var captchaWidgetmpFrm473ba5f4876343f5bc89443db00170fe; var mpCurrentScriptmpFrm473ba5f4876343f5bc89443db00170feContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm473ba5f4876343f5bc89443db00170fe"; 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); }); } mpFormmpFrm473ba5f4876343f5bc89443db00170feFind(); } 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); mpFormmpFrm473ba5f4876343f5bc89443db00170feFind(); } })(); function mpFormmpFrm473ba5f4876343f5bc89443db00170feFind() { if(!mpCurrentScriptmpFrm473ba5f4876343f5bc89443db00170feContainer) return; if (mpCurrentScriptmpFrm473ba5f4876343f5bc89443db00170feContainer && mpCurrentScriptmpFrm473ba5f4876343f5bc89443db00170feContainer.nodeName && mpCurrentScriptmpFrm473ba5f4876343f5bc89443db00170feContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm473ba5f4876343f5bc89443db00170fe" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm473ba5f4876343f5bc89443db00170feContainer.children).forEach(c => { if (c.id === "mpFrm473ba5f4876343f5bc89443db00170fe") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript26b7bd7c1d5c48668160977924205ba7Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm473ba5f4876343f5bc89443db00170fe"; } } } } function mpForm26b7bd7c1d5c48668160977924205ba7Check() { let checkBoxes = document.getElementById("mpform-26b7bd7c1d5c48668160977924205ba7").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 mpForm26b7bd7c1d5c48668160977924205ba7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-26b7bd7c1d5c48668160977924205ba7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-26b7bd7c1d5c48668160977924205ba7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-26b7bd7c1d5c48668160977924205ba7").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-26b7bd7c1d5c48668160977924205ba7')), 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: getTrackingId26b7bd7c1d5c48668160977924205ba7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-26b7bd7c1d5c48668160977924205ba7").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-26b7bd7c1d5c48668160977924205ba7").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) { mpForm26b7bd7c1d5c48668160977924205ba7Check(); 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-26b7bd7c1d5c48668160977924205ba7').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-26b7bd7c1d5c48668160977924205ba7").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-26b7bd7c1d5c48668160977924205ba7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm473ba5f4876343f5bc89443db00170fe); } else { mpForm26b7bd7c1d5c48668160977924205ba7Check(); 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 mpmRecaptchaLoaded26b7bd7c1d5c48668160977924205ba7() { captchaWidgetmpFrm473ba5f4876343f5bc89443db00170fe = grecaptcha.render('mpmRecaptchampFrm473ba5f4876343f5bc89443db00170fe', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId26b7bd7c1d5c48668160977924205ba7() { 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 mpmFormInit26b7bd7c1d5c48668160977924205ba7 () { 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 finishedLoading26b7bd7c1d5c48668160977924205ba7() { window.mpFormLoading = false; let container = document.getElementById('mpFrm473ba5f4876343f5bc89443db00170fe'); if (!container) { mpFormmpFrm473ba5f4876343f5bc89443db00170feFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm473ba5f4876343f5bc89443db00170fe'); return setTimeout(finishedLoading26b7bd7c1d5c48668160977924205ba7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-26b7bd7c1d5c48668160977924205ba7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-26b7bd7c1d5c48668160977924205ba7").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-26b7bd7c1d5c48668160977924205ba7").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-26b7bd7c1d5c48668160977924205ba7").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-26b7bd7c1d5c48668160977924205ba7").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=mpmRecaptchaLoaded26b7bd7c1d5c48668160977924205ba7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup26b7bd7c1d5c48668160977924205ba7() { let popups = document.getElementById("mpform-26b7bd7c1d5c48668160977924205ba7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput26b7bd7c1d5c48668160977924205ba7() { 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 () { finishedLoading26b7bd7c1d5c48668160977924205ba7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading26b7bd7c1d5c48668160977924205ba7(); } } 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); mploadTelInput26b7bd7c1d5c48668160977924205ba7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit26b7bd7c1d5c48668160977924205ba7(); } else { function waitForOtherFormsmpFrm473ba5f4876343f5bc89443db00170fe() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit26b7bd7c1d5c48668160977924205ba7(); } else { setTimeout(waitForOtherFormsmpFrm473ba5f4876343f5bc89443db00170fe,300); } } waitForOtherFormsmpFrm473ba5f4876343f5bc89443db00170fe(); }