var captchaWidgetmpFrmd7a0a22f22d14710a73402f066397657; var mpCurrentScriptmpFrmd7a0a22f22d14710a73402f066397657Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd7a0a22f22d14710a73402f066397657"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmd7a0a22f22d14710a73402f066397657Find(); } 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); mpFormmpFrmd7a0a22f22d14710a73402f066397657Find(); } })(); function mpFormmpFrmd7a0a22f22d14710a73402f066397657Find() { if(!mpCurrentScriptmpFrmd7a0a22f22d14710a73402f066397657Container) return; if (mpCurrentScriptmpFrmd7a0a22f22d14710a73402f066397657Container && mpCurrentScriptmpFrmd7a0a22f22d14710a73402f066397657Container.nodeName && mpCurrentScriptmpFrmd7a0a22f22d14710a73402f066397657Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd7a0a22f22d14710a73402f066397657" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd7a0a22f22d14710a73402f066397657Container.children).forEach(c => { if (c.id === "mpFrmd7a0a22f22d14710a73402f066397657") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8df9a91751ba49b5b04a085cb5c7557bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd7a0a22f22d14710a73402f066397657"; } } } } function mpForm8df9a91751ba49b5b04a085cb5c7557bCheck() { let checkBoxes = document.getElementById("mpform-8df9a91751ba49b5b04a085cb5c7557b").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 mpForm8df9a91751ba49b5b04a085cb5c7557bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8df9a91751ba49b5b04a085cb5c7557b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8df9a91751ba49b5b04a085cb5c7557b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8df9a91751ba49b5b04a085cb5c7557b").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-8df9a91751ba49b5b04a085cb5c7557b')), 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: getTrackingId8df9a91751ba49b5b04a085cb5c7557b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8df9a91751ba49b5b04a085cb5c7557b").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-8df9a91751ba49b5b04a085cb5c7557b").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) { mpForm8df9a91751ba49b5b04a085cb5c7557bCheck(); 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-8df9a91751ba49b5b04a085cb5c7557b').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-8df9a91751ba49b5b04a085cb5c7557b").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-8df9a91751ba49b5b04a085cb5c7557b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd7a0a22f22d14710a73402f066397657); } else { mpForm8df9a91751ba49b5b04a085cb5c7557bCheck(); 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 mpmRecaptchaLoaded8df9a91751ba49b5b04a085cb5c7557b() { captchaWidgetmpFrmd7a0a22f22d14710a73402f066397657 = grecaptcha.render('mpmRecaptchampFrmd7a0a22f22d14710a73402f066397657', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8df9a91751ba49b5b04a085cb5c7557b() { 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 mpmFormInit8df9a91751ba49b5b04a085cb5c7557b () { 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 finishedLoading8df9a91751ba49b5b04a085cb5c7557b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd7a0a22f22d14710a73402f066397657'); if (!container) { mpFormmpFrmd7a0a22f22d14710a73402f066397657Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd7a0a22f22d14710a73402f066397657'); return setTimeout(finishedLoading8df9a91751ba49b5b04a085cb5c7557b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8df9a91751ba49b5b04a085cb5c7557b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8df9a91751ba49b5b04a085cb5c7557b").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-8df9a91751ba49b5b04a085cb5c7557b").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-8df9a91751ba49b5b04a085cb5c7557b").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-8df9a91751ba49b5b04a085cb5c7557b").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=mpmRecaptchaLoaded8df9a91751ba49b5b04a085cb5c7557b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8df9a91751ba49b5b04a085cb5c7557b() { let popups = document.getElementById("mpform-8df9a91751ba49b5b04a085cb5c7557b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8df9a91751ba49b5b04a085cb5c7557b() { 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 () { finishedLoading8df9a91751ba49b5b04a085cb5c7557b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8df9a91751ba49b5b04a085cb5c7557b(); } } 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); mploadTelInput8df9a91751ba49b5b04a085cb5c7557b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8df9a91751ba49b5b04a085cb5c7557b(); } else { function waitForOtherFormsmpFrmd7a0a22f22d14710a73402f066397657() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8df9a91751ba49b5b04a085cb5c7557b(); } else { setTimeout(waitForOtherFormsmpFrmd7a0a22f22d14710a73402f066397657,300); } } waitForOtherFormsmpFrmd7a0a22f22d14710a73402f066397657(); }