var captchaWidgetmpFrm1b8bb5738f8342aa91924caf29fc7975; var mpCurrentScriptmpFrm1b8bb5738f8342aa91924caf29fc7975Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1b8bb5738f8342aa91924caf29fc7975"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm1b8bb5738f8342aa91924caf29fc7975Find(); } 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); mpFormmpFrm1b8bb5738f8342aa91924caf29fc7975Find(); } })(); function mpFormmpFrm1b8bb5738f8342aa91924caf29fc7975Find() { if(!mpCurrentScriptmpFrm1b8bb5738f8342aa91924caf29fc7975Container) return; if (mpCurrentScriptmpFrm1b8bb5738f8342aa91924caf29fc7975Container && mpCurrentScriptmpFrm1b8bb5738f8342aa91924caf29fc7975Container.nodeName && mpCurrentScriptmpFrm1b8bb5738f8342aa91924caf29fc7975Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1b8bb5738f8342aa91924caf29fc7975" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1b8bb5738f8342aa91924caf29fc7975Container.children).forEach(c => { if (c.id === "mpFrm1b8bb5738f8342aa91924caf29fc7975") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd2f50b6f51d54d678dc3eaa772d2804eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1b8bb5738f8342aa91924caf29fc7975"; } } } } function mpFormd2f50b6f51d54d678dc3eaa772d2804eCheck() { let checkBoxes = document.getElementById("mpform-d2f50b6f51d54d678dc3eaa772d2804e").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 mpFormd2f50b6f51d54d678dc3eaa772d2804eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d2f50b6f51d54d678dc3eaa772d2804e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d2f50b6f51d54d678dc3eaa772d2804e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d2f50b6f51d54d678dc3eaa772d2804e").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-d2f50b6f51d54d678dc3eaa772d2804e')), 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: getTrackingIdd2f50b6f51d54d678dc3eaa772d2804e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d2f50b6f51d54d678dc3eaa772d2804e").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-d2f50b6f51d54d678dc3eaa772d2804e").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormd2f50b6f51d54d678dc3eaa772d2804eCheck(); 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-d2f50b6f51d54d678dc3eaa772d2804e').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-d2f50b6f51d54d678dc3eaa772d2804e").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-d2f50b6f51d54d678dc3eaa772d2804e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1b8bb5738f8342aa91924caf29fc7975); } else { mpFormd2f50b6f51d54d678dc3eaa772d2804eCheck(); 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 mpmRecaptchaLoadedd2f50b6f51d54d678dc3eaa772d2804e() { captchaWidgetmpFrm1b8bb5738f8342aa91924caf29fc7975 = grecaptcha.render('mpmRecaptchampFrm1b8bb5738f8342aa91924caf29fc7975', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd2f50b6f51d54d678dc3eaa772d2804e() { 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 mpmFormInitd2f50b6f51d54d678dc3eaa772d2804e () { 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 finishedLoadingd2f50b6f51d54d678dc3eaa772d2804e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1b8bb5738f8342aa91924caf29fc7975'); if (!container) { mpFormmpFrm1b8bb5738f8342aa91924caf29fc7975Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1b8bb5738f8342aa91924caf29fc7975'); return setTimeout(finishedLoadingd2f50b6f51d54d678dc3eaa772d2804e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d2f50b6f51d54d678dc3eaa772d2804e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d2f50b6f51d54d678dc3eaa772d2804e").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-d2f50b6f51d54d678dc3eaa772d2804e").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-d2f50b6f51d54d678dc3eaa772d2804e").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-d2f50b6f51d54d678dc3eaa772d2804e").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=mpmRecaptchaLoadedd2f50b6f51d54d678dc3eaa772d2804e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd2f50b6f51d54d678dc3eaa772d2804e() { let popups = document.getElementById("mpform-d2f50b6f51d54d678dc3eaa772d2804e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd2f50b6f51d54d678dc3eaa772d2804e() { 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 () { finishedLoadingd2f50b6f51d54d678dc3eaa772d2804e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd2f50b6f51d54d678dc3eaa772d2804e(); } } 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); mploadTelInputd2f50b6f51d54d678dc3eaa772d2804e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd2f50b6f51d54d678dc3eaa772d2804e(); } else { function waitForOtherFormsmpFrm1b8bb5738f8342aa91924caf29fc7975() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd2f50b6f51d54d678dc3eaa772d2804e(); } else { setTimeout(waitForOtherFormsmpFrm1b8bb5738f8342aa91924caf29fc7975,300); } } waitForOtherFormsmpFrm1b8bb5738f8342aa91924caf29fc7975(); }