var captchaWidgetmpFrm37f355d9037144f09022b6b750e61002; var mpCurrentScriptmpFrm37f355d9037144f09022b6b750e61002Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm37f355d9037144f09022b6b750e61002"; 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); mpFormmpFrm37f355d9037144f09022b6b750e61002Find(); } })(); function mpFormmpFrm37f355d9037144f09022b6b750e61002Find() { if(!mpCurrentScriptmpFrm37f355d9037144f09022b6b750e61002Container) return; if (mpCurrentScriptmpFrm37f355d9037144f09022b6b750e61002Container && mpCurrentScriptmpFrm37f355d9037144f09022b6b750e61002Container.nodeName && mpCurrentScriptmpFrm37f355d9037144f09022b6b750e61002Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm37f355d9037144f09022b6b750e61002" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm37f355d9037144f09022b6b750e61002Container.children).forEach(c => { if (c.id === "mpFrm37f355d9037144f09022b6b750e61002") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript83de8a6d2cff45ceb7f5c7efaa1b5142Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm37f355d9037144f09022b6b750e61002"; } } } } function mpForm83de8a6d2cff45ceb7f5c7efaa1b5142Check() { let checkBoxes = document.getElementById("mpform-83de8a6d2cff45ceb7f5c7efaa1b5142").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 mpForm83de8a6d2cff45ceb7f5c7efaa1b5142Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-83de8a6d2cff45ceb7f5c7efaa1b5142").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-83de8a6d2cff45ceb7f5c7efaa1b5142").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-83de8a6d2cff45ceb7f5c7efaa1b5142").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-83de8a6d2cff45ceb7f5c7efaa1b5142')), 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: getTrackingId83de8a6d2cff45ceb7f5c7efaa1b5142() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-83de8a6d2cff45ceb7f5c7efaa1b5142").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-83de8a6d2cff45ceb7f5c7efaa1b5142").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) { mpForm83de8a6d2cff45ceb7f5c7efaa1b5142Check(); 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-83de8a6d2cff45ceb7f5c7efaa1b5142').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-83de8a6d2cff45ceb7f5c7efaa1b5142").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-83de8a6d2cff45ceb7f5c7efaa1b5142').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm37f355d9037144f09022b6b750e61002); } else { mpForm83de8a6d2cff45ceb7f5c7efaa1b5142Check(); 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 mpmRecaptchaLoaded83de8a6d2cff45ceb7f5c7efaa1b5142() { captchaWidgetmpFrm37f355d9037144f09022b6b750e61002 = grecaptcha.render('mpmRecaptchampFrm37f355d9037144f09022b6b750e61002', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId83de8a6d2cff45ceb7f5c7efaa1b5142() { 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 mpmFormInit83de8a6d2cff45ceb7f5c7efaa1b5142 () { 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 finishedLoading83de8a6d2cff45ceb7f5c7efaa1b5142() { window.mpFormLoading = false; let container = document.getElementById('mpFrm37f355d9037144f09022b6b750e61002'); if (!container) { mpFormmpFrm37f355d9037144f09022b6b750e61002Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm37f355d9037144f09022b6b750e61002'); return setTimeout(finishedLoading83de8a6d2cff45ceb7f5c7efaa1b5142, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-83de8a6d2cff45ceb7f5c7efaa1b5142").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-83de8a6d2cff45ceb7f5c7efaa1b5142").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-83de8a6d2cff45ceb7f5c7efaa1b5142").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-83de8a6d2cff45ceb7f5c7efaa1b5142").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-83de8a6d2cff45ceb7f5c7efaa1b5142").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=mpmRecaptchaLoaded83de8a6d2cff45ceb7f5c7efaa1b5142&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup83de8a6d2cff45ceb7f5c7efaa1b5142() { let popups = document.getElementById("mpform-83de8a6d2cff45ceb7f5c7efaa1b5142").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput83de8a6d2cff45ceb7f5c7efaa1b5142() { 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 () { finishedLoading83de8a6d2cff45ceb7f5c7efaa1b5142(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading83de8a6d2cff45ceb7f5c7efaa1b5142(); } } 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); mploadTelInput83de8a6d2cff45ceb7f5c7efaa1b5142(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit83de8a6d2cff45ceb7f5c7efaa1b5142(); } else { function waitForOtherFormsmpFrm37f355d9037144f09022b6b750e61002() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit83de8a6d2cff45ceb7f5c7efaa1b5142(); } else { setTimeout(waitForOtherFormsmpFrm37f355d9037144f09022b6b750e61002,300); } } waitForOtherFormsmpFrm37f355d9037144f09022b6b750e61002(); }