var captchaWidgetmpFrm085e1eb7e4ed456086dd3cd45bbbafa2; var mpCurrentScriptmpFrm085e1eb7e4ed456086dd3cd45bbbafa2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm085e1eb7e4ed456086dd3cd45bbbafa2"; 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); mpFormmpFrm085e1eb7e4ed456086dd3cd45bbbafa2Find(); } })(); function mpFormmpFrm085e1eb7e4ed456086dd3cd45bbbafa2Find() { if(!mpCurrentScriptmpFrm085e1eb7e4ed456086dd3cd45bbbafa2Container) return; if (mpCurrentScriptmpFrm085e1eb7e4ed456086dd3cd45bbbafa2Container && mpCurrentScriptmpFrm085e1eb7e4ed456086dd3cd45bbbafa2Container.nodeName && mpCurrentScriptmpFrm085e1eb7e4ed456086dd3cd45bbbafa2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm085e1eb7e4ed456086dd3cd45bbbafa2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm085e1eb7e4ed456086dd3cd45bbbafa2Container.children).forEach(c => { if (c.id === "mpFrm085e1eb7e4ed456086dd3cd45bbbafa2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptdf6fb4b08cce48448b19515af6fdb2b5Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm085e1eb7e4ed456086dd3cd45bbbafa2"; } } } } function mpFormdf6fb4b08cce48448b19515af6fdb2b5Check() { let checkBoxes = document.getElementById("mpform-df6fb4b08cce48448b19515af6fdb2b5").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 mpFormdf6fb4b08cce48448b19515af6fdb2b5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-df6fb4b08cce48448b19515af6fdb2b5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-df6fb4b08cce48448b19515af6fdb2b5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-df6fb4b08cce48448b19515af6fdb2b5").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-df6fb4b08cce48448b19515af6fdb2b5')), 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: getTrackingIddf6fb4b08cce48448b19515af6fdb2b5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-df6fb4b08cce48448b19515af6fdb2b5").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-df6fb4b08cce48448b19515af6fdb2b5").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) { mpFormdf6fb4b08cce48448b19515af6fdb2b5Check(); 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-df6fb4b08cce48448b19515af6fdb2b5').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-df6fb4b08cce48448b19515af6fdb2b5").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-df6fb4b08cce48448b19515af6fdb2b5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm085e1eb7e4ed456086dd3cd45bbbafa2); } else { mpFormdf6fb4b08cce48448b19515af6fdb2b5Check(); 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 mpmRecaptchaLoadeddf6fb4b08cce48448b19515af6fdb2b5() { captchaWidgetmpFrm085e1eb7e4ed456086dd3cd45bbbafa2 = grecaptcha.render('mpmRecaptchampFrm085e1eb7e4ed456086dd3cd45bbbafa2', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIddf6fb4b08cce48448b19515af6fdb2b5() { 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 mpmFormInitdf6fb4b08cce48448b19515af6fdb2b5 () { 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 finishedLoadingdf6fb4b08cce48448b19515af6fdb2b5() { window.mpFormLoading = false; let container = document.getElementById('mpFrm085e1eb7e4ed456086dd3cd45bbbafa2'); if (!container) { mpFormmpFrm085e1eb7e4ed456086dd3cd45bbbafa2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm085e1eb7e4ed456086dd3cd45bbbafa2'); return setTimeout(finishedLoadingdf6fb4b08cce48448b19515af6fdb2b5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-df6fb4b08cce48448b19515af6fdb2b5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-df6fb4b08cce48448b19515af6fdb2b5").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-df6fb4b08cce48448b19515af6fdb2b5").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-df6fb4b08cce48448b19515af6fdb2b5").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-df6fb4b08cce48448b19515af6fdb2b5").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=mpmRecaptchaLoadeddf6fb4b08cce48448b19515af6fdb2b5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupdf6fb4b08cce48448b19515af6fdb2b5() { let popups = document.getElementById("mpform-df6fb4b08cce48448b19515af6fdb2b5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputdf6fb4b08cce48448b19515af6fdb2b5() { 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 () { finishedLoadingdf6fb4b08cce48448b19515af6fdb2b5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingdf6fb4b08cce48448b19515af6fdb2b5(); } } 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); mploadTelInputdf6fb4b08cce48448b19515af6fdb2b5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitdf6fb4b08cce48448b19515af6fdb2b5(); } else { function waitForOtherFormsmpFrm085e1eb7e4ed456086dd3cd45bbbafa2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitdf6fb4b08cce48448b19515af6fdb2b5(); } else { setTimeout(waitForOtherFormsmpFrm085e1eb7e4ed456086dd3cd45bbbafa2,300); } } waitForOtherFormsmpFrm085e1eb7e4ed456086dd3cd45bbbafa2(); }