var captchaWidgetmpFrmbb366cc4ca5348e7adb40c9ecc4618b1; var mpCurrentScriptmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbb366cc4ca5348e7adb40c9ecc4618b1"; 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); }); } mpFormmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Find(); } 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); mpFormmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Find(); } })(); function mpFormmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Find() { if(!mpCurrentScriptmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Container) return; if (mpCurrentScriptmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Container && mpCurrentScriptmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Container.nodeName && mpCurrentScriptmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbb366cc4ca5348e7adb40c9ecc4618b1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Container.children).forEach(c => { if (c.id === "mpFrmbb366cc4ca5348e7adb40c9ecc4618b1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript876a0a7ca4644ec5b447fbbcb7ea3663Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbb366cc4ca5348e7adb40c9ecc4618b1"; } } } } function mpForm876a0a7ca4644ec5b447fbbcb7ea3663Check() { let checkBoxes = document.getElementById("mpform-876a0a7ca4644ec5b447fbbcb7ea3663").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 mpForm876a0a7ca4644ec5b447fbbcb7ea3663Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-876a0a7ca4644ec5b447fbbcb7ea3663").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-876a0a7ca4644ec5b447fbbcb7ea3663").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-876a0a7ca4644ec5b447fbbcb7ea3663").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-876a0a7ca4644ec5b447fbbcb7ea3663')), 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: getTrackingId876a0a7ca4644ec5b447fbbcb7ea3663() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-876a0a7ca4644ec5b447fbbcb7ea3663").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-876a0a7ca4644ec5b447fbbcb7ea3663").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) { mpForm876a0a7ca4644ec5b447fbbcb7ea3663Check(); 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-876a0a7ca4644ec5b447fbbcb7ea3663').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-876a0a7ca4644ec5b447fbbcb7ea3663").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-876a0a7ca4644ec5b447fbbcb7ea3663').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbb366cc4ca5348e7adb40c9ecc4618b1); } else { mpForm876a0a7ca4644ec5b447fbbcb7ea3663Check(); 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 mpmRecaptchaLoaded876a0a7ca4644ec5b447fbbcb7ea3663() { captchaWidgetmpFrmbb366cc4ca5348e7adb40c9ecc4618b1 = grecaptcha.render('mpmRecaptchampFrmbb366cc4ca5348e7adb40c9ecc4618b1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId876a0a7ca4644ec5b447fbbcb7ea3663() { 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 mpmFormInit876a0a7ca4644ec5b447fbbcb7ea3663 () { 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 finishedLoading876a0a7ca4644ec5b447fbbcb7ea3663() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbb366cc4ca5348e7adb40c9ecc4618b1'); if (!container) { mpFormmpFrmbb366cc4ca5348e7adb40c9ecc4618b1Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbb366cc4ca5348e7adb40c9ecc4618b1'); return setTimeout(finishedLoading876a0a7ca4644ec5b447fbbcb7ea3663, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-876a0a7ca4644ec5b447fbbcb7ea3663").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-876a0a7ca4644ec5b447fbbcb7ea3663").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-876a0a7ca4644ec5b447fbbcb7ea3663-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-876a0a7ca4644ec5b447fbbcb7ea3663-" + 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-876a0a7ca4644ec5b447fbbcb7ea3663").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-876a0a7ca4644ec5b447fbbcb7ea3663").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-876a0a7ca4644ec5b447fbbcb7ea3663").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=mpmRecaptchaLoaded876a0a7ca4644ec5b447fbbcb7ea3663&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup876a0a7ca4644ec5b447fbbcb7ea3663() { let popups = document.getElementById("mpform-876a0a7ca4644ec5b447fbbcb7ea3663").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput876a0a7ca4644ec5b447fbbcb7ea3663() { 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 () { finishedLoading876a0a7ca4644ec5b447fbbcb7ea3663(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading876a0a7ca4644ec5b447fbbcb7ea3663(); } } 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); mploadTelInput876a0a7ca4644ec5b447fbbcb7ea3663(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit876a0a7ca4644ec5b447fbbcb7ea3663(); } else { function waitForOtherFormsmpFrmbb366cc4ca5348e7adb40c9ecc4618b1() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit876a0a7ca4644ec5b447fbbcb7ea3663(); } else { setTimeout(waitForOtherFormsmpFrmbb366cc4ca5348e7adb40c9ecc4618b1,300); } } waitForOtherFormsmpFrmbb366cc4ca5348e7adb40c9ecc4618b1(); }