var captchaWidgetmpFrm756f355745ce47dba1eeda7fed0b6854; var mpCurrentScriptmpFrm756f355745ce47dba1eeda7fed0b6854Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm756f355745ce47dba1eeda7fed0b6854"; 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); mpFormmpFrm756f355745ce47dba1eeda7fed0b6854Find(); } })(); function mpFormmpFrm756f355745ce47dba1eeda7fed0b6854Find() { if(!mpCurrentScriptmpFrm756f355745ce47dba1eeda7fed0b6854Container) return; if (mpCurrentScriptmpFrm756f355745ce47dba1eeda7fed0b6854Container && mpCurrentScriptmpFrm756f355745ce47dba1eeda7fed0b6854Container.nodeName && mpCurrentScriptmpFrm756f355745ce47dba1eeda7fed0b6854Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm756f355745ce47dba1eeda7fed0b6854" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm756f355745ce47dba1eeda7fed0b6854Container.children).forEach(c => { if (c.id === "mpFrm756f355745ce47dba1eeda7fed0b6854") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5b23e7a55ec54931acdd99b573ec8291Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm756f355745ce47dba1eeda7fed0b6854"; } } } } function mpForm5b23e7a55ec54931acdd99b573ec8291Check() { let checkBoxes = document.getElementById("mpform-5b23e7a55ec54931acdd99b573ec8291").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 mpForm5b23e7a55ec54931acdd99b573ec8291Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5b23e7a55ec54931acdd99b573ec8291").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5b23e7a55ec54931acdd99b573ec8291").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5b23e7a55ec54931acdd99b573ec8291").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-5b23e7a55ec54931acdd99b573ec8291')), 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: getTrackingId5b23e7a55ec54931acdd99b573ec8291() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5b23e7a55ec54931acdd99b573ec8291").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-5b23e7a55ec54931acdd99b573ec8291").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) { mpForm5b23e7a55ec54931acdd99b573ec8291Check(); 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-5b23e7a55ec54931acdd99b573ec8291').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-5b23e7a55ec54931acdd99b573ec8291").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-5b23e7a55ec54931acdd99b573ec8291').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm756f355745ce47dba1eeda7fed0b6854); } else { mpForm5b23e7a55ec54931acdd99b573ec8291Check(); 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 mpmRecaptchaLoaded5b23e7a55ec54931acdd99b573ec8291() { captchaWidgetmpFrm756f355745ce47dba1eeda7fed0b6854 = grecaptcha.render('mpmRecaptchampFrm756f355745ce47dba1eeda7fed0b6854', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5b23e7a55ec54931acdd99b573ec8291() { 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 mpmFormInit5b23e7a55ec54931acdd99b573ec8291 () { 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 finishedLoading5b23e7a55ec54931acdd99b573ec8291() { window.mpFormLoading = false; let container = document.getElementById('mpFrm756f355745ce47dba1eeda7fed0b6854'); if (!container) { mpFormmpFrm756f355745ce47dba1eeda7fed0b6854Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm756f355745ce47dba1eeda7fed0b6854'); return setTimeout(finishedLoading5b23e7a55ec54931acdd99b573ec8291, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5b23e7a55ec54931acdd99b573ec8291").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5b23e7a55ec54931acdd99b573ec8291").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-5b23e7a55ec54931acdd99b573ec8291").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-5b23e7a55ec54931acdd99b573ec8291").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-5b23e7a55ec54931acdd99b573ec8291").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=mpmRecaptchaLoaded5b23e7a55ec54931acdd99b573ec8291&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5b23e7a55ec54931acdd99b573ec8291() { let popups = document.getElementById("mpform-5b23e7a55ec54931acdd99b573ec8291").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5b23e7a55ec54931acdd99b573ec8291() { 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 () { finishedLoading5b23e7a55ec54931acdd99b573ec8291(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5b23e7a55ec54931acdd99b573ec8291(); } } 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); mploadTelInput5b23e7a55ec54931acdd99b573ec8291(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5b23e7a55ec54931acdd99b573ec8291(); } else { function waitForOtherFormsmpFrm756f355745ce47dba1eeda7fed0b6854() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5b23e7a55ec54931acdd99b573ec8291(); } else { setTimeout(waitForOtherFormsmpFrm756f355745ce47dba1eeda7fed0b6854,300); } } waitForOtherFormsmpFrm756f355745ce47dba1eeda7fed0b6854(); }