var captchaWidgetmpFrm3a6026b483a646e385dd8a4273483462; var mpCurrentScriptmpFrm3a6026b483a646e385dd8a4273483462Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3a6026b483a646e385dd8a4273483462"; 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); mpFormmpFrm3a6026b483a646e385dd8a4273483462Find(); } })(); function mpFormmpFrm3a6026b483a646e385dd8a4273483462Find() { if(!mpCurrentScriptmpFrm3a6026b483a646e385dd8a4273483462Container) return; if (mpCurrentScriptmpFrm3a6026b483a646e385dd8a4273483462Container && mpCurrentScriptmpFrm3a6026b483a646e385dd8a4273483462Container.nodeName && mpCurrentScriptmpFrm3a6026b483a646e385dd8a4273483462Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3a6026b483a646e385dd8a4273483462" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3a6026b483a646e385dd8a4273483462Container.children).forEach(c => { if (c.id === "mpFrm3a6026b483a646e385dd8a4273483462") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6b83974081cd4021b4fa7447b27ecf40Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3a6026b483a646e385dd8a4273483462"; } } } } function mpForm6b83974081cd4021b4fa7447b27ecf40Check() { let checkBoxes = document.getElementById("mpform-6b83974081cd4021b4fa7447b27ecf40").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 mpForm6b83974081cd4021b4fa7447b27ecf40Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6b83974081cd4021b4fa7447b27ecf40").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6b83974081cd4021b4fa7447b27ecf40").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6b83974081cd4021b4fa7447b27ecf40").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-6b83974081cd4021b4fa7447b27ecf40')), 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: getTrackingId6b83974081cd4021b4fa7447b27ecf40() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6b83974081cd4021b4fa7447b27ecf40").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-6b83974081cd4021b4fa7447b27ecf40").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) { mpForm6b83974081cd4021b4fa7447b27ecf40Check(); 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-6b83974081cd4021b4fa7447b27ecf40').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-6b83974081cd4021b4fa7447b27ecf40").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-6b83974081cd4021b4fa7447b27ecf40').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3a6026b483a646e385dd8a4273483462); } else { mpForm6b83974081cd4021b4fa7447b27ecf40Check(); 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 mpmRecaptchaLoaded6b83974081cd4021b4fa7447b27ecf40() { captchaWidgetmpFrm3a6026b483a646e385dd8a4273483462 = grecaptcha.render('mpmRecaptchampFrm3a6026b483a646e385dd8a4273483462', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6b83974081cd4021b4fa7447b27ecf40() { 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 mpmFormInit6b83974081cd4021b4fa7447b27ecf40 () { 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 finishedLoading6b83974081cd4021b4fa7447b27ecf40() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3a6026b483a646e385dd8a4273483462'); if (!container) { mpFormmpFrm3a6026b483a646e385dd8a4273483462Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3a6026b483a646e385dd8a4273483462'); return setTimeout(finishedLoading6b83974081cd4021b4fa7447b27ecf40, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6b83974081cd4021b4fa7447b27ecf40").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6b83974081cd4021b4fa7447b27ecf40").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-6b83974081cd4021b4fa7447b27ecf40").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-6b83974081cd4021b4fa7447b27ecf40").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-6b83974081cd4021b4fa7447b27ecf40").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=mpmRecaptchaLoaded6b83974081cd4021b4fa7447b27ecf40&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6b83974081cd4021b4fa7447b27ecf40() { let popups = document.getElementById("mpform-6b83974081cd4021b4fa7447b27ecf40").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6b83974081cd4021b4fa7447b27ecf40() { 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 () { finishedLoading6b83974081cd4021b4fa7447b27ecf40(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6b83974081cd4021b4fa7447b27ecf40(); } } 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); mploadTelInput6b83974081cd4021b4fa7447b27ecf40(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6b83974081cd4021b4fa7447b27ecf40(); } else { function waitForOtherFormsmpFrm3a6026b483a646e385dd8a4273483462() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6b83974081cd4021b4fa7447b27ecf40(); } else { setTimeout(waitForOtherFormsmpFrm3a6026b483a646e385dd8a4273483462,300); } } waitForOtherFormsmpFrm3a6026b483a646e385dd8a4273483462(); }