var captchaWidgetmpFrmff8ef60f367e45eeb3135629c13dc36c; var mpCurrentScriptmpFrmff8ef60f367e45eeb3135629c13dc36cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmff8ef60f367e45eeb3135629c13dc36c"; 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); }); } mpFormmpFrmff8ef60f367e45eeb3135629c13dc36cFind(); } 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); mpFormmpFrmff8ef60f367e45eeb3135629c13dc36cFind(); } })(); function mpFormmpFrmff8ef60f367e45eeb3135629c13dc36cFind() { if(!mpCurrentScriptmpFrmff8ef60f367e45eeb3135629c13dc36cContainer) return; if (mpCurrentScriptmpFrmff8ef60f367e45eeb3135629c13dc36cContainer && mpCurrentScriptmpFrmff8ef60f367e45eeb3135629c13dc36cContainer.nodeName && mpCurrentScriptmpFrmff8ef60f367e45eeb3135629c13dc36cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmff8ef60f367e45eeb3135629c13dc36c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmff8ef60f367e45eeb3135629c13dc36cContainer.children).forEach(c => { if (c.id === "mpFrmff8ef60f367e45eeb3135629c13dc36c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript12a5b92bdf694fb6b1ba6d4b5970389bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmff8ef60f367e45eeb3135629c13dc36c"; } } } } function mpForm12a5b92bdf694fb6b1ba6d4b5970389bCheck() { let checkBoxes = document.getElementById("mpform-12a5b92bdf694fb6b1ba6d4b5970389b").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 mpForm12a5b92bdf694fb6b1ba6d4b5970389bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-12a5b92bdf694fb6b1ba6d4b5970389b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-12a5b92bdf694fb6b1ba6d4b5970389b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-12a5b92bdf694fb6b1ba6d4b5970389b").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-12a5b92bdf694fb6b1ba6d4b5970389b')), 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: getTrackingId12a5b92bdf694fb6b1ba6d4b5970389b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-12a5b92bdf694fb6b1ba6d4b5970389b").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-12a5b92bdf694fb6b1ba6d4b5970389b").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) { mpForm12a5b92bdf694fb6b1ba6d4b5970389bCheck(); 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-12a5b92bdf694fb6b1ba6d4b5970389b').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-12a5b92bdf694fb6b1ba6d4b5970389b").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-12a5b92bdf694fb6b1ba6d4b5970389b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmff8ef60f367e45eeb3135629c13dc36c); } else { mpForm12a5b92bdf694fb6b1ba6d4b5970389bCheck(); 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 mpmRecaptchaLoaded12a5b92bdf694fb6b1ba6d4b5970389b() { captchaWidgetmpFrmff8ef60f367e45eeb3135629c13dc36c = grecaptcha.render('mpmRecaptchampFrmff8ef60f367e45eeb3135629c13dc36c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId12a5b92bdf694fb6b1ba6d4b5970389b() { 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 mpmFormInit12a5b92bdf694fb6b1ba6d4b5970389b () { 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 finishedLoading12a5b92bdf694fb6b1ba6d4b5970389b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmff8ef60f367e45eeb3135629c13dc36c'); if (!container) { mpFormmpFrmff8ef60f367e45eeb3135629c13dc36cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmff8ef60f367e45eeb3135629c13dc36c'); return setTimeout(finishedLoading12a5b92bdf694fb6b1ba6d4b5970389b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-12a5b92bdf694fb6b1ba6d4b5970389b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-12a5b92bdf694fb6b1ba6d4b5970389b").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-12a5b92bdf694fb6b1ba6d4b5970389b-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-12a5b92bdf694fb6b1ba6d4b5970389b-" + 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-12a5b92bdf694fb6b1ba6d4b5970389b").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-12a5b92bdf694fb6b1ba6d4b5970389b").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-12a5b92bdf694fb6b1ba6d4b5970389b").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=mpmRecaptchaLoaded12a5b92bdf694fb6b1ba6d4b5970389b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup12a5b92bdf694fb6b1ba6d4b5970389b() { let popups = document.getElementById("mpform-12a5b92bdf694fb6b1ba6d4b5970389b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput12a5b92bdf694fb6b1ba6d4b5970389b() { 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 () { finishedLoading12a5b92bdf694fb6b1ba6d4b5970389b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading12a5b92bdf694fb6b1ba6d4b5970389b(); } } 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); mploadTelInput12a5b92bdf694fb6b1ba6d4b5970389b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit12a5b92bdf694fb6b1ba6d4b5970389b(); } else { function waitForOtherFormsmpFrmff8ef60f367e45eeb3135629c13dc36c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit12a5b92bdf694fb6b1ba6d4b5970389b(); } else { setTimeout(waitForOtherFormsmpFrmff8ef60f367e45eeb3135629c13dc36c,300); } } waitForOtherFormsmpFrmff8ef60f367e45eeb3135629c13dc36c(); }