var captchaWidgetmpFrmcd12a4262cfb449c8fb45ba410d9b1cc; var mpCurrentScriptmpFrmcd12a4262cfb449c8fb45ba410d9b1ccContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmcd12a4262cfb449c8fb45ba410d9b1cc"; 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); mpFormmpFrmcd12a4262cfb449c8fb45ba410d9b1ccFind(); } })(); function mpFormmpFrmcd12a4262cfb449c8fb45ba410d9b1ccFind() { if(!mpCurrentScriptmpFrmcd12a4262cfb449c8fb45ba410d9b1ccContainer) return; if (mpCurrentScriptmpFrmcd12a4262cfb449c8fb45ba410d9b1ccContainer && mpCurrentScriptmpFrmcd12a4262cfb449c8fb45ba410d9b1ccContainer.nodeName && mpCurrentScriptmpFrmcd12a4262cfb449c8fb45ba410d9b1ccContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmcd12a4262cfb449c8fb45ba410d9b1cc" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmcd12a4262cfb449c8fb45ba410d9b1ccContainer.children).forEach(c => { if (c.id === "mpFrmcd12a4262cfb449c8fb45ba410d9b1cc") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd3ab1a5411d748289b568bbe4d6011d5Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmcd12a4262cfb449c8fb45ba410d9b1cc"; } } } } function mpFormd3ab1a5411d748289b568bbe4d6011d5Check() { let checkBoxes = document.getElementById("mpform-d3ab1a5411d748289b568bbe4d6011d5").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 mpFormd3ab1a5411d748289b568bbe4d6011d5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d3ab1a5411d748289b568bbe4d6011d5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d3ab1a5411d748289b568bbe4d6011d5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d3ab1a5411d748289b568bbe4d6011d5").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-d3ab1a5411d748289b568bbe4d6011d5')), 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: getTrackingIdd3ab1a5411d748289b568bbe4d6011d5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d3ab1a5411d748289b568bbe4d6011d5").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-d3ab1a5411d748289b568bbe4d6011d5").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) { mpFormd3ab1a5411d748289b568bbe4d6011d5Check(); 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-d3ab1a5411d748289b568bbe4d6011d5').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-d3ab1a5411d748289b568bbe4d6011d5").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-d3ab1a5411d748289b568bbe4d6011d5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmcd12a4262cfb449c8fb45ba410d9b1cc); } else { mpFormd3ab1a5411d748289b568bbe4d6011d5Check(); 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 mpmRecaptchaLoadedd3ab1a5411d748289b568bbe4d6011d5() { captchaWidgetmpFrmcd12a4262cfb449c8fb45ba410d9b1cc = grecaptcha.render('mpmRecaptchampFrmcd12a4262cfb449c8fb45ba410d9b1cc', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd3ab1a5411d748289b568bbe4d6011d5() { 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 mpmFormInitd3ab1a5411d748289b568bbe4d6011d5 () { 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 finishedLoadingd3ab1a5411d748289b568bbe4d6011d5() { window.mpFormLoading = false; let container = document.getElementById('mpFrmcd12a4262cfb449c8fb45ba410d9b1cc'); if (!container) { mpFormmpFrmcd12a4262cfb449c8fb45ba410d9b1ccFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmcd12a4262cfb449c8fb45ba410d9b1cc'); return setTimeout(finishedLoadingd3ab1a5411d748289b568bbe4d6011d5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d3ab1a5411d748289b568bbe4d6011d5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d3ab1a5411d748289b568bbe4d6011d5").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-d3ab1a5411d748289b568bbe4d6011d5").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-d3ab1a5411d748289b568bbe4d6011d5").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-d3ab1a5411d748289b568bbe4d6011d5").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=mpmRecaptchaLoadedd3ab1a5411d748289b568bbe4d6011d5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd3ab1a5411d748289b568bbe4d6011d5() { let popups = document.getElementById("mpform-d3ab1a5411d748289b568bbe4d6011d5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd3ab1a5411d748289b568bbe4d6011d5() { 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 () { finishedLoadingd3ab1a5411d748289b568bbe4d6011d5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd3ab1a5411d748289b568bbe4d6011d5(); } } 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); mploadTelInputd3ab1a5411d748289b568bbe4d6011d5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd3ab1a5411d748289b568bbe4d6011d5(); } else { function waitForOtherFormsmpFrmcd12a4262cfb449c8fb45ba410d9b1cc() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd3ab1a5411d748289b568bbe4d6011d5(); } else { setTimeout(waitForOtherFormsmpFrmcd12a4262cfb449c8fb45ba410d9b1cc,300); } } waitForOtherFormsmpFrmcd12a4262cfb449c8fb45ba410d9b1cc(); }