var captchaWidgetmpFrm3269d3eb58154d0ea4c22a3284e867bc; var mpCurrentScriptmpFrm3269d3eb58154d0ea4c22a3284e867bcContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3269d3eb58154d0ea4c22a3284e867bc"; 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); }); } mpFormmpFrm3269d3eb58154d0ea4c22a3284e867bcFind(); } 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); mpFormmpFrm3269d3eb58154d0ea4c22a3284e867bcFind(); } })(); function mpFormmpFrm3269d3eb58154d0ea4c22a3284e867bcFind() { if(!mpCurrentScriptmpFrm3269d3eb58154d0ea4c22a3284e867bcContainer) return; if (mpCurrentScriptmpFrm3269d3eb58154d0ea4c22a3284e867bcContainer && mpCurrentScriptmpFrm3269d3eb58154d0ea4c22a3284e867bcContainer.nodeName && mpCurrentScriptmpFrm3269d3eb58154d0ea4c22a3284e867bcContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3269d3eb58154d0ea4c22a3284e867bc" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3269d3eb58154d0ea4c22a3284e867bcContainer.children).forEach(c => { if (c.id === "mpFrm3269d3eb58154d0ea4c22a3284e867bc") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript58890cdb9b434074b0dde8699da13176Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3269d3eb58154d0ea4c22a3284e867bc"; } } } } function mpForm58890cdb9b434074b0dde8699da13176Check() { let checkBoxes = document.getElementById("mpform-58890cdb9b434074b0dde8699da13176").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 mpForm58890cdb9b434074b0dde8699da13176Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-58890cdb9b434074b0dde8699da13176").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-58890cdb9b434074b0dde8699da13176").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-58890cdb9b434074b0dde8699da13176").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-58890cdb9b434074b0dde8699da13176')), 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: getTrackingId58890cdb9b434074b0dde8699da13176() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-58890cdb9b434074b0dde8699da13176").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-58890cdb9b434074b0dde8699da13176").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) { mpForm58890cdb9b434074b0dde8699da13176Check(); 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-58890cdb9b434074b0dde8699da13176').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-58890cdb9b434074b0dde8699da13176").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-58890cdb9b434074b0dde8699da13176').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3269d3eb58154d0ea4c22a3284e867bc); } else { mpForm58890cdb9b434074b0dde8699da13176Check(); 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 mpmRecaptchaLoaded58890cdb9b434074b0dde8699da13176() { captchaWidgetmpFrm3269d3eb58154d0ea4c22a3284e867bc = grecaptcha.render('mpmRecaptchampFrm3269d3eb58154d0ea4c22a3284e867bc', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId58890cdb9b434074b0dde8699da13176() { 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 mpmFormInit58890cdb9b434074b0dde8699da13176 () { 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 finishedLoading58890cdb9b434074b0dde8699da13176() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3269d3eb58154d0ea4c22a3284e867bc'); if (!container) { mpFormmpFrm3269d3eb58154d0ea4c22a3284e867bcFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3269d3eb58154d0ea4c22a3284e867bc'); return setTimeout(finishedLoading58890cdb9b434074b0dde8699da13176, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-58890cdb9b434074b0dde8699da13176").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-58890cdb9b434074b0dde8699da13176").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-58890cdb9b434074b0dde8699da13176-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-58890cdb9b434074b0dde8699da13176-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-58890cdb9b434074b0dde8699da13176").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-58890cdb9b434074b0dde8699da13176").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-58890cdb9b434074b0dde8699da13176").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=mpmRecaptchaLoaded58890cdb9b434074b0dde8699da13176&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup58890cdb9b434074b0dde8699da13176() { let popups = document.getElementById("mpform-58890cdb9b434074b0dde8699da13176").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput58890cdb9b434074b0dde8699da13176() { 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 () { finishedLoading58890cdb9b434074b0dde8699da13176(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading58890cdb9b434074b0dde8699da13176(); } } 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); mploadTelInput58890cdb9b434074b0dde8699da13176(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit58890cdb9b434074b0dde8699da13176(); } else { function waitForOtherFormsmpFrm3269d3eb58154d0ea4c22a3284e867bc() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit58890cdb9b434074b0dde8699da13176(); } else { setTimeout(waitForOtherFormsmpFrm3269d3eb58154d0ea4c22a3284e867bc,300); } } waitForOtherFormsmpFrm3269d3eb58154d0ea4c22a3284e867bc(); }