var captchaWidgetmpFrm64b5e160dd7f4e14a65bfb980a74ef3a; var mpCurrentScriptmpFrm64b5e160dd7f4e14a65bfb980a74ef3aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm64b5e160dd7f4e14a65bfb980a74ef3a"; 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); }); } mpFormmpFrm64b5e160dd7f4e14a65bfb980a74ef3aFind(); } 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); mpFormmpFrm64b5e160dd7f4e14a65bfb980a74ef3aFind(); } })(); function mpFormmpFrm64b5e160dd7f4e14a65bfb980a74ef3aFind() { if(!mpCurrentScriptmpFrm64b5e160dd7f4e14a65bfb980a74ef3aContainer) return; if (mpCurrentScriptmpFrm64b5e160dd7f4e14a65bfb980a74ef3aContainer && mpCurrentScriptmpFrm64b5e160dd7f4e14a65bfb980a74ef3aContainer.nodeName && mpCurrentScriptmpFrm64b5e160dd7f4e14a65bfb980a74ef3aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm64b5e160dd7f4e14a65bfb980a74ef3a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm64b5e160dd7f4e14a65bfb980a74ef3aContainer.children).forEach(c => { if (c.id === "mpFrm64b5e160dd7f4e14a65bfb980a74ef3a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0eb8e22617d94f988252f26ef9c25c4bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm64b5e160dd7f4e14a65bfb980a74ef3a"; } } } } function mpForm0eb8e22617d94f988252f26ef9c25c4bCheck() { let checkBoxes = document.getElementById("mpform-0eb8e22617d94f988252f26ef9c25c4b").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 mpForm0eb8e22617d94f988252f26ef9c25c4bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0eb8e22617d94f988252f26ef9c25c4b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0eb8e22617d94f988252f26ef9c25c4b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0eb8e22617d94f988252f26ef9c25c4b").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-0eb8e22617d94f988252f26ef9c25c4b')), 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: getTrackingId0eb8e22617d94f988252f26ef9c25c4b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0eb8e22617d94f988252f26ef9c25c4b").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-0eb8e22617d94f988252f26ef9c25c4b").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) { mpForm0eb8e22617d94f988252f26ef9c25c4bCheck(); 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-0eb8e22617d94f988252f26ef9c25c4b').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-0eb8e22617d94f988252f26ef9c25c4b").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-0eb8e22617d94f988252f26ef9c25c4b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm64b5e160dd7f4e14a65bfb980a74ef3a); } else { mpForm0eb8e22617d94f988252f26ef9c25c4bCheck(); 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 mpmRecaptchaLoaded0eb8e22617d94f988252f26ef9c25c4b() { captchaWidgetmpFrm64b5e160dd7f4e14a65bfb980a74ef3a = grecaptcha.render('mpmRecaptchampFrm64b5e160dd7f4e14a65bfb980a74ef3a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0eb8e22617d94f988252f26ef9c25c4b() { 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 mpmFormInit0eb8e22617d94f988252f26ef9c25c4b () { 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 finishedLoading0eb8e22617d94f988252f26ef9c25c4b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm64b5e160dd7f4e14a65bfb980a74ef3a'); if (!container) { mpFormmpFrm64b5e160dd7f4e14a65bfb980a74ef3aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm64b5e160dd7f4e14a65bfb980a74ef3a'); return setTimeout(finishedLoading0eb8e22617d94f988252f26ef9c25c4b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0eb8e22617d94f988252f26ef9c25c4b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0eb8e22617d94f988252f26ef9c25c4b").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-0eb8e22617d94f988252f26ef9c25c4b").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-0eb8e22617d94f988252f26ef9c25c4b").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-0eb8e22617d94f988252f26ef9c25c4b").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=mpmRecaptchaLoaded0eb8e22617d94f988252f26ef9c25c4b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0eb8e22617d94f988252f26ef9c25c4b() { let popups = document.getElementById("mpform-0eb8e22617d94f988252f26ef9c25c4b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0eb8e22617d94f988252f26ef9c25c4b() { 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 () { finishedLoading0eb8e22617d94f988252f26ef9c25c4b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0eb8e22617d94f988252f26ef9c25c4b(); } } 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); mploadTelInput0eb8e22617d94f988252f26ef9c25c4b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0eb8e22617d94f988252f26ef9c25c4b(); } else { function waitForOtherFormsmpFrm64b5e160dd7f4e14a65bfb980a74ef3a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0eb8e22617d94f988252f26ef9c25c4b(); } else { setTimeout(waitForOtherFormsmpFrm64b5e160dd7f4e14a65bfb980a74ef3a,300); } } waitForOtherFormsmpFrm64b5e160dd7f4e14a65bfb980a74ef3a(); }