var captchaWidgetmpFrmc0ea93e40742433c9f438e2ca91ceb0a; var mpCurrentScriptmpFrmc0ea93e40742433c9f438e2ca91ceb0aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc0ea93e40742433c9f438e2ca91ceb0a"; 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); mpFormmpFrmc0ea93e40742433c9f438e2ca91ceb0aFind(); } })(); function mpFormmpFrmc0ea93e40742433c9f438e2ca91ceb0aFind() { if(!mpCurrentScriptmpFrmc0ea93e40742433c9f438e2ca91ceb0aContainer) return; if (mpCurrentScriptmpFrmc0ea93e40742433c9f438e2ca91ceb0aContainer && mpCurrentScriptmpFrmc0ea93e40742433c9f438e2ca91ceb0aContainer.nodeName && mpCurrentScriptmpFrmc0ea93e40742433c9f438e2ca91ceb0aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc0ea93e40742433c9f438e2ca91ceb0a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc0ea93e40742433c9f438e2ca91ceb0aContainer.children).forEach(c => { if (c.id === "mpFrmc0ea93e40742433c9f438e2ca91ceb0a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7e1a30b179004b8582bef3bbc407d5e5Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc0ea93e40742433c9f438e2ca91ceb0a"; } } } } function mpForm7e1a30b179004b8582bef3bbc407d5e5Check() { let checkBoxes = document.getElementById("mpform-7e1a30b179004b8582bef3bbc407d5e5").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 mpForm7e1a30b179004b8582bef3bbc407d5e5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7e1a30b179004b8582bef3bbc407d5e5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7e1a30b179004b8582bef3bbc407d5e5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7e1a30b179004b8582bef3bbc407d5e5").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-7e1a30b179004b8582bef3bbc407d5e5')), 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: getTrackingId7e1a30b179004b8582bef3bbc407d5e5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7e1a30b179004b8582bef3bbc407d5e5").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-7e1a30b179004b8582bef3bbc407d5e5").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) { mpForm7e1a30b179004b8582bef3bbc407d5e5Check(); 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-7e1a30b179004b8582bef3bbc407d5e5').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-7e1a30b179004b8582bef3bbc407d5e5").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-7e1a30b179004b8582bef3bbc407d5e5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc0ea93e40742433c9f438e2ca91ceb0a); } else { mpForm7e1a30b179004b8582bef3bbc407d5e5Check(); 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 mpmRecaptchaLoaded7e1a30b179004b8582bef3bbc407d5e5() { captchaWidgetmpFrmc0ea93e40742433c9f438e2ca91ceb0a = grecaptcha.render('mpmRecaptchampFrmc0ea93e40742433c9f438e2ca91ceb0a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7e1a30b179004b8582bef3bbc407d5e5() { 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 mpmFormInit7e1a30b179004b8582bef3bbc407d5e5 () { 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 finishedLoading7e1a30b179004b8582bef3bbc407d5e5() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc0ea93e40742433c9f438e2ca91ceb0a'); if (!container) { mpFormmpFrmc0ea93e40742433c9f438e2ca91ceb0aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc0ea93e40742433c9f438e2ca91ceb0a'); return setTimeout(finishedLoading7e1a30b179004b8582bef3bbc407d5e5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7e1a30b179004b8582bef3bbc407d5e5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7e1a30b179004b8582bef3bbc407d5e5").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-7e1a30b179004b8582bef3bbc407d5e5").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-7e1a30b179004b8582bef3bbc407d5e5").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-7e1a30b179004b8582bef3bbc407d5e5").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=mpmRecaptchaLoaded7e1a30b179004b8582bef3bbc407d5e5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7e1a30b179004b8582bef3bbc407d5e5() { let popups = document.getElementById("mpform-7e1a30b179004b8582bef3bbc407d5e5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7e1a30b179004b8582bef3bbc407d5e5() { 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 () { finishedLoading7e1a30b179004b8582bef3bbc407d5e5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7e1a30b179004b8582bef3bbc407d5e5(); } } 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); mploadTelInput7e1a30b179004b8582bef3bbc407d5e5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7e1a30b179004b8582bef3bbc407d5e5(); } else { function waitForOtherFormsmpFrmc0ea93e40742433c9f438e2ca91ceb0a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7e1a30b179004b8582bef3bbc407d5e5(); } else { setTimeout(waitForOtherFormsmpFrmc0ea93e40742433c9f438e2ca91ceb0a,300); } } waitForOtherFormsmpFrmc0ea93e40742433c9f438e2ca91ceb0a(); }