var captchaWidgetmpFrm7a3b7f786bf0442baf043b1206fe459c; var mpCurrentScriptmpFrm7a3b7f786bf0442baf043b1206fe459cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7a3b7f786bf0442baf043b1206fe459c"; 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); }); } mpFormmpFrm7a3b7f786bf0442baf043b1206fe459cFind(); } 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); mpFormmpFrm7a3b7f786bf0442baf043b1206fe459cFind(); } })(); function mpFormmpFrm7a3b7f786bf0442baf043b1206fe459cFind() { if(!mpCurrentScriptmpFrm7a3b7f786bf0442baf043b1206fe459cContainer) return; if (mpCurrentScriptmpFrm7a3b7f786bf0442baf043b1206fe459cContainer && mpCurrentScriptmpFrm7a3b7f786bf0442baf043b1206fe459cContainer.nodeName && mpCurrentScriptmpFrm7a3b7f786bf0442baf043b1206fe459cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7a3b7f786bf0442baf043b1206fe459c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7a3b7f786bf0442baf043b1206fe459cContainer.children).forEach(c => { if (c.id === "mpFrm7a3b7f786bf0442baf043b1206fe459c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript210de3f44c21471b85750bb633ca4d9eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7a3b7f786bf0442baf043b1206fe459c"; } } } } function mpForm210de3f44c21471b85750bb633ca4d9eCheck() { let checkBoxes = document.getElementById("mpform-210de3f44c21471b85750bb633ca4d9e").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 mpForm210de3f44c21471b85750bb633ca4d9eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-210de3f44c21471b85750bb633ca4d9e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-210de3f44c21471b85750bb633ca4d9e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-210de3f44c21471b85750bb633ca4d9e").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-210de3f44c21471b85750bb633ca4d9e')), 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: getTrackingId210de3f44c21471b85750bb633ca4d9e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-210de3f44c21471b85750bb633ca4d9e").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-210de3f44c21471b85750bb633ca4d9e").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) { mpForm210de3f44c21471b85750bb633ca4d9eCheck(); 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-210de3f44c21471b85750bb633ca4d9e').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-210de3f44c21471b85750bb633ca4d9e").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-210de3f44c21471b85750bb633ca4d9e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7a3b7f786bf0442baf043b1206fe459c); } else { mpForm210de3f44c21471b85750bb633ca4d9eCheck(); 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 mpmRecaptchaLoaded210de3f44c21471b85750bb633ca4d9e() { captchaWidgetmpFrm7a3b7f786bf0442baf043b1206fe459c = grecaptcha.render('mpmRecaptchampFrm7a3b7f786bf0442baf043b1206fe459c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId210de3f44c21471b85750bb633ca4d9e() { 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 mpmFormInit210de3f44c21471b85750bb633ca4d9e () { 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 finishedLoading210de3f44c21471b85750bb633ca4d9e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7a3b7f786bf0442baf043b1206fe459c'); if (!container) { mpFormmpFrm7a3b7f786bf0442baf043b1206fe459cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7a3b7f786bf0442baf043b1206fe459c'); return setTimeout(finishedLoading210de3f44c21471b85750bb633ca4d9e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-210de3f44c21471b85750bb633ca4d9e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-210de3f44c21471b85750bb633ca4d9e").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-210de3f44c21471b85750bb633ca4d9e-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-210de3f44c21471b85750bb633ca4d9e-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-210de3f44c21471b85750bb633ca4d9e").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-210de3f44c21471b85750bb633ca4d9e").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-210de3f44c21471b85750bb633ca4d9e").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=mpmRecaptchaLoaded210de3f44c21471b85750bb633ca4d9e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup210de3f44c21471b85750bb633ca4d9e() { let popups = document.getElementById("mpform-210de3f44c21471b85750bb633ca4d9e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput210de3f44c21471b85750bb633ca4d9e() { 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 () { finishedLoading210de3f44c21471b85750bb633ca4d9e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading210de3f44c21471b85750bb633ca4d9e(); } } 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); mploadTelInput210de3f44c21471b85750bb633ca4d9e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit210de3f44c21471b85750bb633ca4d9e(); } else { function waitForOtherFormsmpFrm7a3b7f786bf0442baf043b1206fe459c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit210de3f44c21471b85750bb633ca4d9e(); } else { setTimeout(waitForOtherFormsmpFrm7a3b7f786bf0442baf043b1206fe459c,300); } } waitForOtherFormsmpFrm7a3b7f786bf0442baf043b1206fe459c(); }