var captchaWidgetmpFrm8e86cfcccc364798b0ab9a3600e7126a; var mpCurrentScriptmpFrm8e86cfcccc364798b0ab9a3600e7126aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm8e86cfcccc364798b0ab9a3600e7126a"; 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); }); } mpFormmpFrm8e86cfcccc364798b0ab9a3600e7126aFind(); } 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); mpFormmpFrm8e86cfcccc364798b0ab9a3600e7126aFind(); } })(); function mpFormmpFrm8e86cfcccc364798b0ab9a3600e7126aFind() { if(!mpCurrentScriptmpFrm8e86cfcccc364798b0ab9a3600e7126aContainer) return; if (mpCurrentScriptmpFrm8e86cfcccc364798b0ab9a3600e7126aContainer && mpCurrentScriptmpFrm8e86cfcccc364798b0ab9a3600e7126aContainer.nodeName && mpCurrentScriptmpFrm8e86cfcccc364798b0ab9a3600e7126aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm8e86cfcccc364798b0ab9a3600e7126a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm8e86cfcccc364798b0ab9a3600e7126aContainer.children).forEach(c => { if (c.id === "mpFrm8e86cfcccc364798b0ab9a3600e7126a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0df3e90f81e34e338617b042a06491d4Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm8e86cfcccc364798b0ab9a3600e7126a"; } } } } function mpForm0df3e90f81e34e338617b042a06491d4Check() { let checkBoxes = document.getElementById("mpform-0df3e90f81e34e338617b042a06491d4").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 mpForm0df3e90f81e34e338617b042a06491d4Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0df3e90f81e34e338617b042a06491d4").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0df3e90f81e34e338617b042a06491d4").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0df3e90f81e34e338617b042a06491d4").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-0df3e90f81e34e338617b042a06491d4')), 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: getTrackingId0df3e90f81e34e338617b042a06491d4() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0df3e90f81e34e338617b042a06491d4").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-0df3e90f81e34e338617b042a06491d4").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) { mpForm0df3e90f81e34e338617b042a06491d4Check(); 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-0df3e90f81e34e338617b042a06491d4').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-0df3e90f81e34e338617b042a06491d4").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-0df3e90f81e34e338617b042a06491d4').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm8e86cfcccc364798b0ab9a3600e7126a); } else { mpForm0df3e90f81e34e338617b042a06491d4Check(); 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 mpmRecaptchaLoaded0df3e90f81e34e338617b042a06491d4() { captchaWidgetmpFrm8e86cfcccc364798b0ab9a3600e7126a = grecaptcha.render('mpmRecaptchampFrm8e86cfcccc364798b0ab9a3600e7126a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0df3e90f81e34e338617b042a06491d4() { 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 mpmFormInit0df3e90f81e34e338617b042a06491d4 () { 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 finishedLoading0df3e90f81e34e338617b042a06491d4() { window.mpFormLoading = false; let container = document.getElementById('mpFrm8e86cfcccc364798b0ab9a3600e7126a'); if (!container) { mpFormmpFrm8e86cfcccc364798b0ab9a3600e7126aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm8e86cfcccc364798b0ab9a3600e7126a'); return setTimeout(finishedLoading0df3e90f81e34e338617b042a06491d4, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0df3e90f81e34e338617b042a06491d4").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0df3e90f81e34e338617b042a06491d4").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-0df3e90f81e34e338617b042a06491d4-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-0df3e90f81e34e338617b042a06491d4-" + 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-0df3e90f81e34e338617b042a06491d4").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-0df3e90f81e34e338617b042a06491d4").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-0df3e90f81e34e338617b042a06491d4").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=mpmRecaptchaLoaded0df3e90f81e34e338617b042a06491d4&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0df3e90f81e34e338617b042a06491d4() { let popups = document.getElementById("mpform-0df3e90f81e34e338617b042a06491d4").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0df3e90f81e34e338617b042a06491d4() { 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 () { finishedLoading0df3e90f81e34e338617b042a06491d4(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0df3e90f81e34e338617b042a06491d4(); } } 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); mploadTelInput0df3e90f81e34e338617b042a06491d4(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0df3e90f81e34e338617b042a06491d4(); } else { function waitForOtherFormsmpFrm8e86cfcccc364798b0ab9a3600e7126a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0df3e90f81e34e338617b042a06491d4(); } else { setTimeout(waitForOtherFormsmpFrm8e86cfcccc364798b0ab9a3600e7126a,300); } } waitForOtherFormsmpFrm8e86cfcccc364798b0ab9a3600e7126a(); }