var captchaWidgetmpFrmf859df7dee854b24b62dbaf968d8d354; var mpCurrentScriptmpFrmf859df7dee854b24b62dbaf968d8d354Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf859df7dee854b24b62dbaf968d8d354"; 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); }); } mpFormmpFrmf859df7dee854b24b62dbaf968d8d354Find(); } 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); mpFormmpFrmf859df7dee854b24b62dbaf968d8d354Find(); } })(); function mpFormmpFrmf859df7dee854b24b62dbaf968d8d354Find() { if(!mpCurrentScriptmpFrmf859df7dee854b24b62dbaf968d8d354Container) return; if (mpCurrentScriptmpFrmf859df7dee854b24b62dbaf968d8d354Container && mpCurrentScriptmpFrmf859df7dee854b24b62dbaf968d8d354Container.nodeName && mpCurrentScriptmpFrmf859df7dee854b24b62dbaf968d8d354Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf859df7dee854b24b62dbaf968d8d354" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf859df7dee854b24b62dbaf968d8d354Container.children).forEach(c => { if (c.id === "mpFrmf859df7dee854b24b62dbaf968d8d354") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript70ee9ee3a1ee4172bb5d6cbc36ea0b76Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf859df7dee854b24b62dbaf968d8d354"; } } } } function mpForm70ee9ee3a1ee4172bb5d6cbc36ea0b76Check() { let checkBoxes = document.getElementById("mpform-70ee9ee3a1ee4172bb5d6cbc36ea0b76").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 mpForm70ee9ee3a1ee4172bb5d6cbc36ea0b76Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-70ee9ee3a1ee4172bb5d6cbc36ea0b76").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-70ee9ee3a1ee4172bb5d6cbc36ea0b76").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-70ee9ee3a1ee4172bb5d6cbc36ea0b76").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-70ee9ee3a1ee4172bb5d6cbc36ea0b76')), 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: getTrackingId70ee9ee3a1ee4172bb5d6cbc36ea0b76() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-70ee9ee3a1ee4172bb5d6cbc36ea0b76").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-70ee9ee3a1ee4172bb5d6cbc36ea0b76").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) { mpForm70ee9ee3a1ee4172bb5d6cbc36ea0b76Check(); 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-70ee9ee3a1ee4172bb5d6cbc36ea0b76').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-70ee9ee3a1ee4172bb5d6cbc36ea0b76").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-70ee9ee3a1ee4172bb5d6cbc36ea0b76').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf859df7dee854b24b62dbaf968d8d354); } else { mpForm70ee9ee3a1ee4172bb5d6cbc36ea0b76Check(); 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 mpmRecaptchaLoaded70ee9ee3a1ee4172bb5d6cbc36ea0b76() { captchaWidgetmpFrmf859df7dee854b24b62dbaf968d8d354 = grecaptcha.render('mpmRecaptchampFrmf859df7dee854b24b62dbaf968d8d354', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId70ee9ee3a1ee4172bb5d6cbc36ea0b76() { 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 mpmFormInit70ee9ee3a1ee4172bb5d6cbc36ea0b76 () { 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 finishedLoading70ee9ee3a1ee4172bb5d6cbc36ea0b76() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf859df7dee854b24b62dbaf968d8d354'); if (!container) { mpFormmpFrmf859df7dee854b24b62dbaf968d8d354Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf859df7dee854b24b62dbaf968d8d354'); return setTimeout(finishedLoading70ee9ee3a1ee4172bb5d6cbc36ea0b76, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-70ee9ee3a1ee4172bb5d6cbc36ea0b76").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-70ee9ee3a1ee4172bb5d6cbc36ea0b76").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-70ee9ee3a1ee4172bb5d6cbc36ea0b76-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-70ee9ee3a1ee4172bb5d6cbc36ea0b76-" + 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-70ee9ee3a1ee4172bb5d6cbc36ea0b76").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-70ee9ee3a1ee4172bb5d6cbc36ea0b76").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-70ee9ee3a1ee4172bb5d6cbc36ea0b76").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=mpmRecaptchaLoaded70ee9ee3a1ee4172bb5d6cbc36ea0b76&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup70ee9ee3a1ee4172bb5d6cbc36ea0b76() { let popups = document.getElementById("mpform-70ee9ee3a1ee4172bb5d6cbc36ea0b76").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput70ee9ee3a1ee4172bb5d6cbc36ea0b76() { 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 () { finishedLoading70ee9ee3a1ee4172bb5d6cbc36ea0b76(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading70ee9ee3a1ee4172bb5d6cbc36ea0b76(); } } 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); mploadTelInput70ee9ee3a1ee4172bb5d6cbc36ea0b76(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit70ee9ee3a1ee4172bb5d6cbc36ea0b76(); } else { function waitForOtherFormsmpFrmf859df7dee854b24b62dbaf968d8d354() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit70ee9ee3a1ee4172bb5d6cbc36ea0b76(); } else { setTimeout(waitForOtherFormsmpFrmf859df7dee854b24b62dbaf968d8d354,300); } } waitForOtherFormsmpFrmf859df7dee854b24b62dbaf968d8d354(); }