var captchaWidgetmpFrm7864a0d7d5864433afe2366d0ae47dee; var mpCurrentScriptmpFrm7864a0d7d5864433afe2366d0ae47deeContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7864a0d7d5864433afe2366d0ae47dee"; 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); mpFormmpFrm7864a0d7d5864433afe2366d0ae47deeFind(); } })(); function mpFormmpFrm7864a0d7d5864433afe2366d0ae47deeFind() { if(!mpCurrentScriptmpFrm7864a0d7d5864433afe2366d0ae47deeContainer) return; if (mpCurrentScriptmpFrm7864a0d7d5864433afe2366d0ae47deeContainer && mpCurrentScriptmpFrm7864a0d7d5864433afe2366d0ae47deeContainer.nodeName && mpCurrentScriptmpFrm7864a0d7d5864433afe2366d0ae47deeContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7864a0d7d5864433afe2366d0ae47dee" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7864a0d7d5864433afe2366d0ae47deeContainer.children).forEach(c => { if (c.id === "mpFrm7864a0d7d5864433afe2366d0ae47dee") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd1208c475e514e1f9f90896f715f1d22Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7864a0d7d5864433afe2366d0ae47dee"; } } } } function mpFormd1208c475e514e1f9f90896f715f1d22Check() { let checkBoxes = document.getElementById("mpform-d1208c475e514e1f9f90896f715f1d22").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 mpFormd1208c475e514e1f9f90896f715f1d22Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d1208c475e514e1f9f90896f715f1d22").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d1208c475e514e1f9f90896f715f1d22").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d1208c475e514e1f9f90896f715f1d22").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-d1208c475e514e1f9f90896f715f1d22')), 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: getTrackingIdd1208c475e514e1f9f90896f715f1d22() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d1208c475e514e1f9f90896f715f1d22").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-d1208c475e514e1f9f90896f715f1d22").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) { mpFormd1208c475e514e1f9f90896f715f1d22Check(); 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-d1208c475e514e1f9f90896f715f1d22').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-d1208c475e514e1f9f90896f715f1d22").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-d1208c475e514e1f9f90896f715f1d22').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7864a0d7d5864433afe2366d0ae47dee); } else { mpFormd1208c475e514e1f9f90896f715f1d22Check(); 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 mpmRecaptchaLoadedd1208c475e514e1f9f90896f715f1d22() { captchaWidgetmpFrm7864a0d7d5864433afe2366d0ae47dee = grecaptcha.render('mpmRecaptchampFrm7864a0d7d5864433afe2366d0ae47dee', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd1208c475e514e1f9f90896f715f1d22() { 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 mpmFormInitd1208c475e514e1f9f90896f715f1d22 () { 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 finishedLoadingd1208c475e514e1f9f90896f715f1d22() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7864a0d7d5864433afe2366d0ae47dee'); if (!container) { mpFormmpFrm7864a0d7d5864433afe2366d0ae47deeFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7864a0d7d5864433afe2366d0ae47dee'); return setTimeout(finishedLoadingd1208c475e514e1f9f90896f715f1d22, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d1208c475e514e1f9f90896f715f1d22").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d1208c475e514e1f9f90896f715f1d22").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-d1208c475e514e1f9f90896f715f1d22").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-d1208c475e514e1f9f90896f715f1d22").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-d1208c475e514e1f9f90896f715f1d22").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=mpmRecaptchaLoadedd1208c475e514e1f9f90896f715f1d22&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd1208c475e514e1f9f90896f715f1d22() { let popups = document.getElementById("mpform-d1208c475e514e1f9f90896f715f1d22").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd1208c475e514e1f9f90896f715f1d22() { 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 () { finishedLoadingd1208c475e514e1f9f90896f715f1d22(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd1208c475e514e1f9f90896f715f1d22(); } } 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); mploadTelInputd1208c475e514e1f9f90896f715f1d22(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd1208c475e514e1f9f90896f715f1d22(); } else { function waitForOtherFormsmpFrm7864a0d7d5864433afe2366d0ae47dee() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd1208c475e514e1f9f90896f715f1d22(); } else { setTimeout(waitForOtherFormsmpFrm7864a0d7d5864433afe2366d0ae47dee,300); } } waitForOtherFormsmpFrm7864a0d7d5864433afe2366d0ae47dee(); }