var captchaWidgetmpFrm7e8ff8a14bd64255aa3947a350998314; var mpCurrentScriptmpFrm7e8ff8a14bd64255aa3947a350998314Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7e8ff8a14bd64255aa3947a350998314"; 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); }); } mpFormmpFrm7e8ff8a14bd64255aa3947a350998314Find(); } 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); mpFormmpFrm7e8ff8a14bd64255aa3947a350998314Find(); } })(); function mpFormmpFrm7e8ff8a14bd64255aa3947a350998314Find() { if(!mpCurrentScriptmpFrm7e8ff8a14bd64255aa3947a350998314Container) return; if (mpCurrentScriptmpFrm7e8ff8a14bd64255aa3947a350998314Container && mpCurrentScriptmpFrm7e8ff8a14bd64255aa3947a350998314Container.nodeName && mpCurrentScriptmpFrm7e8ff8a14bd64255aa3947a350998314Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7e8ff8a14bd64255aa3947a350998314" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7e8ff8a14bd64255aa3947a350998314Container.children).forEach(c => { if (c.id === "mpFrm7e8ff8a14bd64255aa3947a350998314") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptba0879b35cf8473c8c353b8986658d0fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7e8ff8a14bd64255aa3947a350998314"; } } } } function mpFormba0879b35cf8473c8c353b8986658d0fCheck() { let checkBoxes = document.getElementById("mpform-ba0879b35cf8473c8c353b8986658d0f").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 mpFormba0879b35cf8473c8c353b8986658d0fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ba0879b35cf8473c8c353b8986658d0f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ba0879b35cf8473c8c353b8986658d0f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ba0879b35cf8473c8c353b8986658d0f").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-ba0879b35cf8473c8c353b8986658d0f')), 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: getTrackingIdba0879b35cf8473c8c353b8986658d0f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ba0879b35cf8473c8c353b8986658d0f").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-ba0879b35cf8473c8c353b8986658d0f").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) { mpFormba0879b35cf8473c8c353b8986658d0fCheck(); 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-ba0879b35cf8473c8c353b8986658d0f').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-ba0879b35cf8473c8c353b8986658d0f").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-ba0879b35cf8473c8c353b8986658d0f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7e8ff8a14bd64255aa3947a350998314); } else { mpFormba0879b35cf8473c8c353b8986658d0fCheck(); 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 mpmRecaptchaLoadedba0879b35cf8473c8c353b8986658d0f() { captchaWidgetmpFrm7e8ff8a14bd64255aa3947a350998314 = grecaptcha.render('mpmRecaptchampFrm7e8ff8a14bd64255aa3947a350998314', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdba0879b35cf8473c8c353b8986658d0f() { 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 mpmFormInitba0879b35cf8473c8c353b8986658d0f () { 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 finishedLoadingba0879b35cf8473c8c353b8986658d0f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7e8ff8a14bd64255aa3947a350998314'); if (!container) { mpFormmpFrm7e8ff8a14bd64255aa3947a350998314Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7e8ff8a14bd64255aa3947a350998314'); return setTimeout(finishedLoadingba0879b35cf8473c8c353b8986658d0f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ba0879b35cf8473c8c353b8986658d0f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ba0879b35cf8473c8c353b8986658d0f").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-ba0879b35cf8473c8c353b8986658d0f-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-ba0879b35cf8473c8c353b8986658d0f-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-ba0879b35cf8473c8c353b8986658d0f").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-ba0879b35cf8473c8c353b8986658d0f").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-ba0879b35cf8473c8c353b8986658d0f").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=mpmRecaptchaLoadedba0879b35cf8473c8c353b8986658d0f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupba0879b35cf8473c8c353b8986658d0f() { let popups = document.getElementById("mpform-ba0879b35cf8473c8c353b8986658d0f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputba0879b35cf8473c8c353b8986658d0f() { 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 () { finishedLoadingba0879b35cf8473c8c353b8986658d0f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingba0879b35cf8473c8c353b8986658d0f(); } } 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); mploadTelInputba0879b35cf8473c8c353b8986658d0f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitba0879b35cf8473c8c353b8986658d0f(); } else { function waitForOtherFormsmpFrm7e8ff8a14bd64255aa3947a350998314() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitba0879b35cf8473c8c353b8986658d0f(); } else { setTimeout(waitForOtherFormsmpFrm7e8ff8a14bd64255aa3947a350998314,300); } } waitForOtherFormsmpFrm7e8ff8a14bd64255aa3947a350998314(); }