var captchaWidgetmpFrm6de02f7de398422388e6ad2fc9327b00; var mpCurrentScriptmpFrm6de02f7de398422388e6ad2fc9327b00Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6de02f7de398422388e6ad2fc9327b00"; 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); mpFormmpFrm6de02f7de398422388e6ad2fc9327b00Find(); } })(); function mpFormmpFrm6de02f7de398422388e6ad2fc9327b00Find() { if(!mpCurrentScriptmpFrm6de02f7de398422388e6ad2fc9327b00Container) return; if (mpCurrentScriptmpFrm6de02f7de398422388e6ad2fc9327b00Container && mpCurrentScriptmpFrm6de02f7de398422388e6ad2fc9327b00Container.nodeName && mpCurrentScriptmpFrm6de02f7de398422388e6ad2fc9327b00Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6de02f7de398422388e6ad2fc9327b00" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6de02f7de398422388e6ad2fc9327b00Container.children).forEach(c => { if (c.id === "mpFrm6de02f7de398422388e6ad2fc9327b00") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript080dd6947ad046e38baee8149b3bd042Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6de02f7de398422388e6ad2fc9327b00"; } } } } function mpForm080dd6947ad046e38baee8149b3bd042Check() { let checkBoxes = document.getElementById("mpform-080dd6947ad046e38baee8149b3bd042").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 mpForm080dd6947ad046e38baee8149b3bd042Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-080dd6947ad046e38baee8149b3bd042").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-080dd6947ad046e38baee8149b3bd042").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-080dd6947ad046e38baee8149b3bd042").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-080dd6947ad046e38baee8149b3bd042')), 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: getTrackingId080dd6947ad046e38baee8149b3bd042() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-080dd6947ad046e38baee8149b3bd042").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-080dd6947ad046e38baee8149b3bd042").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) { mpForm080dd6947ad046e38baee8149b3bd042Check(); 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-080dd6947ad046e38baee8149b3bd042').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-080dd6947ad046e38baee8149b3bd042").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-080dd6947ad046e38baee8149b3bd042').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6de02f7de398422388e6ad2fc9327b00); } else { mpForm080dd6947ad046e38baee8149b3bd042Check(); 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 mpmRecaptchaLoaded080dd6947ad046e38baee8149b3bd042() { captchaWidgetmpFrm6de02f7de398422388e6ad2fc9327b00 = grecaptcha.render('mpmRecaptchampFrm6de02f7de398422388e6ad2fc9327b00', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId080dd6947ad046e38baee8149b3bd042() { 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 mpmFormInit080dd6947ad046e38baee8149b3bd042 () { 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 finishedLoading080dd6947ad046e38baee8149b3bd042() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6de02f7de398422388e6ad2fc9327b00'); if (!container) { mpFormmpFrm6de02f7de398422388e6ad2fc9327b00Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6de02f7de398422388e6ad2fc9327b00'); return setTimeout(finishedLoading080dd6947ad046e38baee8149b3bd042, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-080dd6947ad046e38baee8149b3bd042").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-080dd6947ad046e38baee8149b3bd042").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-080dd6947ad046e38baee8149b3bd042").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-080dd6947ad046e38baee8149b3bd042").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-080dd6947ad046e38baee8149b3bd042").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=mpmRecaptchaLoaded080dd6947ad046e38baee8149b3bd042&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup080dd6947ad046e38baee8149b3bd042() { let popups = document.getElementById("mpform-080dd6947ad046e38baee8149b3bd042").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput080dd6947ad046e38baee8149b3bd042() { 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 () { finishedLoading080dd6947ad046e38baee8149b3bd042(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading080dd6947ad046e38baee8149b3bd042(); } } 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); mploadTelInput080dd6947ad046e38baee8149b3bd042(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit080dd6947ad046e38baee8149b3bd042(); } else { function waitForOtherFormsmpFrm6de02f7de398422388e6ad2fc9327b00() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit080dd6947ad046e38baee8149b3bd042(); } else { setTimeout(waitForOtherFormsmpFrm6de02f7de398422388e6ad2fc9327b00,300); } } waitForOtherFormsmpFrm6de02f7de398422388e6ad2fc9327b00(); }