var captchaWidgetmpFrm16e47c2014f3499c818a06a9578f9fbb; var mpCurrentScriptmpFrm16e47c2014f3499c818a06a9578f9fbbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm16e47c2014f3499c818a06a9578f9fbb"; 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); mpFormmpFrm16e47c2014f3499c818a06a9578f9fbbFind(); } })(); function mpFormmpFrm16e47c2014f3499c818a06a9578f9fbbFind() { if(!mpCurrentScriptmpFrm16e47c2014f3499c818a06a9578f9fbbContainer) return; if (mpCurrentScriptmpFrm16e47c2014f3499c818a06a9578f9fbbContainer && mpCurrentScriptmpFrm16e47c2014f3499c818a06a9578f9fbbContainer.nodeName && mpCurrentScriptmpFrm16e47c2014f3499c818a06a9578f9fbbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm16e47c2014f3499c818a06a9578f9fbb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm16e47c2014f3499c818a06a9578f9fbbContainer.children).forEach(c => { if (c.id === "mpFrm16e47c2014f3499c818a06a9578f9fbb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript54a4bb87ab30473195f56e28dd84f8eaContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm16e47c2014f3499c818a06a9578f9fbb"; } } } } function mpForm54a4bb87ab30473195f56e28dd84f8eaCheck() { let checkBoxes = document.getElementById("mpform-54a4bb87ab30473195f56e28dd84f8ea").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 mpForm54a4bb87ab30473195f56e28dd84f8eaSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-54a4bb87ab30473195f56e28dd84f8ea").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-54a4bb87ab30473195f56e28dd84f8ea").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-54a4bb87ab30473195f56e28dd84f8ea").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-54a4bb87ab30473195f56e28dd84f8ea')), 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: getTrackingId54a4bb87ab30473195f56e28dd84f8ea() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-54a4bb87ab30473195f56e28dd84f8ea").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-54a4bb87ab30473195f56e28dd84f8ea").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) { mpForm54a4bb87ab30473195f56e28dd84f8eaCheck(); 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-54a4bb87ab30473195f56e28dd84f8ea').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-54a4bb87ab30473195f56e28dd84f8ea").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-54a4bb87ab30473195f56e28dd84f8ea').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm16e47c2014f3499c818a06a9578f9fbb); } else { mpForm54a4bb87ab30473195f56e28dd84f8eaCheck(); 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 mpmRecaptchaLoaded54a4bb87ab30473195f56e28dd84f8ea() { captchaWidgetmpFrm16e47c2014f3499c818a06a9578f9fbb = grecaptcha.render('mpmRecaptchampFrm16e47c2014f3499c818a06a9578f9fbb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId54a4bb87ab30473195f56e28dd84f8ea() { 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 mpmFormInit54a4bb87ab30473195f56e28dd84f8ea () { 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 finishedLoading54a4bb87ab30473195f56e28dd84f8ea() { window.mpFormLoading = false; let container = document.getElementById('mpFrm16e47c2014f3499c818a06a9578f9fbb'); if (!container) { mpFormmpFrm16e47c2014f3499c818a06a9578f9fbbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm16e47c2014f3499c818a06a9578f9fbb'); return setTimeout(finishedLoading54a4bb87ab30473195f56e28dd84f8ea, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-54a4bb87ab30473195f56e28dd84f8ea").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-54a4bb87ab30473195f56e28dd84f8ea").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-54a4bb87ab30473195f56e28dd84f8ea").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-54a4bb87ab30473195f56e28dd84f8ea").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-54a4bb87ab30473195f56e28dd84f8ea").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=mpmRecaptchaLoaded54a4bb87ab30473195f56e28dd84f8ea&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup54a4bb87ab30473195f56e28dd84f8ea() { let popups = document.getElementById("mpform-54a4bb87ab30473195f56e28dd84f8ea").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput54a4bb87ab30473195f56e28dd84f8ea() { 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 () { finishedLoading54a4bb87ab30473195f56e28dd84f8ea(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading54a4bb87ab30473195f56e28dd84f8ea(); } } 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); mploadTelInput54a4bb87ab30473195f56e28dd84f8ea(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit54a4bb87ab30473195f56e28dd84f8ea(); } else { function waitForOtherFormsmpFrm16e47c2014f3499c818a06a9578f9fbb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit54a4bb87ab30473195f56e28dd84f8ea(); } else { setTimeout(waitForOtherFormsmpFrm16e47c2014f3499c818a06a9578f9fbb,300); } } waitForOtherFormsmpFrm16e47c2014f3499c818a06a9578f9fbb(); }