var captchaWidgetmpFrm06801482b603411181ab93d6568155c2; var mpCurrentScriptmpFrm06801482b603411181ab93d6568155c2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm06801482b603411181ab93d6568155c2"; 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); }); } mpFormmpFrm06801482b603411181ab93d6568155c2Find(); } 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); mpFormmpFrm06801482b603411181ab93d6568155c2Find(); } })(); function mpFormmpFrm06801482b603411181ab93d6568155c2Find() { if(!mpCurrentScriptmpFrm06801482b603411181ab93d6568155c2Container) return; if (mpCurrentScriptmpFrm06801482b603411181ab93d6568155c2Container && mpCurrentScriptmpFrm06801482b603411181ab93d6568155c2Container.nodeName && mpCurrentScriptmpFrm06801482b603411181ab93d6568155c2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm06801482b603411181ab93d6568155c2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm06801482b603411181ab93d6568155c2Container.children).forEach(c => { if (c.id === "mpFrm06801482b603411181ab93d6568155c2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript95508d8ea77b404187c1428a9a09c17aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm06801482b603411181ab93d6568155c2"; } } } } function mpForm95508d8ea77b404187c1428a9a09c17aCheck() { let checkBoxes = document.getElementById("mpform-95508d8ea77b404187c1428a9a09c17a").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 mpForm95508d8ea77b404187c1428a9a09c17aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-95508d8ea77b404187c1428a9a09c17a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-95508d8ea77b404187c1428a9a09c17a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-95508d8ea77b404187c1428a9a09c17a").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-95508d8ea77b404187c1428a9a09c17a')), 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: getTrackingId95508d8ea77b404187c1428a9a09c17a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-95508d8ea77b404187c1428a9a09c17a").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-95508d8ea77b404187c1428a9a09c17a").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) { mpForm95508d8ea77b404187c1428a9a09c17aCheck(); 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-95508d8ea77b404187c1428a9a09c17a').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-95508d8ea77b404187c1428a9a09c17a").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-95508d8ea77b404187c1428a9a09c17a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm06801482b603411181ab93d6568155c2); } else { mpForm95508d8ea77b404187c1428a9a09c17aCheck(); 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 mpmRecaptchaLoaded95508d8ea77b404187c1428a9a09c17a() { captchaWidgetmpFrm06801482b603411181ab93d6568155c2 = grecaptcha.render('mpmRecaptchampFrm06801482b603411181ab93d6568155c2', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId95508d8ea77b404187c1428a9a09c17a() { 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 mpmFormInit95508d8ea77b404187c1428a9a09c17a () { 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 finishedLoading95508d8ea77b404187c1428a9a09c17a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm06801482b603411181ab93d6568155c2'); if (!container) { mpFormmpFrm06801482b603411181ab93d6568155c2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm06801482b603411181ab93d6568155c2'); return setTimeout(finishedLoading95508d8ea77b404187c1428a9a09c17a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-95508d8ea77b404187c1428a9a09c17a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-95508d8ea77b404187c1428a9a09c17a").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-95508d8ea77b404187c1428a9a09c17a-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-95508d8ea77b404187c1428a9a09c17a-" + 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-95508d8ea77b404187c1428a9a09c17a").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-95508d8ea77b404187c1428a9a09c17a").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-95508d8ea77b404187c1428a9a09c17a").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=mpmRecaptchaLoaded95508d8ea77b404187c1428a9a09c17a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup95508d8ea77b404187c1428a9a09c17a() { let popups = document.getElementById("mpform-95508d8ea77b404187c1428a9a09c17a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput95508d8ea77b404187c1428a9a09c17a() { 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 () { finishedLoading95508d8ea77b404187c1428a9a09c17a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading95508d8ea77b404187c1428a9a09c17a(); } } 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); mploadTelInput95508d8ea77b404187c1428a9a09c17a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit95508d8ea77b404187c1428a9a09c17a(); } else { function waitForOtherFormsmpFrm06801482b603411181ab93d6568155c2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit95508d8ea77b404187c1428a9a09c17a(); } else { setTimeout(waitForOtherFormsmpFrm06801482b603411181ab93d6568155c2,300); } } waitForOtherFormsmpFrm06801482b603411181ab93d6568155c2(); }