var captchaWidgetmpFrmb70aed0ff0e94a7eafb8ac13c0543299; var mpCurrentScriptmpFrmb70aed0ff0e94a7eafb8ac13c0543299Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb70aed0ff0e94a7eafb8ac13c0543299"; 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); mpFormmpFrmb70aed0ff0e94a7eafb8ac13c0543299Find(); } })(); function mpFormmpFrmb70aed0ff0e94a7eafb8ac13c0543299Find() { if(!mpCurrentScriptmpFrmb70aed0ff0e94a7eafb8ac13c0543299Container) return; if (mpCurrentScriptmpFrmb70aed0ff0e94a7eafb8ac13c0543299Container && mpCurrentScriptmpFrmb70aed0ff0e94a7eafb8ac13c0543299Container.nodeName && mpCurrentScriptmpFrmb70aed0ff0e94a7eafb8ac13c0543299Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb70aed0ff0e94a7eafb8ac13c0543299" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb70aed0ff0e94a7eafb8ac13c0543299Container.children).forEach(c => { if (c.id === "mpFrmb70aed0ff0e94a7eafb8ac13c0543299") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4782d0aaba8c40e0954ff40956e99629Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb70aed0ff0e94a7eafb8ac13c0543299"; } } } } function mpForm4782d0aaba8c40e0954ff40956e99629Check() { let checkBoxes = document.getElementById("mpform-4782d0aaba8c40e0954ff40956e99629").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 mpForm4782d0aaba8c40e0954ff40956e99629Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4782d0aaba8c40e0954ff40956e99629").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4782d0aaba8c40e0954ff40956e99629").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4782d0aaba8c40e0954ff40956e99629").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-4782d0aaba8c40e0954ff40956e99629')), 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: getTrackingId4782d0aaba8c40e0954ff40956e99629() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4782d0aaba8c40e0954ff40956e99629").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-4782d0aaba8c40e0954ff40956e99629").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) { mpForm4782d0aaba8c40e0954ff40956e99629Check(); 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-4782d0aaba8c40e0954ff40956e99629').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-4782d0aaba8c40e0954ff40956e99629").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-4782d0aaba8c40e0954ff40956e99629').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb70aed0ff0e94a7eafb8ac13c0543299); } else { mpForm4782d0aaba8c40e0954ff40956e99629Check(); 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 mpmRecaptchaLoaded4782d0aaba8c40e0954ff40956e99629() { captchaWidgetmpFrmb70aed0ff0e94a7eafb8ac13c0543299 = grecaptcha.render('mpmRecaptchampFrmb70aed0ff0e94a7eafb8ac13c0543299', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4782d0aaba8c40e0954ff40956e99629() { 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 mpmFormInit4782d0aaba8c40e0954ff40956e99629 () { 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 finishedLoading4782d0aaba8c40e0954ff40956e99629() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb70aed0ff0e94a7eafb8ac13c0543299'); if (!container) { mpFormmpFrmb70aed0ff0e94a7eafb8ac13c0543299Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb70aed0ff0e94a7eafb8ac13c0543299'); return setTimeout(finishedLoading4782d0aaba8c40e0954ff40956e99629, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4782d0aaba8c40e0954ff40956e99629").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4782d0aaba8c40e0954ff40956e99629").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-4782d0aaba8c40e0954ff40956e99629").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-4782d0aaba8c40e0954ff40956e99629").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-4782d0aaba8c40e0954ff40956e99629").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=mpmRecaptchaLoaded4782d0aaba8c40e0954ff40956e99629&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4782d0aaba8c40e0954ff40956e99629() { let popups = document.getElementById("mpform-4782d0aaba8c40e0954ff40956e99629").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4782d0aaba8c40e0954ff40956e99629() { 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 () { finishedLoading4782d0aaba8c40e0954ff40956e99629(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4782d0aaba8c40e0954ff40956e99629(); } } 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); mploadTelInput4782d0aaba8c40e0954ff40956e99629(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4782d0aaba8c40e0954ff40956e99629(); } else { function waitForOtherFormsmpFrmb70aed0ff0e94a7eafb8ac13c0543299() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4782d0aaba8c40e0954ff40956e99629(); } else { setTimeout(waitForOtherFormsmpFrmb70aed0ff0e94a7eafb8ac13c0543299,300); } } waitForOtherFormsmpFrmb70aed0ff0e94a7eafb8ac13c0543299(); }