178ccb4205a55c157d7f0213baContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf473a1178ccb4205a55c157d7f0213ba" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf473a1178ccb4205a55c157d7f0213baContainer.children).forEach(c => { if (c.id === "mpFrmf473a1178ccb4205a55c157d7f0213ba") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript432d4726a8b94c1d86254942b9fa0a62Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf473a1178ccb4205a55c157d7f0213ba"; } } } } function mpForm432d4726a8b94c1d86254942b9fa0a62Check() { let checkBoxes = document.getElementById("mpform-432d4726a8b94c1d86254942b9fa0a62").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 mpForm432d4726a8b94c1d86254942b9fa0a62Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-432d4726a8b94c1d86254942b9fa0a62").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-432d4726a8b94c1d86254942b9fa0a62").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-432d4726a8b94c1d86254942b9fa0a62").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-432d4726a8b94c1d86254942b9fa0a62')), 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: getTrackingId432d4726a8b94c1d86254942b9fa0a62() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-432d4726a8b94c1d86254942b9fa0a62").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-432d4726a8b94c1d86254942b9fa0a62").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) { mpForm432d4726a8b94c1d86254942b9fa0a62Check(); 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-432d4726a8b94c1d86254942b9fa0a62').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-432d4726a8b94c1d86254942b9fa0a62").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-432d4726a8b94c1d86254942b9fa0a62').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf473a1178ccb4205a55c157d7f0213ba); } else { mpForm432d4726a8b94c1d86254942b9fa0a62Check(); 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 mpmRecaptchaLoaded432d4726a8b94c1d86254942b9fa0a62() { captchaWidgetmpFrmf473a1178ccb4205a55c157d7f0213ba = grecaptcha.render('mpmRecaptchampFrmf473a1178ccb4205a55c157d7f0213ba', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId432d4726a8b94c1d86254942b9fa0a62() { 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 mpmFormInit432d4726a8b94c1d86254942b9fa0a62 () { 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 finishedLoading432d4726a8b94c1d86254942b9fa0a62() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf473a1178ccb4205a55c157d7f0213ba'); if (!container) { mpFormmpFrmf473a1178ccb4205a55c157d7f0213baFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf473a1178ccb4205a55c157d7f0213ba'); return setTimeout(finishedLoading432d4726a8b94c1d86254942b9fa0a62, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-432d4726a8b94c1d86254942b9fa0a62").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-432d4726a8b94c1d86254942b9fa0a62").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-432d4726a8b94c1d86254942b9fa0a62").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-432d4726a8b94c1d86254942b9fa0a62").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-432d4726a8b94c1d86254942b9fa0a62").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=mpmRecaptchaLoaded432d4726a8b94c1d86254942b9fa0a62&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup432d4726a8b94c1d86254942b9fa0a62() { let popups = document.getElementById("mpform-432d4726a8b94c1d86254942b9fa0a62").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput432d4726a8b94c1d86254942b9fa0a62() { 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 () { finishedLoading432d4726a8b94c1d86254942b9fa0a62(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading432d4726a8b94c1d86254942b9fa0a62(); } } 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); mploadTelInput432d4726a8b94c1d86254942b9fa0a62(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit432d4726a8b94c1d86254942b9fa0a62(); } else { function waitForOtherFormsmpFrmf473a1178ccb4205a55c157d7f0213ba() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit432d4726a8b94c1d86254942b9fa0a62(); } else { setTimeout(waitForOtherFormsmpFrmf473a1178ccb4205a55c157d7f0213ba,300); } } waitForOtherFormsmpFrmf473a1178ccb4205a55c157d7f0213ba(); }