var captchaWidgetmpFrm18b6c7f1c432445996ead202b9978eee; var mpCurrentScriptmpFrm18b6c7f1c432445996ead202b9978eeeContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm18b6c7f1c432445996ead202b9978eee"; 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); mpFormmpFrm18b6c7f1c432445996ead202b9978eeeFind(); } })(); function mpFormmpFrm18b6c7f1c432445996ead202b9978eeeFind() { if(!mpCurrentScriptmpFrm18b6c7f1c432445996ead202b9978eeeContainer) return; if (mpCurrentScriptmpFrm18b6c7f1c432445996ead202b9978eeeContainer && mpCurrentScriptmpFrm18b6c7f1c432445996ead202b9978eeeContainer.nodeName && mpCurrentScriptmpFrm18b6c7f1c432445996ead202b9978eeeContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm18b6c7f1c432445996ead202b9978eee" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm18b6c7f1c432445996ead202b9978eeeContainer.children).forEach(c => { if (c.id === "mpFrm18b6c7f1c432445996ead202b9978eee") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript012ba1e341784d3bbd14839a856cabecContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm18b6c7f1c432445996ead202b9978eee"; } } } } function mpForm012ba1e341784d3bbd14839a856cabecCheck() { let checkBoxes = document.getElementById("mpform-012ba1e341784d3bbd14839a856cabec").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 mpForm012ba1e341784d3bbd14839a856cabecSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-012ba1e341784d3bbd14839a856cabec").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-012ba1e341784d3bbd14839a856cabec").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-012ba1e341784d3bbd14839a856cabec").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-012ba1e341784d3bbd14839a856cabec')), 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: getTrackingId012ba1e341784d3bbd14839a856cabec() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-012ba1e341784d3bbd14839a856cabec").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-012ba1e341784d3bbd14839a856cabec").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) { mpForm012ba1e341784d3bbd14839a856cabecCheck(); 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-012ba1e341784d3bbd14839a856cabec').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-012ba1e341784d3bbd14839a856cabec").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-012ba1e341784d3bbd14839a856cabec').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm18b6c7f1c432445996ead202b9978eee); } else { mpForm012ba1e341784d3bbd14839a856cabecCheck(); 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 mpmRecaptchaLoaded012ba1e341784d3bbd14839a856cabec() { captchaWidgetmpFrm18b6c7f1c432445996ead202b9978eee = grecaptcha.render('mpmRecaptchampFrm18b6c7f1c432445996ead202b9978eee', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId012ba1e341784d3bbd14839a856cabec() { 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 mpmFormInit012ba1e341784d3bbd14839a856cabec () { 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 finishedLoading012ba1e341784d3bbd14839a856cabec() { window.mpFormLoading = false; let container = document.getElementById('mpFrm18b6c7f1c432445996ead202b9978eee'); if (!container) { mpFormmpFrm18b6c7f1c432445996ead202b9978eeeFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm18b6c7f1c432445996ead202b9978eee'); return setTimeout(finishedLoading012ba1e341784d3bbd14839a856cabec, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-012ba1e341784d3bbd14839a856cabec").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-012ba1e341784d3bbd14839a856cabec").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-012ba1e341784d3bbd14839a856cabec").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-012ba1e341784d3bbd14839a856cabec").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-012ba1e341784d3bbd14839a856cabec").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=mpmRecaptchaLoaded012ba1e341784d3bbd14839a856cabec&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup012ba1e341784d3bbd14839a856cabec() { let popups = document.getElementById("mpform-012ba1e341784d3bbd14839a856cabec").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput012ba1e341784d3bbd14839a856cabec() { 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 () { finishedLoading012ba1e341784d3bbd14839a856cabec(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading012ba1e341784d3bbd14839a856cabec(); } } 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); mploadTelInput012ba1e341784d3bbd14839a856cabec(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit012ba1e341784d3bbd14839a856cabec(); } else { function waitForOtherFormsmpFrm18b6c7f1c432445996ead202b9978eee() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit012ba1e341784d3bbd14839a856cabec(); } else { setTimeout(waitForOtherFormsmpFrm18b6c7f1c432445996ead202b9978eee,300); } } waitForOtherFormsmpFrm18b6c7f1c432445996ead202b9978eee(); }