var captchaWidgetmpFrmf99a37c146c649e0a0c8ce56c7f13d92; var mpCurrentScriptmpFrmf99a37c146c649e0a0c8ce56c7f13d92Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf99a37c146c649e0a0c8ce56c7f13d92"; 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); }); } mpFormmpFrmf99a37c146c649e0a0c8ce56c7f13d92Find(); } 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); mpFormmpFrmf99a37c146c649e0a0c8ce56c7f13d92Find(); } })(); function mpFormmpFrmf99a37c146c649e0a0c8ce56c7f13d92Find() { if(!mpCurrentScriptmpFrmf99a37c146c649e0a0c8ce56c7f13d92Container) return; if (mpCurrentScriptmpFrmf99a37c146c649e0a0c8ce56c7f13d92Container && mpCurrentScriptmpFrmf99a37c146c649e0a0c8ce56c7f13d92Container.nodeName && mpCurrentScriptmpFrmf99a37c146c649e0a0c8ce56c7f13d92Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf99a37c146c649e0a0c8ce56c7f13d92" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf99a37c146c649e0a0c8ce56c7f13d92Container.children).forEach(c => { if (c.id === "mpFrmf99a37c146c649e0a0c8ce56c7f13d92") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2d3e504aeb5a410195b566521aa77859Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf99a37c146c649e0a0c8ce56c7f13d92"; } } } } function mpForm2d3e504aeb5a410195b566521aa77859Check() { let checkBoxes = document.getElementById("mpform-2d3e504aeb5a410195b566521aa77859").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 mpForm2d3e504aeb5a410195b566521aa77859Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2d3e504aeb5a410195b566521aa77859").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2d3e504aeb5a410195b566521aa77859").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2d3e504aeb5a410195b566521aa77859").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-2d3e504aeb5a410195b566521aa77859')), 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: getTrackingId2d3e504aeb5a410195b566521aa77859() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2d3e504aeb5a410195b566521aa77859").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-2d3e504aeb5a410195b566521aa77859").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) { mpForm2d3e504aeb5a410195b566521aa77859Check(); 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-2d3e504aeb5a410195b566521aa77859').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-2d3e504aeb5a410195b566521aa77859").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-2d3e504aeb5a410195b566521aa77859').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf99a37c146c649e0a0c8ce56c7f13d92); } else { mpForm2d3e504aeb5a410195b566521aa77859Check(); 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 mpmRecaptchaLoaded2d3e504aeb5a410195b566521aa77859() { captchaWidgetmpFrmf99a37c146c649e0a0c8ce56c7f13d92 = grecaptcha.render('mpmRecaptchampFrmf99a37c146c649e0a0c8ce56c7f13d92', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2d3e504aeb5a410195b566521aa77859() { 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 mpmFormInit2d3e504aeb5a410195b566521aa77859 () { 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 finishedLoading2d3e504aeb5a410195b566521aa77859() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf99a37c146c649e0a0c8ce56c7f13d92'); if (!container) { mpFormmpFrmf99a37c146c649e0a0c8ce56c7f13d92Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf99a37c146c649e0a0c8ce56c7f13d92'); return setTimeout(finishedLoading2d3e504aeb5a410195b566521aa77859, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2d3e504aeb5a410195b566521aa77859").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2d3e504aeb5a410195b566521aa77859").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-2d3e504aeb5a410195b566521aa77859").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-2d3e504aeb5a410195b566521aa77859").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-2d3e504aeb5a410195b566521aa77859").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=mpmRecaptchaLoaded2d3e504aeb5a410195b566521aa77859&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2d3e504aeb5a410195b566521aa77859() { let popups = document.getElementById("mpform-2d3e504aeb5a410195b566521aa77859").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2d3e504aeb5a410195b566521aa77859() { 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 () { finishedLoading2d3e504aeb5a410195b566521aa77859(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2d3e504aeb5a410195b566521aa77859(); } } 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); mploadTelInput2d3e504aeb5a410195b566521aa77859(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2d3e504aeb5a410195b566521aa77859(); } else { function waitForOtherFormsmpFrmf99a37c146c649e0a0c8ce56c7f13d92() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2d3e504aeb5a410195b566521aa77859(); } else { setTimeout(waitForOtherFormsmpFrmf99a37c146c649e0a0c8ce56c7f13d92,300); } } waitForOtherFormsmpFrmf99a37c146c649e0a0c8ce56c7f13d92(); }