var captchaWidgetmpFrmde90e3e583d44a3db44c0b27e1664926; var mpCurrentScriptmpFrmde90e3e583d44a3db44c0b27e1664926Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmde90e3e583d44a3db44c0b27e1664926"; 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); }); } mpFormmpFrmde90e3e583d44a3db44c0b27e1664926Find(); } 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); mpFormmpFrmde90e3e583d44a3db44c0b27e1664926Find(); } })(); function mpFormmpFrmde90e3e583d44a3db44c0b27e1664926Find() { if(!mpCurrentScriptmpFrmde90e3e583d44a3db44c0b27e1664926Container) return; if (mpCurrentScriptmpFrmde90e3e583d44a3db44c0b27e1664926Container && mpCurrentScriptmpFrmde90e3e583d44a3db44c0b27e1664926Container.nodeName && mpCurrentScriptmpFrmde90e3e583d44a3db44c0b27e1664926Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmde90e3e583d44a3db44c0b27e1664926" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmde90e3e583d44a3db44c0b27e1664926Container.children).forEach(c => { if (c.id === "mpFrmde90e3e583d44a3db44c0b27e1664926") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1c282bd26e044482bcb0276c052efa73Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmde90e3e583d44a3db44c0b27e1664926"; } } } } function mpForm1c282bd26e044482bcb0276c052efa73Check() { let checkBoxes = document.getElementById("mpform-1c282bd26e044482bcb0276c052efa73").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 mpForm1c282bd26e044482bcb0276c052efa73Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1c282bd26e044482bcb0276c052efa73").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1c282bd26e044482bcb0276c052efa73").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1c282bd26e044482bcb0276c052efa73").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-1c282bd26e044482bcb0276c052efa73')), 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: getTrackingId1c282bd26e044482bcb0276c052efa73() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1c282bd26e044482bcb0276c052efa73").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-1c282bd26e044482bcb0276c052efa73").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) { mpForm1c282bd26e044482bcb0276c052efa73Check(); 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-1c282bd26e044482bcb0276c052efa73').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-1c282bd26e044482bcb0276c052efa73").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-1c282bd26e044482bcb0276c052efa73').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmde90e3e583d44a3db44c0b27e1664926); } else { mpForm1c282bd26e044482bcb0276c052efa73Check(); 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 mpmRecaptchaLoaded1c282bd26e044482bcb0276c052efa73() { captchaWidgetmpFrmde90e3e583d44a3db44c0b27e1664926 = grecaptcha.render('mpmRecaptchampFrmde90e3e583d44a3db44c0b27e1664926', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1c282bd26e044482bcb0276c052efa73() { 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 mpmFormInit1c282bd26e044482bcb0276c052efa73 () { 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 finishedLoading1c282bd26e044482bcb0276c052efa73() { window.mpFormLoading = false; let container = document.getElementById('mpFrmde90e3e583d44a3db44c0b27e1664926'); if (!container) { mpFormmpFrmde90e3e583d44a3db44c0b27e1664926Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmde90e3e583d44a3db44c0b27e1664926'); return setTimeout(finishedLoading1c282bd26e044482bcb0276c052efa73, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1c282bd26e044482bcb0276c052efa73").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1c282bd26e044482bcb0276c052efa73").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-1c282bd26e044482bcb0276c052efa73-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-1c282bd26e044482bcb0276c052efa73-" + 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-1c282bd26e044482bcb0276c052efa73").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-1c282bd26e044482bcb0276c052efa73").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-1c282bd26e044482bcb0276c052efa73").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=mpmRecaptchaLoaded1c282bd26e044482bcb0276c052efa73&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1c282bd26e044482bcb0276c052efa73() { let popups = document.getElementById("mpform-1c282bd26e044482bcb0276c052efa73").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1c282bd26e044482bcb0276c052efa73() { 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 () { finishedLoading1c282bd26e044482bcb0276c052efa73(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1c282bd26e044482bcb0276c052efa73(); } } 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); mploadTelInput1c282bd26e044482bcb0276c052efa73(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1c282bd26e044482bcb0276c052efa73(); } else { function waitForOtherFormsmpFrmde90e3e583d44a3db44c0b27e1664926() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1c282bd26e044482bcb0276c052efa73(); } else { setTimeout(waitForOtherFormsmpFrmde90e3e583d44a3db44c0b27e1664926,300); } } waitForOtherFormsmpFrmde90e3e583d44a3db44c0b27e1664926(); }