var captchaWidgetmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6; var mpCurrentScriptmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6"; 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); }); } mpFormmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Find(); } 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); mpFormmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Find(); } })(); function mpFormmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Find() { if(!mpCurrentScriptmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Container) return; if (mpCurrentScriptmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Container && mpCurrentScriptmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Container.nodeName && mpCurrentScriptmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Container.children).forEach(c => { if (c.id === "mpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5ae9ce0bd6bc4f6d93d95f1b8dc49d4bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6"; } } } } function mpForm5ae9ce0bd6bc4f6d93d95f1b8dc49d4bCheck() { let checkBoxes = document.getElementById("mpform-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").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 mpForm5ae9ce0bd6bc4f6d93d95f1b8dc49d4bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").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-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b')), 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: getTrackingId5ae9ce0bd6bc4f6d93d95f1b8dc49d4b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").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-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").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) { mpForm5ae9ce0bd6bc4f6d93d95f1b8dc49d4bCheck(); 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-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b').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-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6); } else { mpForm5ae9ce0bd6bc4f6d93d95f1b8dc49d4bCheck(); 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 mpmRecaptchaLoaded5ae9ce0bd6bc4f6d93d95f1b8dc49d4b() { captchaWidgetmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6 = grecaptcha.render('mpmRecaptchampFrmd9b17f16d6fb4abeb5350b25b5c2c5e6', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5ae9ce0bd6bc4f6d93d95f1b8dc49d4b() { 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 mpmFormInit5ae9ce0bd6bc4f6d93d95f1b8dc49d4b () { 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 finishedLoading5ae9ce0bd6bc4f6d93d95f1b8dc49d4b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6'); if (!container) { mpFormmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6'); return setTimeout(finishedLoading5ae9ce0bd6bc4f6d93d95f1b8dc49d4b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").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-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b-" + 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-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").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-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").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-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").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=mpmRecaptchaLoaded5ae9ce0bd6bc4f6d93d95f1b8dc49d4b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5ae9ce0bd6bc4f6d93d95f1b8dc49d4b() { let popups = document.getElementById("mpform-5ae9ce0bd6bc4f6d93d95f1b8dc49d4b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5ae9ce0bd6bc4f6d93d95f1b8dc49d4b() { 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 () { finishedLoading5ae9ce0bd6bc4f6d93d95f1b8dc49d4b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5ae9ce0bd6bc4f6d93d95f1b8dc49d4b(); } } 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); mploadTelInput5ae9ce0bd6bc4f6d93d95f1b8dc49d4b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5ae9ce0bd6bc4f6d93d95f1b8dc49d4b(); } else { function waitForOtherFormsmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5ae9ce0bd6bc4f6d93d95f1b8dc49d4b(); } else { setTimeout(waitForOtherFormsmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6,300); } } waitForOtherFormsmpFrmd9b17f16d6fb4abeb5350b25b5c2c5e6(); }