var captchaWidgetmpFrmb897a37650d34f25a73938785d1a6855; var mpCurrentScriptmpFrmb897a37650d34f25a73938785d1a6855Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb897a37650d34f25a73938785d1a6855"; 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); }); } mpFormmpFrmb897a37650d34f25a73938785d1a6855Find(); } 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); mpFormmpFrmb897a37650d34f25a73938785d1a6855Find(); } })(); function mpFormmpFrmb897a37650d34f25a73938785d1a6855Find() { if(!mpCurrentScriptmpFrmb897a37650d34f25a73938785d1a6855Container) return; if (mpCurrentScriptmpFrmb897a37650d34f25a73938785d1a6855Container && mpCurrentScriptmpFrmb897a37650d34f25a73938785d1a6855Container.nodeName && mpCurrentScriptmpFrmb897a37650d34f25a73938785d1a6855Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb897a37650d34f25a73938785d1a6855" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb897a37650d34f25a73938785d1a6855Container.children).forEach(c => { if (c.id === "mpFrmb897a37650d34f25a73938785d1a6855") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript141c834cbe49423e998530ce8bae01efContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb897a37650d34f25a73938785d1a6855"; } } } } function mpForm141c834cbe49423e998530ce8bae01efCheck() { let checkBoxes = document.getElementById("mpform-141c834cbe49423e998530ce8bae01ef").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 mpForm141c834cbe49423e998530ce8bae01efSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-141c834cbe49423e998530ce8bae01ef").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-141c834cbe49423e998530ce8bae01ef").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-141c834cbe49423e998530ce8bae01ef").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-141c834cbe49423e998530ce8bae01ef')), 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: getTrackingId141c834cbe49423e998530ce8bae01ef() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-141c834cbe49423e998530ce8bae01ef").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-141c834cbe49423e998530ce8bae01ef").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) { mpForm141c834cbe49423e998530ce8bae01efCheck(); 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-141c834cbe49423e998530ce8bae01ef').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-141c834cbe49423e998530ce8bae01ef").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-141c834cbe49423e998530ce8bae01ef').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb897a37650d34f25a73938785d1a6855); } else { mpForm141c834cbe49423e998530ce8bae01efCheck(); 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 mpmRecaptchaLoaded141c834cbe49423e998530ce8bae01ef() { captchaWidgetmpFrmb897a37650d34f25a73938785d1a6855 = grecaptcha.render('mpmRecaptchampFrmb897a37650d34f25a73938785d1a6855', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId141c834cbe49423e998530ce8bae01ef() { 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 mpmFormInit141c834cbe49423e998530ce8bae01ef () { 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 finishedLoading141c834cbe49423e998530ce8bae01ef() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb897a37650d34f25a73938785d1a6855'); if (!container) { mpFormmpFrmb897a37650d34f25a73938785d1a6855Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb897a37650d34f25a73938785d1a6855'); return setTimeout(finishedLoading141c834cbe49423e998530ce8bae01ef, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-141c834cbe49423e998530ce8bae01ef").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-141c834cbe49423e998530ce8bae01ef").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-141c834cbe49423e998530ce8bae01ef-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-141c834cbe49423e998530ce8bae01ef-" + 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-141c834cbe49423e998530ce8bae01ef").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-141c834cbe49423e998530ce8bae01ef").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-141c834cbe49423e998530ce8bae01ef").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=mpmRecaptchaLoaded141c834cbe49423e998530ce8bae01ef&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup141c834cbe49423e998530ce8bae01ef() { let popups = document.getElementById("mpform-141c834cbe49423e998530ce8bae01ef").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput141c834cbe49423e998530ce8bae01ef() { 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 () { finishedLoading141c834cbe49423e998530ce8bae01ef(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading141c834cbe49423e998530ce8bae01ef(); } } 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); mploadTelInput141c834cbe49423e998530ce8bae01ef(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit141c834cbe49423e998530ce8bae01ef(); } else { function waitForOtherFormsmpFrmb897a37650d34f25a73938785d1a6855() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit141c834cbe49423e998530ce8bae01ef(); } else { setTimeout(waitForOtherFormsmpFrmb897a37650d34f25a73938785d1a6855,300); } } waitForOtherFormsmpFrmb897a37650d34f25a73938785d1a6855(); }