var captchaWidgetmpFrmdc68b555235d44feb1009c1e961be675; var mpCurrentScriptmpFrmdc68b555235d44feb1009c1e961be675Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmdc68b555235d44feb1009c1e961be675"; 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); mpFormmpFrmdc68b555235d44feb1009c1e961be675Find(); } })(); function mpFormmpFrmdc68b555235d44feb1009c1e961be675Find() { if(!mpCurrentScriptmpFrmdc68b555235d44feb1009c1e961be675Container) return; if (mpCurrentScriptmpFrmdc68b555235d44feb1009c1e961be675Container && mpCurrentScriptmpFrmdc68b555235d44feb1009c1e961be675Container.nodeName && mpCurrentScriptmpFrmdc68b555235d44feb1009c1e961be675Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmdc68b555235d44feb1009c1e961be675" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmdc68b555235d44feb1009c1e961be675Container.children).forEach(c => { if (c.id === "mpFrmdc68b555235d44feb1009c1e961be675") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2a41a11edcf644c2a596feb65d6cb845Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmdc68b555235d44feb1009c1e961be675"; } } } } function mpForm2a41a11edcf644c2a596feb65d6cb845Check() { let checkBoxes = document.getElementById("mpform-2a41a11edcf644c2a596feb65d6cb845").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 mpForm2a41a11edcf644c2a596feb65d6cb845Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2a41a11edcf644c2a596feb65d6cb845").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2a41a11edcf644c2a596feb65d6cb845").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2a41a11edcf644c2a596feb65d6cb845").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-2a41a11edcf644c2a596feb65d6cb845')), 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: getTrackingId2a41a11edcf644c2a596feb65d6cb845() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2a41a11edcf644c2a596feb65d6cb845").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-2a41a11edcf644c2a596feb65d6cb845").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) { mpForm2a41a11edcf644c2a596feb65d6cb845Check(); 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-2a41a11edcf644c2a596feb65d6cb845').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-2a41a11edcf644c2a596feb65d6cb845").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-2a41a11edcf644c2a596feb65d6cb845').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmdc68b555235d44feb1009c1e961be675); } else { mpForm2a41a11edcf644c2a596feb65d6cb845Check(); 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 mpmRecaptchaLoaded2a41a11edcf644c2a596feb65d6cb845() { captchaWidgetmpFrmdc68b555235d44feb1009c1e961be675 = grecaptcha.render('mpmRecaptchampFrmdc68b555235d44feb1009c1e961be675', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2a41a11edcf644c2a596feb65d6cb845() { 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 mpmFormInit2a41a11edcf644c2a596feb65d6cb845 () { 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 finishedLoading2a41a11edcf644c2a596feb65d6cb845() { window.mpFormLoading = false; let container = document.getElementById('mpFrmdc68b555235d44feb1009c1e961be675'); if (!container) { mpFormmpFrmdc68b555235d44feb1009c1e961be675Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmdc68b555235d44feb1009c1e961be675'); return setTimeout(finishedLoading2a41a11edcf644c2a596feb65d6cb845, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2a41a11edcf644c2a596feb65d6cb845").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2a41a11edcf644c2a596feb65d6cb845").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-2a41a11edcf644c2a596feb65d6cb845").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-2a41a11edcf644c2a596feb65d6cb845").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-2a41a11edcf644c2a596feb65d6cb845").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=mpmRecaptchaLoaded2a41a11edcf644c2a596feb65d6cb845&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2a41a11edcf644c2a596feb65d6cb845() { let popups = document.getElementById("mpform-2a41a11edcf644c2a596feb65d6cb845").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2a41a11edcf644c2a596feb65d6cb845() { 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 () { finishedLoading2a41a11edcf644c2a596feb65d6cb845(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2a41a11edcf644c2a596feb65d6cb845(); } } 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); mploadTelInput2a41a11edcf644c2a596feb65d6cb845(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2a41a11edcf644c2a596feb65d6cb845(); } else { function waitForOtherFormsmpFrmdc68b555235d44feb1009c1e961be675() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2a41a11edcf644c2a596feb65d6cb845(); } else { setTimeout(waitForOtherFormsmpFrmdc68b555235d44feb1009c1e961be675,300); } } waitForOtherFormsmpFrmdc68b555235d44feb1009c1e961be675(); }