var captchaWidgetmpFrm6ce198a5b15b46ac80315a77eefef2a4; var mpCurrentScriptmpFrm6ce198a5b15b46ac80315a77eefef2a4Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6ce198a5b15b46ac80315a77eefef2a4"; 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); }); } mpFormmpFrm6ce198a5b15b46ac80315a77eefef2a4Find(); } 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); mpFormmpFrm6ce198a5b15b46ac80315a77eefef2a4Find(); } })(); function mpFormmpFrm6ce198a5b15b46ac80315a77eefef2a4Find() { if(!mpCurrentScriptmpFrm6ce198a5b15b46ac80315a77eefef2a4Container) return; if (mpCurrentScriptmpFrm6ce198a5b15b46ac80315a77eefef2a4Container && mpCurrentScriptmpFrm6ce198a5b15b46ac80315a77eefef2a4Container.nodeName && mpCurrentScriptmpFrm6ce198a5b15b46ac80315a77eefef2a4Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6ce198a5b15b46ac80315a77eefef2a4" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6ce198a5b15b46ac80315a77eefef2a4Container.children).forEach(c => { if (c.id === "mpFrm6ce198a5b15b46ac80315a77eefef2a4") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2839ca59f79242e4a14c86a4bab1df21Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6ce198a5b15b46ac80315a77eefef2a4"; } } } } function mpForm2839ca59f79242e4a14c86a4bab1df21Check() { let checkBoxes = document.getElementById("mpform-2839ca59f79242e4a14c86a4bab1df21").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 mpForm2839ca59f79242e4a14c86a4bab1df21Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2839ca59f79242e4a14c86a4bab1df21").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2839ca59f79242e4a14c86a4bab1df21").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2839ca59f79242e4a14c86a4bab1df21").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-2839ca59f79242e4a14c86a4bab1df21')), 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: getTrackingId2839ca59f79242e4a14c86a4bab1df21() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2839ca59f79242e4a14c86a4bab1df21").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-2839ca59f79242e4a14c86a4bab1df21").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) { mpForm2839ca59f79242e4a14c86a4bab1df21Check(); 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-2839ca59f79242e4a14c86a4bab1df21').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-2839ca59f79242e4a14c86a4bab1df21").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-2839ca59f79242e4a14c86a4bab1df21').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6ce198a5b15b46ac80315a77eefef2a4); } else { mpForm2839ca59f79242e4a14c86a4bab1df21Check(); 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 mpmRecaptchaLoaded2839ca59f79242e4a14c86a4bab1df21() { captchaWidgetmpFrm6ce198a5b15b46ac80315a77eefef2a4 = grecaptcha.render('mpmRecaptchampFrm6ce198a5b15b46ac80315a77eefef2a4', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2839ca59f79242e4a14c86a4bab1df21() { 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 mpmFormInit2839ca59f79242e4a14c86a4bab1df21 () { 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 finishedLoading2839ca59f79242e4a14c86a4bab1df21() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6ce198a5b15b46ac80315a77eefef2a4'); if (!container) { mpFormmpFrm6ce198a5b15b46ac80315a77eefef2a4Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6ce198a5b15b46ac80315a77eefef2a4'); return setTimeout(finishedLoading2839ca59f79242e4a14c86a4bab1df21, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2839ca59f79242e4a14c86a4bab1df21").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2839ca59f79242e4a14c86a4bab1df21").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-2839ca59f79242e4a14c86a4bab1df21-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-2839ca59f79242e4a14c86a4bab1df21-" + 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-2839ca59f79242e4a14c86a4bab1df21").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-2839ca59f79242e4a14c86a4bab1df21").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-2839ca59f79242e4a14c86a4bab1df21").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=mpmRecaptchaLoaded2839ca59f79242e4a14c86a4bab1df21&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2839ca59f79242e4a14c86a4bab1df21() { let popups = document.getElementById("mpform-2839ca59f79242e4a14c86a4bab1df21").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2839ca59f79242e4a14c86a4bab1df21() { 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 () { finishedLoading2839ca59f79242e4a14c86a4bab1df21(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2839ca59f79242e4a14c86a4bab1df21(); } } 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); mploadTelInput2839ca59f79242e4a14c86a4bab1df21(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2839ca59f79242e4a14c86a4bab1df21(); } else { function waitForOtherFormsmpFrm6ce198a5b15b46ac80315a77eefef2a4() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2839ca59f79242e4a14c86a4bab1df21(); } else { setTimeout(waitForOtherFormsmpFrm6ce198a5b15b46ac80315a77eefef2a4,300); } } waitForOtherFormsmpFrm6ce198a5b15b46ac80315a77eefef2a4(); }