var captchaWidgetmpFrmb309a32a07b0440c83a1c617ba1a793d; var mpCurrentScriptmpFrmb309a32a07b0440c83a1c617ba1a793dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb309a32a07b0440c83a1c617ba1a793d"; 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); }); } mpFormmpFrmb309a32a07b0440c83a1c617ba1a793dFind(); } 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); mpFormmpFrmb309a32a07b0440c83a1c617ba1a793dFind(); } })(); function mpFormmpFrmb309a32a07b0440c83a1c617ba1a793dFind() { if(!mpCurrentScriptmpFrmb309a32a07b0440c83a1c617ba1a793dContainer) return; if (mpCurrentScriptmpFrmb309a32a07b0440c83a1c617ba1a793dContainer && mpCurrentScriptmpFrmb309a32a07b0440c83a1c617ba1a793dContainer.nodeName && mpCurrentScriptmpFrmb309a32a07b0440c83a1c617ba1a793dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb309a32a07b0440c83a1c617ba1a793d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb309a32a07b0440c83a1c617ba1a793dContainer.children).forEach(c => { if (c.id === "mpFrmb309a32a07b0440c83a1c617ba1a793d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript04b72af14a5f4b51a42720a00a4fc47bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb309a32a07b0440c83a1c617ba1a793d"; } } } } function mpForm04b72af14a5f4b51a42720a00a4fc47bCheck() { let checkBoxes = document.getElementById("mpform-04b72af14a5f4b51a42720a00a4fc47b").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 mpForm04b72af14a5f4b51a42720a00a4fc47bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-04b72af14a5f4b51a42720a00a4fc47b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-04b72af14a5f4b51a42720a00a4fc47b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-04b72af14a5f4b51a42720a00a4fc47b").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-04b72af14a5f4b51a42720a00a4fc47b')), 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: getTrackingId04b72af14a5f4b51a42720a00a4fc47b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-04b72af14a5f4b51a42720a00a4fc47b").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-04b72af14a5f4b51a42720a00a4fc47b").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) { mpForm04b72af14a5f4b51a42720a00a4fc47bCheck(); 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-04b72af14a5f4b51a42720a00a4fc47b').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-04b72af14a5f4b51a42720a00a4fc47b").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-04b72af14a5f4b51a42720a00a4fc47b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb309a32a07b0440c83a1c617ba1a793d); } else { mpForm04b72af14a5f4b51a42720a00a4fc47bCheck(); 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 mpmRecaptchaLoaded04b72af14a5f4b51a42720a00a4fc47b() { captchaWidgetmpFrmb309a32a07b0440c83a1c617ba1a793d = grecaptcha.render('mpmRecaptchampFrmb309a32a07b0440c83a1c617ba1a793d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId04b72af14a5f4b51a42720a00a4fc47b() { 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 mpmFormInit04b72af14a5f4b51a42720a00a4fc47b () { 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 finishedLoading04b72af14a5f4b51a42720a00a4fc47b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb309a32a07b0440c83a1c617ba1a793d'); if (!container) { mpFormmpFrmb309a32a07b0440c83a1c617ba1a793dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb309a32a07b0440c83a1c617ba1a793d'); return setTimeout(finishedLoading04b72af14a5f4b51a42720a00a4fc47b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-04b72af14a5f4b51a42720a00a4fc47b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-04b72af14a5f4b51a42720a00a4fc47b").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-04b72af14a5f4b51a42720a00a4fc47b-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-04b72af14a5f4b51a42720a00a4fc47b-" + 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-04b72af14a5f4b51a42720a00a4fc47b").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-04b72af14a5f4b51a42720a00a4fc47b").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-04b72af14a5f4b51a42720a00a4fc47b").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=mpmRecaptchaLoaded04b72af14a5f4b51a42720a00a4fc47b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup04b72af14a5f4b51a42720a00a4fc47b() { let popups = document.getElementById("mpform-04b72af14a5f4b51a42720a00a4fc47b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput04b72af14a5f4b51a42720a00a4fc47b() { 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 () { finishedLoading04b72af14a5f4b51a42720a00a4fc47b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading04b72af14a5f4b51a42720a00a4fc47b(); } } 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); mploadTelInput04b72af14a5f4b51a42720a00a4fc47b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit04b72af14a5f4b51a42720a00a4fc47b(); } else { function waitForOtherFormsmpFrmb309a32a07b0440c83a1c617ba1a793d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit04b72af14a5f4b51a42720a00a4fc47b(); } else { setTimeout(waitForOtherFormsmpFrmb309a32a07b0440c83a1c617ba1a793d,300); } } waitForOtherFormsmpFrmb309a32a07b0440c83a1c617ba1a793d(); }