var captchaWidgetmpFrmf53c6eb8c4264a3eacf87ae8eccd26cf; var mpCurrentScriptmpFrmf53c6eb8c4264a3eacf87ae8eccd26cfContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf53c6eb8c4264a3eacf87ae8eccd26cf"; 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); mpFormmpFrmf53c6eb8c4264a3eacf87ae8eccd26cfFind(); } })(); function mpFormmpFrmf53c6eb8c4264a3eacf87ae8eccd26cfFind() { if(!mpCurrentScriptmpFrmf53c6eb8c4264a3eacf87ae8eccd26cfContainer) return; if (mpCurrentScriptmpFrmf53c6eb8c4264a3eacf87ae8eccd26cfContainer && mpCurrentScriptmpFrmf53c6eb8c4264a3eacf87ae8eccd26cfContainer.nodeName && mpCurrentScriptmpFrmf53c6eb8c4264a3eacf87ae8eccd26cfContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf53c6eb8c4264a3eacf87ae8eccd26cf" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf53c6eb8c4264a3eacf87ae8eccd26cfContainer.children).forEach(c => { if (c.id === "mpFrmf53c6eb8c4264a3eacf87ae8eccd26cf") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript76872505b9724cdfa52f5de58adfa539Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf53c6eb8c4264a3eacf87ae8eccd26cf"; } } } } function mpForm76872505b9724cdfa52f5de58adfa539Check() { let checkBoxes = document.getElementById("mpform-76872505b9724cdfa52f5de58adfa539").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 mpForm76872505b9724cdfa52f5de58adfa539Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-76872505b9724cdfa52f5de58adfa539").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-76872505b9724cdfa52f5de58adfa539").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-76872505b9724cdfa52f5de58adfa539").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-76872505b9724cdfa52f5de58adfa539')), 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: getTrackingId76872505b9724cdfa52f5de58adfa539() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-76872505b9724cdfa52f5de58adfa539").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-76872505b9724cdfa52f5de58adfa539").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) { mpForm76872505b9724cdfa52f5de58adfa539Check(); 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-76872505b9724cdfa52f5de58adfa539').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-76872505b9724cdfa52f5de58adfa539").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-76872505b9724cdfa52f5de58adfa539').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf53c6eb8c4264a3eacf87ae8eccd26cf); } else { mpForm76872505b9724cdfa52f5de58adfa539Check(); 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 mpmRecaptchaLoaded76872505b9724cdfa52f5de58adfa539() { captchaWidgetmpFrmf53c6eb8c4264a3eacf87ae8eccd26cf = grecaptcha.render('mpmRecaptchampFrmf53c6eb8c4264a3eacf87ae8eccd26cf', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId76872505b9724cdfa52f5de58adfa539() { 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 mpmFormInit76872505b9724cdfa52f5de58adfa539 () { 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 finishedLoading76872505b9724cdfa52f5de58adfa539() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf53c6eb8c4264a3eacf87ae8eccd26cf'); if (!container) { mpFormmpFrmf53c6eb8c4264a3eacf87ae8eccd26cfFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf53c6eb8c4264a3eacf87ae8eccd26cf'); return setTimeout(finishedLoading76872505b9724cdfa52f5de58adfa539, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-76872505b9724cdfa52f5de58adfa539").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-76872505b9724cdfa52f5de58adfa539").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-76872505b9724cdfa52f5de58adfa539").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-76872505b9724cdfa52f5de58adfa539").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-76872505b9724cdfa52f5de58adfa539").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=mpmRecaptchaLoaded76872505b9724cdfa52f5de58adfa539&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup76872505b9724cdfa52f5de58adfa539() { let popups = document.getElementById("mpform-76872505b9724cdfa52f5de58adfa539").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput76872505b9724cdfa52f5de58adfa539() { 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 () { finishedLoading76872505b9724cdfa52f5de58adfa539(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading76872505b9724cdfa52f5de58adfa539(); } } 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); mploadTelInput76872505b9724cdfa52f5de58adfa539(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit76872505b9724cdfa52f5de58adfa539(); } else { function waitForOtherFormsmpFrmf53c6eb8c4264a3eacf87ae8eccd26cf() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit76872505b9724cdfa52f5de58adfa539(); } else { setTimeout(waitForOtherFormsmpFrmf53c6eb8c4264a3eacf87ae8eccd26cf,300); } } waitForOtherFormsmpFrmf53c6eb8c4264a3eacf87ae8eccd26cf(); }