var captchaWidgetmpFrm6ef015751ae34c6c8279358bbcde4f3d; var mpCurrentScriptmpFrm6ef015751ae34c6c8279358bbcde4f3dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6ef015751ae34c6c8279358bbcde4f3d"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm6ef015751ae34c6c8279358bbcde4f3dFind(); } })(); function mpFormmpFrm6ef015751ae34c6c8279358bbcde4f3dFind() { if(!mpCurrentScriptmpFrm6ef015751ae34c6c8279358bbcde4f3dContainer) return; if (mpCurrentScriptmpFrm6ef015751ae34c6c8279358bbcde4f3dContainer && mpCurrentScriptmpFrm6ef015751ae34c6c8279358bbcde4f3dContainer.nodeName && mpCurrentScriptmpFrm6ef015751ae34c6c8279358bbcde4f3dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6ef015751ae34c6c8279358bbcde4f3d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6ef015751ae34c6c8279358bbcde4f3dContainer.children).forEach(c => { if (c.id === "mpFrm6ef015751ae34c6c8279358bbcde4f3d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6a0c4783b07844f7bdee19084b57c981Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6ef015751ae34c6c8279358bbcde4f3d"; } } } } function mpForm6a0c4783b07844f7bdee19084b57c981Check() { let checkBoxes = document.getElementById("mpform-6a0c4783b07844f7bdee19084b57c981").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 mpForm6a0c4783b07844f7bdee19084b57c981Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6a0c4783b07844f7bdee19084b57c981").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6a0c4783b07844f7bdee19084b57c981").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6a0c4783b07844f7bdee19084b57c981").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-6a0c4783b07844f7bdee19084b57c981')), 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: getTrackingId6a0c4783b07844f7bdee19084b57c981() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6a0c4783b07844f7bdee19084b57c981").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-6a0c4783b07844f7bdee19084b57c981").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm6a0c4783b07844f7bdee19084b57c981Check(); 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-6a0c4783b07844f7bdee19084b57c981').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-6a0c4783b07844f7bdee19084b57c981").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-6a0c4783b07844f7bdee19084b57c981').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6ef015751ae34c6c8279358bbcde4f3d); } else { mpForm6a0c4783b07844f7bdee19084b57c981Check(); 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 mpmRecaptchaLoaded6a0c4783b07844f7bdee19084b57c981() { captchaWidgetmpFrm6ef015751ae34c6c8279358bbcde4f3d = grecaptcha.render('mpmRecaptchampFrm6ef015751ae34c6c8279358bbcde4f3d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6a0c4783b07844f7bdee19084b57c981() { 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 mpmFormInit6a0c4783b07844f7bdee19084b57c981 () { 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 finishedLoading6a0c4783b07844f7bdee19084b57c981() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6ef015751ae34c6c8279358bbcde4f3d'); if (!container) { mpFormmpFrm6ef015751ae34c6c8279358bbcde4f3dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6ef015751ae34c6c8279358bbcde4f3d'); return setTimeout(finishedLoading6a0c4783b07844f7bdee19084b57c981, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6a0c4783b07844f7bdee19084b57c981").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6a0c4783b07844f7bdee19084b57c981").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-6a0c4783b07844f7bdee19084b57c981").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-6a0c4783b07844f7bdee19084b57c981").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-6a0c4783b07844f7bdee19084b57c981").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=mpmRecaptchaLoaded6a0c4783b07844f7bdee19084b57c981&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6a0c4783b07844f7bdee19084b57c981() { let popups = document.getElementById("mpform-6a0c4783b07844f7bdee19084b57c981").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6a0c4783b07844f7bdee19084b57c981() { 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 () { finishedLoading6a0c4783b07844f7bdee19084b57c981(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6a0c4783b07844f7bdee19084b57c981(); } } 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); mploadTelInput6a0c4783b07844f7bdee19084b57c981(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6a0c4783b07844f7bdee19084b57c981(); } else { function waitForOtherFormsmpFrm6ef015751ae34c6c8279358bbcde4f3d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6a0c4783b07844f7bdee19084b57c981(); } else { setTimeout(waitForOtherFormsmpFrm6ef015751ae34c6c8279358bbcde4f3d,300); } } waitForOtherFormsmpFrm6ef015751ae34c6c8279358bbcde4f3d(); }