var captchaWidgetmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8; var mpCurrentScriptmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm8b0f693b1c8c42fb89a6ccbafda28dd8"; 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); mpFormmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8Find(); } })(); function mpFormmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8Find() { if(!mpCurrentScriptmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8Container) return; if (mpCurrentScriptmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8Container && mpCurrentScriptmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8Container.nodeName && mpCurrentScriptmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm8b0f693b1c8c42fb89a6ccbafda28dd8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8Container.children).forEach(c => { if (c.id === "mpFrm8b0f693b1c8c42fb89a6ccbafda28dd8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta54f67277a0f4d00a280179c56f83d85Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm8b0f693b1c8c42fb89a6ccbafda28dd8"; } } } } function mpForma54f67277a0f4d00a280179c56f83d85Check() { let checkBoxes = document.getElementById("mpform-a54f67277a0f4d00a280179c56f83d85").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 mpForma54f67277a0f4d00a280179c56f83d85Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a54f67277a0f4d00a280179c56f83d85").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a54f67277a0f4d00a280179c56f83d85").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a54f67277a0f4d00a280179c56f83d85").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-a54f67277a0f4d00a280179c56f83d85')), 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: getTrackingIda54f67277a0f4d00a280179c56f83d85() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a54f67277a0f4d00a280179c56f83d85").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-a54f67277a0f4d00a280179c56f83d85").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) { mpForma54f67277a0f4d00a280179c56f83d85Check(); 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-a54f67277a0f4d00a280179c56f83d85').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-a54f67277a0f4d00a280179c56f83d85").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-a54f67277a0f4d00a280179c56f83d85').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8); } else { mpForma54f67277a0f4d00a280179c56f83d85Check(); 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 mpmRecaptchaLoadeda54f67277a0f4d00a280179c56f83d85() { captchaWidgetmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8 = grecaptcha.render('mpmRecaptchampFrm8b0f693b1c8c42fb89a6ccbafda28dd8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda54f67277a0f4d00a280179c56f83d85() { 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 mpmFormInita54f67277a0f4d00a280179c56f83d85 () { 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 finishedLoadinga54f67277a0f4d00a280179c56f83d85() { window.mpFormLoading = false; let container = document.getElementById('mpFrm8b0f693b1c8c42fb89a6ccbafda28dd8'); if (!container) { mpFormmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm8b0f693b1c8c42fb89a6ccbafda28dd8'); return setTimeout(finishedLoadinga54f67277a0f4d00a280179c56f83d85, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a54f67277a0f4d00a280179c56f83d85").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a54f67277a0f4d00a280179c56f83d85").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-a54f67277a0f4d00a280179c56f83d85").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-a54f67277a0f4d00a280179c56f83d85").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-a54f67277a0f4d00a280179c56f83d85").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=mpmRecaptchaLoadeda54f67277a0f4d00a280179c56f83d85&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa54f67277a0f4d00a280179c56f83d85() { let popups = document.getElementById("mpform-a54f67277a0f4d00a280179c56f83d85").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa54f67277a0f4d00a280179c56f83d85() { 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 () { finishedLoadinga54f67277a0f4d00a280179c56f83d85(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga54f67277a0f4d00a280179c56f83d85(); } } 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); mploadTelInputa54f67277a0f4d00a280179c56f83d85(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita54f67277a0f4d00a280179c56f83d85(); } else { function waitForOtherFormsmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita54f67277a0f4d00a280179c56f83d85(); } else { setTimeout(waitForOtherFormsmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8,300); } } waitForOtherFormsmpFrm8b0f693b1c8c42fb89a6ccbafda28dd8(); }