var captchaWidgetmpFrm92b4479506a34c9b8bbe21c02233172b; var mpCurrentScriptmpFrm92b4479506a34c9b8bbe21c02233172bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm92b4479506a34c9b8bbe21c02233172b"; 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); mpFormmpFrm92b4479506a34c9b8bbe21c02233172bFind(); } })(); function mpFormmpFrm92b4479506a34c9b8bbe21c02233172bFind() { if(!mpCurrentScriptmpFrm92b4479506a34c9b8bbe21c02233172bContainer) return; if (mpCurrentScriptmpFrm92b4479506a34c9b8bbe21c02233172bContainer && mpCurrentScriptmpFrm92b4479506a34c9b8bbe21c02233172bContainer.nodeName && mpCurrentScriptmpFrm92b4479506a34c9b8bbe21c02233172bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm92b4479506a34c9b8bbe21c02233172b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm92b4479506a34c9b8bbe21c02233172bContainer.children).forEach(c => { if (c.id === "mpFrm92b4479506a34c9b8bbe21c02233172b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptcab4dbf36f7a422292e96c24f263e768Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm92b4479506a34c9b8bbe21c02233172b"; } } } } function mpFormcab4dbf36f7a422292e96c24f263e768Check() { let checkBoxes = document.getElementById("mpform-cab4dbf36f7a422292e96c24f263e768").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 mpFormcab4dbf36f7a422292e96c24f263e768Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-cab4dbf36f7a422292e96c24f263e768").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-cab4dbf36f7a422292e96c24f263e768").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-cab4dbf36f7a422292e96c24f263e768").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-cab4dbf36f7a422292e96c24f263e768')), 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: getTrackingIdcab4dbf36f7a422292e96c24f263e768() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-cab4dbf36f7a422292e96c24f263e768").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-cab4dbf36f7a422292e96c24f263e768").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) { mpFormcab4dbf36f7a422292e96c24f263e768Check(); 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-cab4dbf36f7a422292e96c24f263e768').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-cab4dbf36f7a422292e96c24f263e768").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-cab4dbf36f7a422292e96c24f263e768').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm92b4479506a34c9b8bbe21c02233172b); } else { mpFormcab4dbf36f7a422292e96c24f263e768Check(); 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 mpmRecaptchaLoadedcab4dbf36f7a422292e96c24f263e768() { captchaWidgetmpFrm92b4479506a34c9b8bbe21c02233172b = grecaptcha.render('mpmRecaptchampFrm92b4479506a34c9b8bbe21c02233172b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdcab4dbf36f7a422292e96c24f263e768() { 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 mpmFormInitcab4dbf36f7a422292e96c24f263e768 () { 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 finishedLoadingcab4dbf36f7a422292e96c24f263e768() { window.mpFormLoading = false; let container = document.getElementById('mpFrm92b4479506a34c9b8bbe21c02233172b'); if (!container) { mpFormmpFrm92b4479506a34c9b8bbe21c02233172bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm92b4479506a34c9b8bbe21c02233172b'); return setTimeout(finishedLoadingcab4dbf36f7a422292e96c24f263e768, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-cab4dbf36f7a422292e96c24f263e768").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-cab4dbf36f7a422292e96c24f263e768").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-cab4dbf36f7a422292e96c24f263e768").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-cab4dbf36f7a422292e96c24f263e768").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-cab4dbf36f7a422292e96c24f263e768").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=mpmRecaptchaLoadedcab4dbf36f7a422292e96c24f263e768&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupcab4dbf36f7a422292e96c24f263e768() { let popups = document.getElementById("mpform-cab4dbf36f7a422292e96c24f263e768").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputcab4dbf36f7a422292e96c24f263e768() { 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 () { finishedLoadingcab4dbf36f7a422292e96c24f263e768(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingcab4dbf36f7a422292e96c24f263e768(); } } 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); mploadTelInputcab4dbf36f7a422292e96c24f263e768(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitcab4dbf36f7a422292e96c24f263e768(); } else { function waitForOtherFormsmpFrm92b4479506a34c9b8bbe21c02233172b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitcab4dbf36f7a422292e96c24f263e768(); } else { setTimeout(waitForOtherFormsmpFrm92b4479506a34c9b8bbe21c02233172b,300); } } waitForOtherFormsmpFrm92b4479506a34c9b8bbe21c02233172b(); }