var captchaWidgetmpFrm29454fc74f3d444b8709cc271a56b46a; var mpCurrentScriptmpFrm29454fc74f3d444b8709cc271a56b46aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm29454fc74f3d444b8709cc271a56b46a"; 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); }); } mpFormmpFrm29454fc74f3d444b8709cc271a56b46aFind(); } 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); mpFormmpFrm29454fc74f3d444b8709cc271a56b46aFind(); } })(); function mpFormmpFrm29454fc74f3d444b8709cc271a56b46aFind() { if(!mpCurrentScriptmpFrm29454fc74f3d444b8709cc271a56b46aContainer) return; if (mpCurrentScriptmpFrm29454fc74f3d444b8709cc271a56b46aContainer && mpCurrentScriptmpFrm29454fc74f3d444b8709cc271a56b46aContainer.nodeName && mpCurrentScriptmpFrm29454fc74f3d444b8709cc271a56b46aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm29454fc74f3d444b8709cc271a56b46a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm29454fc74f3d444b8709cc271a56b46aContainer.children).forEach(c => { if (c.id === "mpFrm29454fc74f3d444b8709cc271a56b46a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6d0a34affd1e47a38612a87ec243bf02Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm29454fc74f3d444b8709cc271a56b46a"; } } } } function mpForm6d0a34affd1e47a38612a87ec243bf02Check() { let checkBoxes = document.getElementById("mpform-6d0a34affd1e47a38612a87ec243bf02").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 mpForm6d0a34affd1e47a38612a87ec243bf02Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6d0a34affd1e47a38612a87ec243bf02").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6d0a34affd1e47a38612a87ec243bf02").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6d0a34affd1e47a38612a87ec243bf02").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-6d0a34affd1e47a38612a87ec243bf02')), 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: getTrackingId6d0a34affd1e47a38612a87ec243bf02() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6d0a34affd1e47a38612a87ec243bf02").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-6d0a34affd1e47a38612a87ec243bf02").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) { mpForm6d0a34affd1e47a38612a87ec243bf02Check(); 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-6d0a34affd1e47a38612a87ec243bf02').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-6d0a34affd1e47a38612a87ec243bf02").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-6d0a34affd1e47a38612a87ec243bf02').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm29454fc74f3d444b8709cc271a56b46a); } else { mpForm6d0a34affd1e47a38612a87ec243bf02Check(); 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 mpmRecaptchaLoaded6d0a34affd1e47a38612a87ec243bf02() { captchaWidgetmpFrm29454fc74f3d444b8709cc271a56b46a = grecaptcha.render('mpmRecaptchampFrm29454fc74f3d444b8709cc271a56b46a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6d0a34affd1e47a38612a87ec243bf02() { 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 mpmFormInit6d0a34affd1e47a38612a87ec243bf02 () { 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 finishedLoading6d0a34affd1e47a38612a87ec243bf02() { window.mpFormLoading = false; let container = document.getElementById('mpFrm29454fc74f3d444b8709cc271a56b46a'); if (!container) { mpFormmpFrm29454fc74f3d444b8709cc271a56b46aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm29454fc74f3d444b8709cc271a56b46a'); return setTimeout(finishedLoading6d0a34affd1e47a38612a87ec243bf02, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6d0a34affd1e47a38612a87ec243bf02").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6d0a34affd1e47a38612a87ec243bf02").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-6d0a34affd1e47a38612a87ec243bf02").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-6d0a34affd1e47a38612a87ec243bf02").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-6d0a34affd1e47a38612a87ec243bf02").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=mpmRecaptchaLoaded6d0a34affd1e47a38612a87ec243bf02&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6d0a34affd1e47a38612a87ec243bf02() { let popups = document.getElementById("mpform-6d0a34affd1e47a38612a87ec243bf02").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6d0a34affd1e47a38612a87ec243bf02() { 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 () { finishedLoading6d0a34affd1e47a38612a87ec243bf02(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6d0a34affd1e47a38612a87ec243bf02(); } } 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); mploadTelInput6d0a34affd1e47a38612a87ec243bf02(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6d0a34affd1e47a38612a87ec243bf02(); } else { function waitForOtherFormsmpFrm29454fc74f3d444b8709cc271a56b46a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6d0a34affd1e47a38612a87ec243bf02(); } else { setTimeout(waitForOtherFormsmpFrm29454fc74f3d444b8709cc271a56b46a,300); } } waitForOtherFormsmpFrm29454fc74f3d444b8709cc271a56b46a(); }