var captchaWidgetmpFrmab090ae17cad4df8893e26324f835362; var mpCurrentScriptmpFrmab090ae17cad4df8893e26324f835362Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmab090ae17cad4df8893e26324f835362"; 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); }); } mpFormmpFrmab090ae17cad4df8893e26324f835362Find(); } 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); mpFormmpFrmab090ae17cad4df8893e26324f835362Find(); } })(); function mpFormmpFrmab090ae17cad4df8893e26324f835362Find() { if(!mpCurrentScriptmpFrmab090ae17cad4df8893e26324f835362Container) return; if (mpCurrentScriptmpFrmab090ae17cad4df8893e26324f835362Container && mpCurrentScriptmpFrmab090ae17cad4df8893e26324f835362Container.nodeName && mpCurrentScriptmpFrmab090ae17cad4df8893e26324f835362Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmab090ae17cad4df8893e26324f835362" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmab090ae17cad4df8893e26324f835362Container.children).forEach(c => { if (c.id === "mpFrmab090ae17cad4df8893e26324f835362") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6e70c7ae1cce4fd88d1726774bb742eeContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmab090ae17cad4df8893e26324f835362"; } } } } function mpForm6e70c7ae1cce4fd88d1726774bb742eeCheck() { let checkBoxes = document.getElementById("mpform-6e70c7ae1cce4fd88d1726774bb742ee").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 mpForm6e70c7ae1cce4fd88d1726774bb742eeSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6e70c7ae1cce4fd88d1726774bb742ee").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6e70c7ae1cce4fd88d1726774bb742ee").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6e70c7ae1cce4fd88d1726774bb742ee").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-6e70c7ae1cce4fd88d1726774bb742ee')), 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: getTrackingId6e70c7ae1cce4fd88d1726774bb742ee() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6e70c7ae1cce4fd88d1726774bb742ee").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-6e70c7ae1cce4fd88d1726774bb742ee").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) { mpForm6e70c7ae1cce4fd88d1726774bb742eeCheck(); 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-6e70c7ae1cce4fd88d1726774bb742ee').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-6e70c7ae1cce4fd88d1726774bb742ee").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-6e70c7ae1cce4fd88d1726774bb742ee').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmab090ae17cad4df8893e26324f835362); } else { mpForm6e70c7ae1cce4fd88d1726774bb742eeCheck(); 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 mpmRecaptchaLoaded6e70c7ae1cce4fd88d1726774bb742ee() { captchaWidgetmpFrmab090ae17cad4df8893e26324f835362 = grecaptcha.render('mpmRecaptchampFrmab090ae17cad4df8893e26324f835362', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6e70c7ae1cce4fd88d1726774bb742ee() { 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 mpmFormInit6e70c7ae1cce4fd88d1726774bb742ee () { 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 finishedLoading6e70c7ae1cce4fd88d1726774bb742ee() { window.mpFormLoading = false; let container = document.getElementById('mpFrmab090ae17cad4df8893e26324f835362'); if (!container) { mpFormmpFrmab090ae17cad4df8893e26324f835362Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmab090ae17cad4df8893e26324f835362'); return setTimeout(finishedLoading6e70c7ae1cce4fd88d1726774bb742ee, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6e70c7ae1cce4fd88d1726774bb742ee").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6e70c7ae1cce4fd88d1726774bb742ee").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-6e70c7ae1cce4fd88d1726774bb742ee").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-6e70c7ae1cce4fd88d1726774bb742ee").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-6e70c7ae1cce4fd88d1726774bb742ee").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=mpmRecaptchaLoaded6e70c7ae1cce4fd88d1726774bb742ee&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6e70c7ae1cce4fd88d1726774bb742ee() { let popups = document.getElementById("mpform-6e70c7ae1cce4fd88d1726774bb742ee").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6e70c7ae1cce4fd88d1726774bb742ee() { 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 () { finishedLoading6e70c7ae1cce4fd88d1726774bb742ee(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6e70c7ae1cce4fd88d1726774bb742ee(); } } 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); mploadTelInput6e70c7ae1cce4fd88d1726774bb742ee(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6e70c7ae1cce4fd88d1726774bb742ee(); } else { function waitForOtherFormsmpFrmab090ae17cad4df8893e26324f835362() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6e70c7ae1cce4fd88d1726774bb742ee(); } else { setTimeout(waitForOtherFormsmpFrmab090ae17cad4df8893e26324f835362,300); } } waitForOtherFormsmpFrmab090ae17cad4df8893e26324f835362(); }