var captchaWidgetmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74; var mpCurrentScriptmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74"; 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); }); } mpFormmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Find(); } 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); mpFormmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Find(); } })(); function mpFormmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Find() { if(!mpCurrentScriptmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Container) return; if (mpCurrentScriptmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Container && mpCurrentScriptmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Container.nodeName && mpCurrentScriptmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Container.children).forEach(c => { if (c.id === "mpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript22331deaa001462aa07a23f2abba4ca1Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74"; } } } } function mpForm22331deaa001462aa07a23f2abba4ca1Check() { let checkBoxes = document.getElementById("mpform-22331deaa001462aa07a23f2abba4ca1").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 mpForm22331deaa001462aa07a23f2abba4ca1Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-22331deaa001462aa07a23f2abba4ca1").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-22331deaa001462aa07a23f2abba4ca1").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-22331deaa001462aa07a23f2abba4ca1").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-22331deaa001462aa07a23f2abba4ca1')), 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: getTrackingId22331deaa001462aa07a23f2abba4ca1() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-22331deaa001462aa07a23f2abba4ca1").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-22331deaa001462aa07a23f2abba4ca1").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) { mpForm22331deaa001462aa07a23f2abba4ca1Check(); 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-22331deaa001462aa07a23f2abba4ca1').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-22331deaa001462aa07a23f2abba4ca1").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-22331deaa001462aa07a23f2abba4ca1').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74); } else { mpForm22331deaa001462aa07a23f2abba4ca1Check(); 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 mpmRecaptchaLoaded22331deaa001462aa07a23f2abba4ca1() { captchaWidgetmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74 = grecaptcha.render('mpmRecaptchampFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId22331deaa001462aa07a23f2abba4ca1() { 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 mpmFormInit22331deaa001462aa07a23f2abba4ca1 () { 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 finishedLoading22331deaa001462aa07a23f2abba4ca1() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74'); if (!container) { mpFormmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74'); return setTimeout(finishedLoading22331deaa001462aa07a23f2abba4ca1, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-22331deaa001462aa07a23f2abba4ca1").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-22331deaa001462aa07a23f2abba4ca1").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-22331deaa001462aa07a23f2abba4ca1").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-22331deaa001462aa07a23f2abba4ca1").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-22331deaa001462aa07a23f2abba4ca1").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=mpmRecaptchaLoaded22331deaa001462aa07a23f2abba4ca1&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup22331deaa001462aa07a23f2abba4ca1() { let popups = document.getElementById("mpform-22331deaa001462aa07a23f2abba4ca1").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput22331deaa001462aa07a23f2abba4ca1() { 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 () { finishedLoading22331deaa001462aa07a23f2abba4ca1(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading22331deaa001462aa07a23f2abba4ca1(); } } 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); mploadTelInput22331deaa001462aa07a23f2abba4ca1(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit22331deaa001462aa07a23f2abba4ca1(); } else { function waitForOtherFormsmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit22331deaa001462aa07a23f2abba4ca1(); } else { setTimeout(waitForOtherFormsmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74,300); } } waitForOtherFormsmpFrm4d13d6ca2cf34fb1b8c9f24dd35f5c74(); }