var captchaWidgetmpFrmbf965250912a4d68955b6cf6b375793e; var mpCurrentScriptmpFrmbf965250912a4d68955b6cf6b375793eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbf965250912a4d68955b6cf6b375793e"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrmbf965250912a4d68955b6cf6b375793eFind(); } })(); function mpFormmpFrmbf965250912a4d68955b6cf6b375793eFind() { if(!mpCurrentScriptmpFrmbf965250912a4d68955b6cf6b375793eContainer) return; if (mpCurrentScriptmpFrmbf965250912a4d68955b6cf6b375793eContainer && mpCurrentScriptmpFrmbf965250912a4d68955b6cf6b375793eContainer.nodeName && mpCurrentScriptmpFrmbf965250912a4d68955b6cf6b375793eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbf965250912a4d68955b6cf6b375793e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbf965250912a4d68955b6cf6b375793eContainer.children).forEach(c => { if (c.id === "mpFrmbf965250912a4d68955b6cf6b375793e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf1216874c61642adb11a70b8d250ffc4Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbf965250912a4d68955b6cf6b375793e"; } } } } function mpFormf1216874c61642adb11a70b8d250ffc4Check() { let checkBoxes = document.getElementById("mpform-f1216874c61642adb11a70b8d250ffc4").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 mpFormf1216874c61642adb11a70b8d250ffc4Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f1216874c61642adb11a70b8d250ffc4").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f1216874c61642adb11a70b8d250ffc4").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f1216874c61642adb11a70b8d250ffc4").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-f1216874c61642adb11a70b8d250ffc4')), 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: getTrackingIdf1216874c61642adb11a70b8d250ffc4() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f1216874c61642adb11a70b8d250ffc4").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-f1216874c61642adb11a70b8d250ffc4").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) { mpFormf1216874c61642adb11a70b8d250ffc4Check(); 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-f1216874c61642adb11a70b8d250ffc4').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-f1216874c61642adb11a70b8d250ffc4").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-f1216874c61642adb11a70b8d250ffc4').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbf965250912a4d68955b6cf6b375793e); } else { mpFormf1216874c61642adb11a70b8d250ffc4Check(); 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 mpmRecaptchaLoadedf1216874c61642adb11a70b8d250ffc4() { captchaWidgetmpFrmbf965250912a4d68955b6cf6b375793e = grecaptcha.render('mpmRecaptchampFrmbf965250912a4d68955b6cf6b375793e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf1216874c61642adb11a70b8d250ffc4() { 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 mpmFormInitf1216874c61642adb11a70b8d250ffc4 () { 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 finishedLoadingf1216874c61642adb11a70b8d250ffc4() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbf965250912a4d68955b6cf6b375793e'); if (!container) { mpFormmpFrmbf965250912a4d68955b6cf6b375793eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbf965250912a4d68955b6cf6b375793e'); return setTimeout(finishedLoadingf1216874c61642adb11a70b8d250ffc4, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f1216874c61642adb11a70b8d250ffc4").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f1216874c61642adb11a70b8d250ffc4").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-f1216874c61642adb11a70b8d250ffc4").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-f1216874c61642adb11a70b8d250ffc4").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-f1216874c61642adb11a70b8d250ffc4").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=mpmRecaptchaLoadedf1216874c61642adb11a70b8d250ffc4&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf1216874c61642adb11a70b8d250ffc4() { let popups = document.getElementById("mpform-f1216874c61642adb11a70b8d250ffc4").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf1216874c61642adb11a70b8d250ffc4() { 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 () { finishedLoadingf1216874c61642adb11a70b8d250ffc4(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf1216874c61642adb11a70b8d250ffc4(); } } 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); mploadTelInputf1216874c61642adb11a70b8d250ffc4(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf1216874c61642adb11a70b8d250ffc4(); } else { function waitForOtherFormsmpFrmbf965250912a4d68955b6cf6b375793e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf1216874c61642adb11a70b8d250ffc4(); } else { setTimeout(waitForOtherFormsmpFrmbf965250912a4d68955b6cf6b375793e,300); } } waitForOtherFormsmpFrmbf965250912a4d68955b6cf6b375793e(); }