var captchaWidgetmpFrmaa90360f3a4d443092bd72dd24aba68b; var mpCurrentScriptmpFrmaa90360f3a4d443092bd72dd24aba68bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmaa90360f3a4d443092bd72dd24aba68b"; 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); mpFormmpFrmaa90360f3a4d443092bd72dd24aba68bFind(); } })(); function mpFormmpFrmaa90360f3a4d443092bd72dd24aba68bFind() { if(!mpCurrentScriptmpFrmaa90360f3a4d443092bd72dd24aba68bContainer) return; if (mpCurrentScriptmpFrmaa90360f3a4d443092bd72dd24aba68bContainer && mpCurrentScriptmpFrmaa90360f3a4d443092bd72dd24aba68bContainer.nodeName && mpCurrentScriptmpFrmaa90360f3a4d443092bd72dd24aba68bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmaa90360f3a4d443092bd72dd24aba68b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmaa90360f3a4d443092bd72dd24aba68bContainer.children).forEach(c => { if (c.id === "mpFrmaa90360f3a4d443092bd72dd24aba68b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4bbdefd906444f6eaee4754698485d56Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmaa90360f3a4d443092bd72dd24aba68b"; } } } } function mpForm4bbdefd906444f6eaee4754698485d56Check() { let checkBoxes = document.getElementById("mpform-4bbdefd906444f6eaee4754698485d56").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 mpForm4bbdefd906444f6eaee4754698485d56Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4bbdefd906444f6eaee4754698485d56").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4bbdefd906444f6eaee4754698485d56").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4bbdefd906444f6eaee4754698485d56").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-4bbdefd906444f6eaee4754698485d56')), 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: getTrackingId4bbdefd906444f6eaee4754698485d56() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4bbdefd906444f6eaee4754698485d56").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-4bbdefd906444f6eaee4754698485d56").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) { mpForm4bbdefd906444f6eaee4754698485d56Check(); 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-4bbdefd906444f6eaee4754698485d56').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-4bbdefd906444f6eaee4754698485d56").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-4bbdefd906444f6eaee4754698485d56').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmaa90360f3a4d443092bd72dd24aba68b); } else { mpForm4bbdefd906444f6eaee4754698485d56Check(); 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 mpmRecaptchaLoaded4bbdefd906444f6eaee4754698485d56() { captchaWidgetmpFrmaa90360f3a4d443092bd72dd24aba68b = grecaptcha.render('mpmRecaptchampFrmaa90360f3a4d443092bd72dd24aba68b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4bbdefd906444f6eaee4754698485d56() { 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 mpmFormInit4bbdefd906444f6eaee4754698485d56 () { 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 finishedLoading4bbdefd906444f6eaee4754698485d56() { window.mpFormLoading = false; let container = document.getElementById('mpFrmaa90360f3a4d443092bd72dd24aba68b'); if (!container) { mpFormmpFrmaa90360f3a4d443092bd72dd24aba68bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmaa90360f3a4d443092bd72dd24aba68b'); return setTimeout(finishedLoading4bbdefd906444f6eaee4754698485d56, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4bbdefd906444f6eaee4754698485d56").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4bbdefd906444f6eaee4754698485d56").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-4bbdefd906444f6eaee4754698485d56").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-4bbdefd906444f6eaee4754698485d56").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-4bbdefd906444f6eaee4754698485d56").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=mpmRecaptchaLoaded4bbdefd906444f6eaee4754698485d56&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4bbdefd906444f6eaee4754698485d56() { let popups = document.getElementById("mpform-4bbdefd906444f6eaee4754698485d56").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4bbdefd906444f6eaee4754698485d56() { 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 () { finishedLoading4bbdefd906444f6eaee4754698485d56(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4bbdefd906444f6eaee4754698485d56(); } } 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); mploadTelInput4bbdefd906444f6eaee4754698485d56(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4bbdefd906444f6eaee4754698485d56(); } else { function waitForOtherFormsmpFrmaa90360f3a4d443092bd72dd24aba68b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4bbdefd906444f6eaee4754698485d56(); } else { setTimeout(waitForOtherFormsmpFrmaa90360f3a4d443092bd72dd24aba68b,300); } } waitForOtherFormsmpFrmaa90360f3a4d443092bd72dd24aba68b(); }