var captchaWidgetmpFrmde2104ba71cb491aa038a689a73fd98b; var mpCurrentScriptmpFrmde2104ba71cb491aa038a689a73fd98bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmde2104ba71cb491aa038a689a73fd98b"; 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); }); } mpFormmpFrmde2104ba71cb491aa038a689a73fd98bFind(); } 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); mpFormmpFrmde2104ba71cb491aa038a689a73fd98bFind(); } })(); function mpFormmpFrmde2104ba71cb491aa038a689a73fd98bFind() { if(!mpCurrentScriptmpFrmde2104ba71cb491aa038a689a73fd98bContainer) return; if (mpCurrentScriptmpFrmde2104ba71cb491aa038a689a73fd98bContainer && mpCurrentScriptmpFrmde2104ba71cb491aa038a689a73fd98bContainer.nodeName && mpCurrentScriptmpFrmde2104ba71cb491aa038a689a73fd98bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmde2104ba71cb491aa038a689a73fd98b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmde2104ba71cb491aa038a689a73fd98bContainer.children).forEach(c => { if (c.id === "mpFrmde2104ba71cb491aa038a689a73fd98b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript14bdf39c7b5c4139ac1124c1864b4f23Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmde2104ba71cb491aa038a689a73fd98b"; } } } } function mpForm14bdf39c7b5c4139ac1124c1864b4f23Check() { let checkBoxes = document.getElementById("mpform-14bdf39c7b5c4139ac1124c1864b4f23").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 mpForm14bdf39c7b5c4139ac1124c1864b4f23Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-14bdf39c7b5c4139ac1124c1864b4f23").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-14bdf39c7b5c4139ac1124c1864b4f23").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-14bdf39c7b5c4139ac1124c1864b4f23").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-14bdf39c7b5c4139ac1124c1864b4f23')), 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: getTrackingId14bdf39c7b5c4139ac1124c1864b4f23() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-14bdf39c7b5c4139ac1124c1864b4f23").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-14bdf39c7b5c4139ac1124c1864b4f23").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) { mpForm14bdf39c7b5c4139ac1124c1864b4f23Check(); 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-14bdf39c7b5c4139ac1124c1864b4f23').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-14bdf39c7b5c4139ac1124c1864b4f23").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-14bdf39c7b5c4139ac1124c1864b4f23').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmde2104ba71cb491aa038a689a73fd98b); } else { mpForm14bdf39c7b5c4139ac1124c1864b4f23Check(); 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 mpmRecaptchaLoaded14bdf39c7b5c4139ac1124c1864b4f23() { captchaWidgetmpFrmde2104ba71cb491aa038a689a73fd98b = grecaptcha.render('mpmRecaptchampFrmde2104ba71cb491aa038a689a73fd98b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId14bdf39c7b5c4139ac1124c1864b4f23() { 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 mpmFormInit14bdf39c7b5c4139ac1124c1864b4f23 () { 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 finishedLoading14bdf39c7b5c4139ac1124c1864b4f23() { window.mpFormLoading = false; let container = document.getElementById('mpFrmde2104ba71cb491aa038a689a73fd98b'); if (!container) { mpFormmpFrmde2104ba71cb491aa038a689a73fd98bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmde2104ba71cb491aa038a689a73fd98b'); return setTimeout(finishedLoading14bdf39c7b5c4139ac1124c1864b4f23, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-14bdf39c7b5c4139ac1124c1864b4f23").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-14bdf39c7b5c4139ac1124c1864b4f23").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-14bdf39c7b5c4139ac1124c1864b4f23").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-14bdf39c7b5c4139ac1124c1864b4f23").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-14bdf39c7b5c4139ac1124c1864b4f23").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=mpmRecaptchaLoaded14bdf39c7b5c4139ac1124c1864b4f23&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup14bdf39c7b5c4139ac1124c1864b4f23() { let popups = document.getElementById("mpform-14bdf39c7b5c4139ac1124c1864b4f23").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput14bdf39c7b5c4139ac1124c1864b4f23() { 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 () { finishedLoading14bdf39c7b5c4139ac1124c1864b4f23(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading14bdf39c7b5c4139ac1124c1864b4f23(); } } 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); mploadTelInput14bdf39c7b5c4139ac1124c1864b4f23(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit14bdf39c7b5c4139ac1124c1864b4f23(); } else { function waitForOtherFormsmpFrmde2104ba71cb491aa038a689a73fd98b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit14bdf39c7b5c4139ac1124c1864b4f23(); } else { setTimeout(waitForOtherFormsmpFrmde2104ba71cb491aa038a689a73fd98b,300); } } waitForOtherFormsmpFrmde2104ba71cb491aa038a689a73fd98b(); }