var captchaWidgetmpFrmc6b31c374e19450b9a5adf9deba6af12; var mpCurrentScriptmpFrmc6b31c374e19450b9a5adf9deba6af12Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc6b31c374e19450b9a5adf9deba6af12"; 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); }); } mpFormmpFrmc6b31c374e19450b9a5adf9deba6af12Find(); } 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); mpFormmpFrmc6b31c374e19450b9a5adf9deba6af12Find(); } })(); function mpFormmpFrmc6b31c374e19450b9a5adf9deba6af12Find() { if(!mpCurrentScriptmpFrmc6b31c374e19450b9a5adf9deba6af12Container) return; if (mpCurrentScriptmpFrmc6b31c374e19450b9a5adf9deba6af12Container && mpCurrentScriptmpFrmc6b31c374e19450b9a5adf9deba6af12Container.nodeName && mpCurrentScriptmpFrmc6b31c374e19450b9a5adf9deba6af12Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc6b31c374e19450b9a5adf9deba6af12" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc6b31c374e19450b9a5adf9deba6af12Container.children).forEach(c => { if (c.id === "mpFrmc6b31c374e19450b9a5adf9deba6af12") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8b0fd81af4a94316832c93f1c057ae14Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc6b31c374e19450b9a5adf9deba6af12"; } } } } function mpForm8b0fd81af4a94316832c93f1c057ae14Check() { let checkBoxes = document.getElementById("mpform-8b0fd81af4a94316832c93f1c057ae14").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 mpForm8b0fd81af4a94316832c93f1c057ae14Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8b0fd81af4a94316832c93f1c057ae14").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8b0fd81af4a94316832c93f1c057ae14").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8b0fd81af4a94316832c93f1c057ae14").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-8b0fd81af4a94316832c93f1c057ae14')), 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: getTrackingId8b0fd81af4a94316832c93f1c057ae14() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8b0fd81af4a94316832c93f1c057ae14").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-8b0fd81af4a94316832c93f1c057ae14").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) { mpForm8b0fd81af4a94316832c93f1c057ae14Check(); 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-8b0fd81af4a94316832c93f1c057ae14').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-8b0fd81af4a94316832c93f1c057ae14").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-8b0fd81af4a94316832c93f1c057ae14').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc6b31c374e19450b9a5adf9deba6af12); } else { mpForm8b0fd81af4a94316832c93f1c057ae14Check(); 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 mpmRecaptchaLoaded8b0fd81af4a94316832c93f1c057ae14() { captchaWidgetmpFrmc6b31c374e19450b9a5adf9deba6af12 = grecaptcha.render('mpmRecaptchampFrmc6b31c374e19450b9a5adf9deba6af12', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8b0fd81af4a94316832c93f1c057ae14() { 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 mpmFormInit8b0fd81af4a94316832c93f1c057ae14 () { 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 finishedLoading8b0fd81af4a94316832c93f1c057ae14() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc6b31c374e19450b9a5adf9deba6af12'); if (!container) { mpFormmpFrmc6b31c374e19450b9a5adf9deba6af12Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc6b31c374e19450b9a5adf9deba6af12'); return setTimeout(finishedLoading8b0fd81af4a94316832c93f1c057ae14, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8b0fd81af4a94316832c93f1c057ae14").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8b0fd81af4a94316832c93f1c057ae14").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-8b0fd81af4a94316832c93f1c057ae14").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-8b0fd81af4a94316832c93f1c057ae14").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-8b0fd81af4a94316832c93f1c057ae14").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=mpmRecaptchaLoaded8b0fd81af4a94316832c93f1c057ae14&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8b0fd81af4a94316832c93f1c057ae14() { let popups = document.getElementById("mpform-8b0fd81af4a94316832c93f1c057ae14").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8b0fd81af4a94316832c93f1c057ae14() { 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 () { finishedLoading8b0fd81af4a94316832c93f1c057ae14(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8b0fd81af4a94316832c93f1c057ae14(); } } 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); mploadTelInput8b0fd81af4a94316832c93f1c057ae14(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8b0fd81af4a94316832c93f1c057ae14(); } else { function waitForOtherFormsmpFrmc6b31c374e19450b9a5adf9deba6af12() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8b0fd81af4a94316832c93f1c057ae14(); } else { setTimeout(waitForOtherFormsmpFrmc6b31c374e19450b9a5adf9deba6af12,300); } } waitForOtherFormsmpFrmc6b31c374e19450b9a5adf9deba6af12(); }