var captchaWidgetmpFrm40abc1926813496aaef6c48e095431a7; var mpCurrentScriptmpFrm40abc1926813496aaef6c48e095431a7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm40abc1926813496aaef6c48e095431a7"; 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); }); } mpFormmpFrm40abc1926813496aaef6c48e095431a7Find(); } 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); mpFormmpFrm40abc1926813496aaef6c48e095431a7Find(); } })(); function mpFormmpFrm40abc1926813496aaef6c48e095431a7Find() { if(!mpCurrentScriptmpFrm40abc1926813496aaef6c48e095431a7Container) return; if (mpCurrentScriptmpFrm40abc1926813496aaef6c48e095431a7Container && mpCurrentScriptmpFrm40abc1926813496aaef6c48e095431a7Container.nodeName && mpCurrentScriptmpFrm40abc1926813496aaef6c48e095431a7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm40abc1926813496aaef6c48e095431a7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm40abc1926813496aaef6c48e095431a7Container.children).forEach(c => { if (c.id === "mpFrm40abc1926813496aaef6c48e095431a7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2682a6c69fbf4ac4b63328986bec5989Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm40abc1926813496aaef6c48e095431a7"; } } } } function mpForm2682a6c69fbf4ac4b63328986bec5989Check() { let checkBoxes = document.getElementById("mpform-2682a6c69fbf4ac4b63328986bec5989").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 mpForm2682a6c69fbf4ac4b63328986bec5989Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2682a6c69fbf4ac4b63328986bec5989").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2682a6c69fbf4ac4b63328986bec5989").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2682a6c69fbf4ac4b63328986bec5989").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-2682a6c69fbf4ac4b63328986bec5989')), 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: getTrackingId2682a6c69fbf4ac4b63328986bec5989() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2682a6c69fbf4ac4b63328986bec5989").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-2682a6c69fbf4ac4b63328986bec5989").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) { mpForm2682a6c69fbf4ac4b63328986bec5989Check(); 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-2682a6c69fbf4ac4b63328986bec5989').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-2682a6c69fbf4ac4b63328986bec5989").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-2682a6c69fbf4ac4b63328986bec5989').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm40abc1926813496aaef6c48e095431a7); } else { mpForm2682a6c69fbf4ac4b63328986bec5989Check(); 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 mpmRecaptchaLoaded2682a6c69fbf4ac4b63328986bec5989() { captchaWidgetmpFrm40abc1926813496aaef6c48e095431a7 = grecaptcha.render('mpmRecaptchampFrm40abc1926813496aaef6c48e095431a7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2682a6c69fbf4ac4b63328986bec5989() { 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 mpmFormInit2682a6c69fbf4ac4b63328986bec5989 () { 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 finishedLoading2682a6c69fbf4ac4b63328986bec5989() { window.mpFormLoading = false; let container = document.getElementById('mpFrm40abc1926813496aaef6c48e095431a7'); if (!container) { mpFormmpFrm40abc1926813496aaef6c48e095431a7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm40abc1926813496aaef6c48e095431a7'); return setTimeout(finishedLoading2682a6c69fbf4ac4b63328986bec5989, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2682a6c69fbf4ac4b63328986bec5989").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2682a6c69fbf4ac4b63328986bec5989").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-2682a6c69fbf4ac4b63328986bec5989").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-2682a6c69fbf4ac4b63328986bec5989").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-2682a6c69fbf4ac4b63328986bec5989").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=mpmRecaptchaLoaded2682a6c69fbf4ac4b63328986bec5989&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2682a6c69fbf4ac4b63328986bec5989() { let popups = document.getElementById("mpform-2682a6c69fbf4ac4b63328986bec5989").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2682a6c69fbf4ac4b63328986bec5989() { 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 () { finishedLoading2682a6c69fbf4ac4b63328986bec5989(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2682a6c69fbf4ac4b63328986bec5989(); } } 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); mploadTelInput2682a6c69fbf4ac4b63328986bec5989(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2682a6c69fbf4ac4b63328986bec5989(); } else { function waitForOtherFormsmpFrm40abc1926813496aaef6c48e095431a7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2682a6c69fbf4ac4b63328986bec5989(); } else { setTimeout(waitForOtherFormsmpFrm40abc1926813496aaef6c48e095431a7,300); } } waitForOtherFormsmpFrm40abc1926813496aaef6c48e095431a7(); }