var captchaWidgetmpFrm9c887fcab71b43679cffb0f30e647c72; var mpCurrentScriptmpFrm9c887fcab71b43679cffb0f30e647c72Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9c887fcab71b43679cffb0f30e647c72"; 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); }); } mpFormmpFrm9c887fcab71b43679cffb0f30e647c72Find(); } 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); mpFormmpFrm9c887fcab71b43679cffb0f30e647c72Find(); } })(); function mpFormmpFrm9c887fcab71b43679cffb0f30e647c72Find() { if(!mpCurrentScriptmpFrm9c887fcab71b43679cffb0f30e647c72Container) return; if (mpCurrentScriptmpFrm9c887fcab71b43679cffb0f30e647c72Container && mpCurrentScriptmpFrm9c887fcab71b43679cffb0f30e647c72Container.nodeName && mpCurrentScriptmpFrm9c887fcab71b43679cffb0f30e647c72Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9c887fcab71b43679cffb0f30e647c72" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9c887fcab71b43679cffb0f30e647c72Container.children).forEach(c => { if (c.id === "mpFrm9c887fcab71b43679cffb0f30e647c72") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9339bcfd6d034ad7b75e75bbc4e9f333Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9c887fcab71b43679cffb0f30e647c72"; } } } } function mpForm9339bcfd6d034ad7b75e75bbc4e9f333Check() { let checkBoxes = document.getElementById("mpform-9339bcfd6d034ad7b75e75bbc4e9f333").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 mpForm9339bcfd6d034ad7b75e75bbc4e9f333Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9339bcfd6d034ad7b75e75bbc4e9f333").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9339bcfd6d034ad7b75e75bbc4e9f333").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9339bcfd6d034ad7b75e75bbc4e9f333").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-9339bcfd6d034ad7b75e75bbc4e9f333')), 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: getTrackingId9339bcfd6d034ad7b75e75bbc4e9f333() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9339bcfd6d034ad7b75e75bbc4e9f333").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-9339bcfd6d034ad7b75e75bbc4e9f333").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) { mpForm9339bcfd6d034ad7b75e75bbc4e9f333Check(); 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-9339bcfd6d034ad7b75e75bbc4e9f333').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-9339bcfd6d034ad7b75e75bbc4e9f333").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-9339bcfd6d034ad7b75e75bbc4e9f333').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9c887fcab71b43679cffb0f30e647c72); } else { mpForm9339bcfd6d034ad7b75e75bbc4e9f333Check(); 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 mpmRecaptchaLoaded9339bcfd6d034ad7b75e75bbc4e9f333() { captchaWidgetmpFrm9c887fcab71b43679cffb0f30e647c72 = grecaptcha.render('mpmRecaptchampFrm9c887fcab71b43679cffb0f30e647c72', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9339bcfd6d034ad7b75e75bbc4e9f333() { 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 mpmFormInit9339bcfd6d034ad7b75e75bbc4e9f333 () { 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 finishedLoading9339bcfd6d034ad7b75e75bbc4e9f333() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9c887fcab71b43679cffb0f30e647c72'); if (!container) { mpFormmpFrm9c887fcab71b43679cffb0f30e647c72Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9c887fcab71b43679cffb0f30e647c72'); return setTimeout(finishedLoading9339bcfd6d034ad7b75e75bbc4e9f333, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9339bcfd6d034ad7b75e75bbc4e9f333").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9339bcfd6d034ad7b75e75bbc4e9f333").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-9339bcfd6d034ad7b75e75bbc4e9f333-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-9339bcfd6d034ad7b75e75bbc4e9f333-" + 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-9339bcfd6d034ad7b75e75bbc4e9f333").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-9339bcfd6d034ad7b75e75bbc4e9f333").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-9339bcfd6d034ad7b75e75bbc4e9f333").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=mpmRecaptchaLoaded9339bcfd6d034ad7b75e75bbc4e9f333&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9339bcfd6d034ad7b75e75bbc4e9f333() { let popups = document.getElementById("mpform-9339bcfd6d034ad7b75e75bbc4e9f333").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9339bcfd6d034ad7b75e75bbc4e9f333() { 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 () { finishedLoading9339bcfd6d034ad7b75e75bbc4e9f333(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9339bcfd6d034ad7b75e75bbc4e9f333(); } } 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); mploadTelInput9339bcfd6d034ad7b75e75bbc4e9f333(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9339bcfd6d034ad7b75e75bbc4e9f333(); } else { function waitForOtherFormsmpFrm9c887fcab71b43679cffb0f30e647c72() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9339bcfd6d034ad7b75e75bbc4e9f333(); } else { setTimeout(waitForOtherFormsmpFrm9c887fcab71b43679cffb0f30e647c72,300); } } waitForOtherFormsmpFrm9c887fcab71b43679cffb0f30e647c72(); }