var captchaWidgetmpFrm087c7598a6434c4db338e9f53f676193; var mpCurrentScriptmpFrm087c7598a6434c4db338e9f53f676193Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm087c7598a6434c4db338e9f53f676193"; 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); mpFormmpFrm087c7598a6434c4db338e9f53f676193Find(); } })(); function mpFormmpFrm087c7598a6434c4db338e9f53f676193Find() { if(!mpCurrentScriptmpFrm087c7598a6434c4db338e9f53f676193Container) return; if (mpCurrentScriptmpFrm087c7598a6434c4db338e9f53f676193Container && mpCurrentScriptmpFrm087c7598a6434c4db338e9f53f676193Container.nodeName && mpCurrentScriptmpFrm087c7598a6434c4db338e9f53f676193Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm087c7598a6434c4db338e9f53f676193" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm087c7598a6434c4db338e9f53f676193Container.children).forEach(c => { if (c.id === "mpFrm087c7598a6434c4db338e9f53f676193") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptfae2413d1a9b4473af4e06d730e8bef5Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm087c7598a6434c4db338e9f53f676193"; } } } } function mpFormfae2413d1a9b4473af4e06d730e8bef5Check() { let checkBoxes = document.getElementById("mpform-fae2413d1a9b4473af4e06d730e8bef5").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 mpFormfae2413d1a9b4473af4e06d730e8bef5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-fae2413d1a9b4473af4e06d730e8bef5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-fae2413d1a9b4473af4e06d730e8bef5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-fae2413d1a9b4473af4e06d730e8bef5").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-fae2413d1a9b4473af4e06d730e8bef5')), 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: getTrackingIdfae2413d1a9b4473af4e06d730e8bef5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-fae2413d1a9b4473af4e06d730e8bef5").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-fae2413d1a9b4473af4e06d730e8bef5").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) { mpFormfae2413d1a9b4473af4e06d730e8bef5Check(); 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-fae2413d1a9b4473af4e06d730e8bef5').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-fae2413d1a9b4473af4e06d730e8bef5").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-fae2413d1a9b4473af4e06d730e8bef5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm087c7598a6434c4db338e9f53f676193); } else { mpFormfae2413d1a9b4473af4e06d730e8bef5Check(); 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 mpmRecaptchaLoadedfae2413d1a9b4473af4e06d730e8bef5() { captchaWidgetmpFrm087c7598a6434c4db338e9f53f676193 = grecaptcha.render('mpmRecaptchampFrm087c7598a6434c4db338e9f53f676193', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdfae2413d1a9b4473af4e06d730e8bef5() { 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 mpmFormInitfae2413d1a9b4473af4e06d730e8bef5 () { 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 finishedLoadingfae2413d1a9b4473af4e06d730e8bef5() { window.mpFormLoading = false; let container = document.getElementById('mpFrm087c7598a6434c4db338e9f53f676193'); if (!container) { mpFormmpFrm087c7598a6434c4db338e9f53f676193Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm087c7598a6434c4db338e9f53f676193'); return setTimeout(finishedLoadingfae2413d1a9b4473af4e06d730e8bef5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-fae2413d1a9b4473af4e06d730e8bef5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-fae2413d1a9b4473af4e06d730e8bef5").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-fae2413d1a9b4473af4e06d730e8bef5").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-fae2413d1a9b4473af4e06d730e8bef5").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-fae2413d1a9b4473af4e06d730e8bef5").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=mpmRecaptchaLoadedfae2413d1a9b4473af4e06d730e8bef5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupfae2413d1a9b4473af4e06d730e8bef5() { let popups = document.getElementById("mpform-fae2413d1a9b4473af4e06d730e8bef5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputfae2413d1a9b4473af4e06d730e8bef5() { 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 () { finishedLoadingfae2413d1a9b4473af4e06d730e8bef5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingfae2413d1a9b4473af4e06d730e8bef5(); } } 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); mploadTelInputfae2413d1a9b4473af4e06d730e8bef5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitfae2413d1a9b4473af4e06d730e8bef5(); } else { function waitForOtherFormsmpFrm087c7598a6434c4db338e9f53f676193() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitfae2413d1a9b4473af4e06d730e8bef5(); } else { setTimeout(waitForOtherFormsmpFrm087c7598a6434c4db338e9f53f676193,300); } } waitForOtherFormsmpFrm087c7598a6434c4db338e9f53f676193(); }