var captchaWidgetmpFrm0c3d724231064b439bb2996b5ba0d849; var mpCurrentScriptmpFrm0c3d724231064b439bb2996b5ba0d849Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0c3d724231064b439bb2996b5ba0d849"; 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); mpFormmpFrm0c3d724231064b439bb2996b5ba0d849Find(); } })(); function mpFormmpFrm0c3d724231064b439bb2996b5ba0d849Find() { if(!mpCurrentScriptmpFrm0c3d724231064b439bb2996b5ba0d849Container) return; if (mpCurrentScriptmpFrm0c3d724231064b439bb2996b5ba0d849Container && mpCurrentScriptmpFrm0c3d724231064b439bb2996b5ba0d849Container.nodeName && mpCurrentScriptmpFrm0c3d724231064b439bb2996b5ba0d849Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0c3d724231064b439bb2996b5ba0d849" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0c3d724231064b439bb2996b5ba0d849Container.children).forEach(c => { if (c.id === "mpFrm0c3d724231064b439bb2996b5ba0d849") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0d8b7525f5104b1db4046661f3ef64deContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0c3d724231064b439bb2996b5ba0d849"; } } } } function mpForm0d8b7525f5104b1db4046661f3ef64deCheck() { let checkBoxes = document.getElementById("mpform-0d8b7525f5104b1db4046661f3ef64de").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 mpForm0d8b7525f5104b1db4046661f3ef64deSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0d8b7525f5104b1db4046661f3ef64de").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0d8b7525f5104b1db4046661f3ef64de").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0d8b7525f5104b1db4046661f3ef64de").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-0d8b7525f5104b1db4046661f3ef64de')), 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: getTrackingId0d8b7525f5104b1db4046661f3ef64de() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0d8b7525f5104b1db4046661f3ef64de").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-0d8b7525f5104b1db4046661f3ef64de").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) { mpForm0d8b7525f5104b1db4046661f3ef64deCheck(); 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-0d8b7525f5104b1db4046661f3ef64de').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-0d8b7525f5104b1db4046661f3ef64de").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-0d8b7525f5104b1db4046661f3ef64de').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0c3d724231064b439bb2996b5ba0d849); } else { mpForm0d8b7525f5104b1db4046661f3ef64deCheck(); 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 mpmRecaptchaLoaded0d8b7525f5104b1db4046661f3ef64de() { captchaWidgetmpFrm0c3d724231064b439bb2996b5ba0d849 = grecaptcha.render('mpmRecaptchampFrm0c3d724231064b439bb2996b5ba0d849', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0d8b7525f5104b1db4046661f3ef64de() { 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 mpmFormInit0d8b7525f5104b1db4046661f3ef64de () { 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 finishedLoading0d8b7525f5104b1db4046661f3ef64de() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0c3d724231064b439bb2996b5ba0d849'); if (!container) { mpFormmpFrm0c3d724231064b439bb2996b5ba0d849Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0c3d724231064b439bb2996b5ba0d849'); return setTimeout(finishedLoading0d8b7525f5104b1db4046661f3ef64de, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0d8b7525f5104b1db4046661f3ef64de").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0d8b7525f5104b1db4046661f3ef64de").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-0d8b7525f5104b1db4046661f3ef64de").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-0d8b7525f5104b1db4046661f3ef64de").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-0d8b7525f5104b1db4046661f3ef64de").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=mpmRecaptchaLoaded0d8b7525f5104b1db4046661f3ef64de&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0d8b7525f5104b1db4046661f3ef64de() { let popups = document.getElementById("mpform-0d8b7525f5104b1db4046661f3ef64de").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0d8b7525f5104b1db4046661f3ef64de() { 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 () { finishedLoading0d8b7525f5104b1db4046661f3ef64de(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0d8b7525f5104b1db4046661f3ef64de(); } } 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); mploadTelInput0d8b7525f5104b1db4046661f3ef64de(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0d8b7525f5104b1db4046661f3ef64de(); } else { function waitForOtherFormsmpFrm0c3d724231064b439bb2996b5ba0d849() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0d8b7525f5104b1db4046661f3ef64de(); } else { setTimeout(waitForOtherFormsmpFrm0c3d724231064b439bb2996b5ba0d849,300); } } waitForOtherFormsmpFrm0c3d724231064b439bb2996b5ba0d849(); }