var captchaWidgetmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77; var mpCurrentScriptmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9dc0cfa2bb1d4711aed7fd29542e2e77"; 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); mpFormmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77Find(); } })(); function mpFormmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77Find() { if(!mpCurrentScriptmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77Container) return; if (mpCurrentScriptmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77Container && mpCurrentScriptmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77Container.nodeName && mpCurrentScriptmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9dc0cfa2bb1d4711aed7fd29542e2e77" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77Container.children).forEach(c => { if (c.id === "mpFrm9dc0cfa2bb1d4711aed7fd29542e2e77") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3b18bc7b4cdf4c74835a7431d120ad99Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9dc0cfa2bb1d4711aed7fd29542e2e77"; } } } } function mpForm3b18bc7b4cdf4c74835a7431d120ad99Check() { let checkBoxes = document.getElementById("mpform-3b18bc7b4cdf4c74835a7431d120ad99").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 mpForm3b18bc7b4cdf4c74835a7431d120ad99Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3b18bc7b4cdf4c74835a7431d120ad99").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3b18bc7b4cdf4c74835a7431d120ad99").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3b18bc7b4cdf4c74835a7431d120ad99").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-3b18bc7b4cdf4c74835a7431d120ad99')), 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: getTrackingId3b18bc7b4cdf4c74835a7431d120ad99() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3b18bc7b4cdf4c74835a7431d120ad99").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-3b18bc7b4cdf4c74835a7431d120ad99").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) { mpForm3b18bc7b4cdf4c74835a7431d120ad99Check(); 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-3b18bc7b4cdf4c74835a7431d120ad99').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-3b18bc7b4cdf4c74835a7431d120ad99").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-3b18bc7b4cdf4c74835a7431d120ad99').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77); } else { mpForm3b18bc7b4cdf4c74835a7431d120ad99Check(); 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 mpmRecaptchaLoaded3b18bc7b4cdf4c74835a7431d120ad99() { captchaWidgetmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77 = grecaptcha.render('mpmRecaptchampFrm9dc0cfa2bb1d4711aed7fd29542e2e77', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3b18bc7b4cdf4c74835a7431d120ad99() { 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 mpmFormInit3b18bc7b4cdf4c74835a7431d120ad99 () { 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 finishedLoading3b18bc7b4cdf4c74835a7431d120ad99() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9dc0cfa2bb1d4711aed7fd29542e2e77'); if (!container) { mpFormmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9dc0cfa2bb1d4711aed7fd29542e2e77'); return setTimeout(finishedLoading3b18bc7b4cdf4c74835a7431d120ad99, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3b18bc7b4cdf4c74835a7431d120ad99").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3b18bc7b4cdf4c74835a7431d120ad99").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-3b18bc7b4cdf4c74835a7431d120ad99").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-3b18bc7b4cdf4c74835a7431d120ad99").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-3b18bc7b4cdf4c74835a7431d120ad99").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=mpmRecaptchaLoaded3b18bc7b4cdf4c74835a7431d120ad99&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3b18bc7b4cdf4c74835a7431d120ad99() { let popups = document.getElementById("mpform-3b18bc7b4cdf4c74835a7431d120ad99").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3b18bc7b4cdf4c74835a7431d120ad99() { 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 () { finishedLoading3b18bc7b4cdf4c74835a7431d120ad99(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3b18bc7b4cdf4c74835a7431d120ad99(); } } 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); mploadTelInput3b18bc7b4cdf4c74835a7431d120ad99(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3b18bc7b4cdf4c74835a7431d120ad99(); } else { function waitForOtherFormsmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3b18bc7b4cdf4c74835a7431d120ad99(); } else { setTimeout(waitForOtherFormsmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77,300); } } waitForOtherFormsmpFrm9dc0cfa2bb1d4711aed7fd29542e2e77(); }