var captchaWidgetmpFrm9e5660f284604309bcfb2549d9cfccc1; var mpCurrentScriptmpFrm9e5660f284604309bcfb2549d9cfccc1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9e5660f284604309bcfb2549d9cfccc1"; 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); mpFormmpFrm9e5660f284604309bcfb2549d9cfccc1Find(); } })(); function mpFormmpFrm9e5660f284604309bcfb2549d9cfccc1Find() { if(!mpCurrentScriptmpFrm9e5660f284604309bcfb2549d9cfccc1Container) return; if (mpCurrentScriptmpFrm9e5660f284604309bcfb2549d9cfccc1Container && mpCurrentScriptmpFrm9e5660f284604309bcfb2549d9cfccc1Container.nodeName && mpCurrentScriptmpFrm9e5660f284604309bcfb2549d9cfccc1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9e5660f284604309bcfb2549d9cfccc1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9e5660f284604309bcfb2549d9cfccc1Container.children).forEach(c => { if (c.id === "mpFrm9e5660f284604309bcfb2549d9cfccc1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6cdb0e3e862844db91c7b62204e7879aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9e5660f284604309bcfb2549d9cfccc1"; } } } } function mpForm6cdb0e3e862844db91c7b62204e7879aCheck() { let checkBoxes = document.getElementById("mpform-6cdb0e3e862844db91c7b62204e7879a").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 mpForm6cdb0e3e862844db91c7b62204e7879aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6cdb0e3e862844db91c7b62204e7879a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6cdb0e3e862844db91c7b62204e7879a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6cdb0e3e862844db91c7b62204e7879a").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-6cdb0e3e862844db91c7b62204e7879a')), 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: getTrackingId6cdb0e3e862844db91c7b62204e7879a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6cdb0e3e862844db91c7b62204e7879a").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-6cdb0e3e862844db91c7b62204e7879a").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) { mpForm6cdb0e3e862844db91c7b62204e7879aCheck(); 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-6cdb0e3e862844db91c7b62204e7879a').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-6cdb0e3e862844db91c7b62204e7879a").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-6cdb0e3e862844db91c7b62204e7879a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9e5660f284604309bcfb2549d9cfccc1); } else { mpForm6cdb0e3e862844db91c7b62204e7879aCheck(); 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 mpmRecaptchaLoaded6cdb0e3e862844db91c7b62204e7879a() { captchaWidgetmpFrm9e5660f284604309bcfb2549d9cfccc1 = grecaptcha.render('mpmRecaptchampFrm9e5660f284604309bcfb2549d9cfccc1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6cdb0e3e862844db91c7b62204e7879a() { 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 mpmFormInit6cdb0e3e862844db91c7b62204e7879a () { 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 finishedLoading6cdb0e3e862844db91c7b62204e7879a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9e5660f284604309bcfb2549d9cfccc1'); if (!container) { mpFormmpFrm9e5660f284604309bcfb2549d9cfccc1Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9e5660f284604309bcfb2549d9cfccc1'); return setTimeout(finishedLoading6cdb0e3e862844db91c7b62204e7879a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6cdb0e3e862844db91c7b62204e7879a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6cdb0e3e862844db91c7b62204e7879a").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-6cdb0e3e862844db91c7b62204e7879a").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-6cdb0e3e862844db91c7b62204e7879a").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-6cdb0e3e862844db91c7b62204e7879a").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=mpmRecaptchaLoaded6cdb0e3e862844db91c7b62204e7879a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6cdb0e3e862844db91c7b62204e7879a() { let popups = document.getElementById("mpform-6cdb0e3e862844db91c7b62204e7879a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6cdb0e3e862844db91c7b62204e7879a() { 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 () { finishedLoading6cdb0e3e862844db91c7b62204e7879a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6cdb0e3e862844db91c7b62204e7879a(); } } 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); mploadTelInput6cdb0e3e862844db91c7b62204e7879a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6cdb0e3e862844db91c7b62204e7879a(); } else { function waitForOtherFormsmpFrm9e5660f284604309bcfb2549d9cfccc1() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6cdb0e3e862844db91c7b62204e7879a(); } else { setTimeout(waitForOtherFormsmpFrm9e5660f284604309bcfb2549d9cfccc1,300); } } waitForOtherFormsmpFrm9e5660f284604309bcfb2549d9cfccc1(); }