var captchaWidgetmpFrm04fbaca1d1894a9198fda4d498cc9bb4; var mpCurrentScriptmpFrm04fbaca1d1894a9198fda4d498cc9bb4Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm04fbaca1d1894a9198fda4d498cc9bb4"; 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); }); } mpFormmpFrm04fbaca1d1894a9198fda4d498cc9bb4Find(); } 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); mpFormmpFrm04fbaca1d1894a9198fda4d498cc9bb4Find(); } })(); function mpFormmpFrm04fbaca1d1894a9198fda4d498cc9bb4Find() { if(!mpCurrentScriptmpFrm04fbaca1d1894a9198fda4d498cc9bb4Container) return; if (mpCurrentScriptmpFrm04fbaca1d1894a9198fda4d498cc9bb4Container && mpCurrentScriptmpFrm04fbaca1d1894a9198fda4d498cc9bb4Container.nodeName && mpCurrentScriptmpFrm04fbaca1d1894a9198fda4d498cc9bb4Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm04fbaca1d1894a9198fda4d498cc9bb4" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm04fbaca1d1894a9198fda4d498cc9bb4Container.children).forEach(c => { if (c.id === "mpFrm04fbaca1d1894a9198fda4d498cc9bb4") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta925ac03d9904a17a5e7c1c6ecfafc47Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm04fbaca1d1894a9198fda4d498cc9bb4"; } } } } function mpForma925ac03d9904a17a5e7c1c6ecfafc47Check() { let checkBoxes = document.getElementById("mpform-a925ac03d9904a17a5e7c1c6ecfafc47").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 mpForma925ac03d9904a17a5e7c1c6ecfafc47Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a925ac03d9904a17a5e7c1c6ecfafc47").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a925ac03d9904a17a5e7c1c6ecfafc47").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a925ac03d9904a17a5e7c1c6ecfafc47").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-a925ac03d9904a17a5e7c1c6ecfafc47')), 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: getTrackingIda925ac03d9904a17a5e7c1c6ecfafc47() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a925ac03d9904a17a5e7c1c6ecfafc47").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-a925ac03d9904a17a5e7c1c6ecfafc47").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) { mpForma925ac03d9904a17a5e7c1c6ecfafc47Check(); 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-a925ac03d9904a17a5e7c1c6ecfafc47').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-a925ac03d9904a17a5e7c1c6ecfafc47").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-a925ac03d9904a17a5e7c1c6ecfafc47').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm04fbaca1d1894a9198fda4d498cc9bb4); } else { mpForma925ac03d9904a17a5e7c1c6ecfafc47Check(); 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 mpmRecaptchaLoadeda925ac03d9904a17a5e7c1c6ecfafc47() { captchaWidgetmpFrm04fbaca1d1894a9198fda4d498cc9bb4 = grecaptcha.render('mpmRecaptchampFrm04fbaca1d1894a9198fda4d498cc9bb4', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda925ac03d9904a17a5e7c1c6ecfafc47() { 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 mpmFormInita925ac03d9904a17a5e7c1c6ecfafc47 () { 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 finishedLoadinga925ac03d9904a17a5e7c1c6ecfafc47() { window.mpFormLoading = false; let container = document.getElementById('mpFrm04fbaca1d1894a9198fda4d498cc9bb4'); if (!container) { mpFormmpFrm04fbaca1d1894a9198fda4d498cc9bb4Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm04fbaca1d1894a9198fda4d498cc9bb4'); return setTimeout(finishedLoadinga925ac03d9904a17a5e7c1c6ecfafc47, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a925ac03d9904a17a5e7c1c6ecfafc47").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a925ac03d9904a17a5e7c1c6ecfafc47").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-a925ac03d9904a17a5e7c1c6ecfafc47-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-a925ac03d9904a17a5e7c1c6ecfafc47-" + 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-a925ac03d9904a17a5e7c1c6ecfafc47").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-a925ac03d9904a17a5e7c1c6ecfafc47").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-a925ac03d9904a17a5e7c1c6ecfafc47").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=mpmRecaptchaLoadeda925ac03d9904a17a5e7c1c6ecfafc47&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa925ac03d9904a17a5e7c1c6ecfafc47() { let popups = document.getElementById("mpform-a925ac03d9904a17a5e7c1c6ecfafc47").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa925ac03d9904a17a5e7c1c6ecfafc47() { 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 () { finishedLoadinga925ac03d9904a17a5e7c1c6ecfafc47(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga925ac03d9904a17a5e7c1c6ecfafc47(); } } 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); mploadTelInputa925ac03d9904a17a5e7c1c6ecfafc47(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita925ac03d9904a17a5e7c1c6ecfafc47(); } else { function waitForOtherFormsmpFrm04fbaca1d1894a9198fda4d498cc9bb4() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita925ac03d9904a17a5e7c1c6ecfafc47(); } else { setTimeout(waitForOtherFormsmpFrm04fbaca1d1894a9198fda4d498cc9bb4,300); } } waitForOtherFormsmpFrm04fbaca1d1894a9198fda4d498cc9bb4(); }