var captchaWidgetmpFrm1917f35995174015be21e29fd138208d; var mpCurrentScriptmpFrm1917f35995174015be21e29fd138208dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1917f35995174015be21e29fd138208d"; 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); }); } mpFormmpFrm1917f35995174015be21e29fd138208dFind(); } 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); mpFormmpFrm1917f35995174015be21e29fd138208dFind(); } })(); function mpFormmpFrm1917f35995174015be21e29fd138208dFind() { if(!mpCurrentScriptmpFrm1917f35995174015be21e29fd138208dContainer) return; if (mpCurrentScriptmpFrm1917f35995174015be21e29fd138208dContainer && mpCurrentScriptmpFrm1917f35995174015be21e29fd138208dContainer.nodeName && mpCurrentScriptmpFrm1917f35995174015be21e29fd138208dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1917f35995174015be21e29fd138208d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1917f35995174015be21e29fd138208dContainer.children).forEach(c => { if (c.id === "mpFrm1917f35995174015be21e29fd138208d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6f3516a293da417da8ea2d04ec9e8e25Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1917f35995174015be21e29fd138208d"; } } } } function mpForm6f3516a293da417da8ea2d04ec9e8e25Check() { let checkBoxes = document.getElementById("mpform-6f3516a293da417da8ea2d04ec9e8e25").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 mpForm6f3516a293da417da8ea2d04ec9e8e25Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6f3516a293da417da8ea2d04ec9e8e25").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6f3516a293da417da8ea2d04ec9e8e25").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6f3516a293da417da8ea2d04ec9e8e25").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-6f3516a293da417da8ea2d04ec9e8e25')), 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: getTrackingId6f3516a293da417da8ea2d04ec9e8e25() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6f3516a293da417da8ea2d04ec9e8e25").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-6f3516a293da417da8ea2d04ec9e8e25").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) { mpForm6f3516a293da417da8ea2d04ec9e8e25Check(); 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-6f3516a293da417da8ea2d04ec9e8e25').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-6f3516a293da417da8ea2d04ec9e8e25").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-6f3516a293da417da8ea2d04ec9e8e25').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1917f35995174015be21e29fd138208d); } else { mpForm6f3516a293da417da8ea2d04ec9e8e25Check(); 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 mpmRecaptchaLoaded6f3516a293da417da8ea2d04ec9e8e25() { captchaWidgetmpFrm1917f35995174015be21e29fd138208d = grecaptcha.render('mpmRecaptchampFrm1917f35995174015be21e29fd138208d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6f3516a293da417da8ea2d04ec9e8e25() { 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 mpmFormInit6f3516a293da417da8ea2d04ec9e8e25 () { 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 finishedLoading6f3516a293da417da8ea2d04ec9e8e25() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1917f35995174015be21e29fd138208d'); if (!container) { mpFormmpFrm1917f35995174015be21e29fd138208dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1917f35995174015be21e29fd138208d'); return setTimeout(finishedLoading6f3516a293da417da8ea2d04ec9e8e25, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6f3516a293da417da8ea2d04ec9e8e25").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6f3516a293da417da8ea2d04ec9e8e25").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-6f3516a293da417da8ea2d04ec9e8e25-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-6f3516a293da417da8ea2d04ec9e8e25-" + 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-6f3516a293da417da8ea2d04ec9e8e25").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-6f3516a293da417da8ea2d04ec9e8e25").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-6f3516a293da417da8ea2d04ec9e8e25").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=mpmRecaptchaLoaded6f3516a293da417da8ea2d04ec9e8e25&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6f3516a293da417da8ea2d04ec9e8e25() { let popups = document.getElementById("mpform-6f3516a293da417da8ea2d04ec9e8e25").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6f3516a293da417da8ea2d04ec9e8e25() { 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 () { finishedLoading6f3516a293da417da8ea2d04ec9e8e25(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6f3516a293da417da8ea2d04ec9e8e25(); } } 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); mploadTelInput6f3516a293da417da8ea2d04ec9e8e25(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6f3516a293da417da8ea2d04ec9e8e25(); } else { function waitForOtherFormsmpFrm1917f35995174015be21e29fd138208d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6f3516a293da417da8ea2d04ec9e8e25(); } else { setTimeout(waitForOtherFormsmpFrm1917f35995174015be21e29fd138208d,300); } } waitForOtherFormsmpFrm1917f35995174015be21e29fd138208d(); }