var captchaWidgetmpFrmb3567144be9c47c483e9c93196361ffa; var mpCurrentScriptmpFrmb3567144be9c47c483e9c93196361ffaContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb3567144be9c47c483e9c93196361ffa"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmb3567144be9c47c483e9c93196361ffaFind(); } 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); mpFormmpFrmb3567144be9c47c483e9c93196361ffaFind(); } })(); function mpFormmpFrmb3567144be9c47c483e9c93196361ffaFind() { if(!mpCurrentScriptmpFrmb3567144be9c47c483e9c93196361ffaContainer) return; if (mpCurrentScriptmpFrmb3567144be9c47c483e9c93196361ffaContainer && mpCurrentScriptmpFrmb3567144be9c47c483e9c93196361ffaContainer.nodeName && mpCurrentScriptmpFrmb3567144be9c47c483e9c93196361ffaContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb3567144be9c47c483e9c93196361ffa" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb3567144be9c47c483e9c93196361ffaContainer.children).forEach(c => { if (c.id === "mpFrmb3567144be9c47c483e9c93196361ffa") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript06e0bc43790d4014bdf6761698993933Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb3567144be9c47c483e9c93196361ffa"; } } } } function mpForm06e0bc43790d4014bdf6761698993933Check() { let checkBoxes = document.getElementById("mpform-06e0bc43790d4014bdf6761698993933").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 mpForm06e0bc43790d4014bdf6761698993933Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-06e0bc43790d4014bdf6761698993933").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-06e0bc43790d4014bdf6761698993933").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-06e0bc43790d4014bdf6761698993933").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-06e0bc43790d4014bdf6761698993933')), 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: getTrackingId06e0bc43790d4014bdf6761698993933() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-06e0bc43790d4014bdf6761698993933").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-06e0bc43790d4014bdf6761698993933").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) { mpForm06e0bc43790d4014bdf6761698993933Check(); 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-06e0bc43790d4014bdf6761698993933').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-06e0bc43790d4014bdf6761698993933").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-06e0bc43790d4014bdf6761698993933').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb3567144be9c47c483e9c93196361ffa); } else { mpForm06e0bc43790d4014bdf6761698993933Check(); 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 mpmRecaptchaLoaded06e0bc43790d4014bdf6761698993933() { captchaWidgetmpFrmb3567144be9c47c483e9c93196361ffa = grecaptcha.render('mpmRecaptchampFrmb3567144be9c47c483e9c93196361ffa', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId06e0bc43790d4014bdf6761698993933() { 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 mpmFormInit06e0bc43790d4014bdf6761698993933 () { 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 finishedLoading06e0bc43790d4014bdf6761698993933() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb3567144be9c47c483e9c93196361ffa'); if (!container) { mpFormmpFrmb3567144be9c47c483e9c93196361ffaFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb3567144be9c47c483e9c93196361ffa'); return setTimeout(finishedLoading06e0bc43790d4014bdf6761698993933, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-06e0bc43790d4014bdf6761698993933").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-06e0bc43790d4014bdf6761698993933").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-06e0bc43790d4014bdf6761698993933-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-06e0bc43790d4014bdf6761698993933-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-06e0bc43790d4014bdf6761698993933").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-06e0bc43790d4014bdf6761698993933").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-06e0bc43790d4014bdf6761698993933").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=mpmRecaptchaLoaded06e0bc43790d4014bdf6761698993933&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup06e0bc43790d4014bdf6761698993933() { let popups = document.getElementById("mpform-06e0bc43790d4014bdf6761698993933").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput06e0bc43790d4014bdf6761698993933() { 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 () { finishedLoading06e0bc43790d4014bdf6761698993933(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading06e0bc43790d4014bdf6761698993933(); } } 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); mploadTelInput06e0bc43790d4014bdf6761698993933(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit06e0bc43790d4014bdf6761698993933(); } else { function waitForOtherFormsmpFrmb3567144be9c47c483e9c93196361ffa() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit06e0bc43790d4014bdf6761698993933(); } else { setTimeout(waitForOtherFormsmpFrmb3567144be9c47c483e9c93196361ffa,300); } } waitForOtherFormsmpFrmb3567144be9c47c483e9c93196361ffa(); }