var captchaWidgetmpFrme99c1e2d0f97430da9bd2147b17cc1fd; var mpCurrentScriptmpFrme99c1e2d0f97430da9bd2147b17cc1fdContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrme99c1e2d0f97430da9bd2147b17cc1fd"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrme99c1e2d0f97430da9bd2147b17cc1fdFind(); } })(); function mpFormmpFrme99c1e2d0f97430da9bd2147b17cc1fdFind() { if(!mpCurrentScriptmpFrme99c1e2d0f97430da9bd2147b17cc1fdContainer) return; if (mpCurrentScriptmpFrme99c1e2d0f97430da9bd2147b17cc1fdContainer && mpCurrentScriptmpFrme99c1e2d0f97430da9bd2147b17cc1fdContainer.nodeName && mpCurrentScriptmpFrme99c1e2d0f97430da9bd2147b17cc1fdContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrme99c1e2d0f97430da9bd2147b17cc1fd" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrme99c1e2d0f97430da9bd2147b17cc1fdContainer.children).forEach(c => { if (c.id === "mpFrme99c1e2d0f97430da9bd2147b17cc1fd") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript12486f137c2e4b09a26882d81d81948dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrme99c1e2d0f97430da9bd2147b17cc1fd"; } } } } function mpForm12486f137c2e4b09a26882d81d81948dCheck() { let checkBoxes = document.getElementById("mpform-12486f137c2e4b09a26882d81d81948d").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 mpForm12486f137c2e4b09a26882d81d81948dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-12486f137c2e4b09a26882d81d81948d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-12486f137c2e4b09a26882d81d81948d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-12486f137c2e4b09a26882d81d81948d").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-12486f137c2e4b09a26882d81d81948d')), 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: getTrackingId12486f137c2e4b09a26882d81d81948d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-12486f137c2e4b09a26882d81d81948d").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-12486f137c2e4b09a26882d81d81948d").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm12486f137c2e4b09a26882d81d81948dCheck(); 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-12486f137c2e4b09a26882d81d81948d').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-12486f137c2e4b09a26882d81d81948d").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-12486f137c2e4b09a26882d81d81948d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrme99c1e2d0f97430da9bd2147b17cc1fd); } else { mpForm12486f137c2e4b09a26882d81d81948dCheck(); 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 mpmRecaptchaLoaded12486f137c2e4b09a26882d81d81948d() { captchaWidgetmpFrme99c1e2d0f97430da9bd2147b17cc1fd = grecaptcha.render('mpmRecaptchampFrme99c1e2d0f97430da9bd2147b17cc1fd', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId12486f137c2e4b09a26882d81d81948d() { 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 mpmFormInit12486f137c2e4b09a26882d81d81948d () { 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 finishedLoading12486f137c2e4b09a26882d81d81948d() { window.mpFormLoading = false; let container = document.getElementById('mpFrme99c1e2d0f97430da9bd2147b17cc1fd'); if (!container) { mpFormmpFrme99c1e2d0f97430da9bd2147b17cc1fdFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrme99c1e2d0f97430da9bd2147b17cc1fd'); return setTimeout(finishedLoading12486f137c2e4b09a26882d81d81948d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-12486f137c2e4b09a26882d81d81948d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-12486f137c2e4b09a26882d81d81948d").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-12486f137c2e4b09a26882d81d81948d").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-12486f137c2e4b09a26882d81d81948d").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-12486f137c2e4b09a26882d81d81948d").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=mpmRecaptchaLoaded12486f137c2e4b09a26882d81d81948d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup12486f137c2e4b09a26882d81d81948d() { let popups = document.getElementById("mpform-12486f137c2e4b09a26882d81d81948d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput12486f137c2e4b09a26882d81d81948d() { 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 () { finishedLoading12486f137c2e4b09a26882d81d81948d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading12486f137c2e4b09a26882d81d81948d(); } } 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); mploadTelInput12486f137c2e4b09a26882d81d81948d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit12486f137c2e4b09a26882d81d81948d(); } else { function waitForOtherFormsmpFrme99c1e2d0f97430da9bd2147b17cc1fd() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit12486f137c2e4b09a26882d81d81948d(); } else { setTimeout(waitForOtherFormsmpFrme99c1e2d0f97430da9bd2147b17cc1fd,300); } } waitForOtherFormsmpFrme99c1e2d0f97430da9bd2147b17cc1fd(); }