var captchaWidgetmpFrm9091b67b446140cd9835ea88498b7681; var mpCurrentScriptmpFrm9091b67b446140cd9835ea88498b7681Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9091b67b446140cd9835ea88498b7681"; 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); mpFormmpFrm9091b67b446140cd9835ea88498b7681Find(); } })(); function mpFormmpFrm9091b67b446140cd9835ea88498b7681Find() { if(!mpCurrentScriptmpFrm9091b67b446140cd9835ea88498b7681Container) return; if (mpCurrentScriptmpFrm9091b67b446140cd9835ea88498b7681Container && mpCurrentScriptmpFrm9091b67b446140cd9835ea88498b7681Container.nodeName && mpCurrentScriptmpFrm9091b67b446140cd9835ea88498b7681Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9091b67b446140cd9835ea88498b7681" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9091b67b446140cd9835ea88498b7681Container.children).forEach(c => { if (c.id === "mpFrm9091b67b446140cd9835ea88498b7681") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptbefad4a56ef1430eae8f3a668901ba3dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9091b67b446140cd9835ea88498b7681"; } } } } function mpFormbefad4a56ef1430eae8f3a668901ba3dCheck() { let checkBoxes = document.getElementById("mpform-befad4a56ef1430eae8f3a668901ba3d").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 mpFormbefad4a56ef1430eae8f3a668901ba3dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-befad4a56ef1430eae8f3a668901ba3d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-befad4a56ef1430eae8f3a668901ba3d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-befad4a56ef1430eae8f3a668901ba3d").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-befad4a56ef1430eae8f3a668901ba3d')), 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: getTrackingIdbefad4a56ef1430eae8f3a668901ba3d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-befad4a56ef1430eae8f3a668901ba3d").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-befad4a56ef1430eae8f3a668901ba3d").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) { mpFormbefad4a56ef1430eae8f3a668901ba3dCheck(); 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-befad4a56ef1430eae8f3a668901ba3d').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-befad4a56ef1430eae8f3a668901ba3d").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-befad4a56ef1430eae8f3a668901ba3d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9091b67b446140cd9835ea88498b7681); } else { mpFormbefad4a56ef1430eae8f3a668901ba3dCheck(); 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 mpmRecaptchaLoadedbefad4a56ef1430eae8f3a668901ba3d() { captchaWidgetmpFrm9091b67b446140cd9835ea88498b7681 = grecaptcha.render('mpmRecaptchampFrm9091b67b446140cd9835ea88498b7681', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdbefad4a56ef1430eae8f3a668901ba3d() { 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 mpmFormInitbefad4a56ef1430eae8f3a668901ba3d () { 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 finishedLoadingbefad4a56ef1430eae8f3a668901ba3d() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9091b67b446140cd9835ea88498b7681'); if (!container) { mpFormmpFrm9091b67b446140cd9835ea88498b7681Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9091b67b446140cd9835ea88498b7681'); return setTimeout(finishedLoadingbefad4a56ef1430eae8f3a668901ba3d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-befad4a56ef1430eae8f3a668901ba3d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-befad4a56ef1430eae8f3a668901ba3d").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-befad4a56ef1430eae8f3a668901ba3d").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-befad4a56ef1430eae8f3a668901ba3d").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-befad4a56ef1430eae8f3a668901ba3d").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=mpmRecaptchaLoadedbefad4a56ef1430eae8f3a668901ba3d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupbefad4a56ef1430eae8f3a668901ba3d() { let popups = document.getElementById("mpform-befad4a56ef1430eae8f3a668901ba3d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputbefad4a56ef1430eae8f3a668901ba3d() { 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 () { finishedLoadingbefad4a56ef1430eae8f3a668901ba3d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingbefad4a56ef1430eae8f3a668901ba3d(); } } 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); mploadTelInputbefad4a56ef1430eae8f3a668901ba3d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitbefad4a56ef1430eae8f3a668901ba3d(); } else { function waitForOtherFormsmpFrm9091b67b446140cd9835ea88498b7681() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitbefad4a56ef1430eae8f3a668901ba3d(); } else { setTimeout(waitForOtherFormsmpFrm9091b67b446140cd9835ea88498b7681,300); } } waitForOtherFormsmpFrm9091b67b446140cd9835ea88498b7681(); }