var captchaWidgetmpFrm0f8a6661b6824d94a75d6f8bf0305e7f; var mpCurrentScriptmpFrm0f8a6661b6824d94a75d6f8bf0305e7fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0f8a6661b6824d94a75d6f8bf0305e7f"; 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); }); } mpFormmpFrm0f8a6661b6824d94a75d6f8bf0305e7fFind(); } 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); mpFormmpFrm0f8a6661b6824d94a75d6f8bf0305e7fFind(); } })(); function mpFormmpFrm0f8a6661b6824d94a75d6f8bf0305e7fFind() { if(!mpCurrentScriptmpFrm0f8a6661b6824d94a75d6f8bf0305e7fContainer) return; if (mpCurrentScriptmpFrm0f8a6661b6824d94a75d6f8bf0305e7fContainer && mpCurrentScriptmpFrm0f8a6661b6824d94a75d6f8bf0305e7fContainer.nodeName && mpCurrentScriptmpFrm0f8a6661b6824d94a75d6f8bf0305e7fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0f8a6661b6824d94a75d6f8bf0305e7f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0f8a6661b6824d94a75d6f8bf0305e7fContainer.children).forEach(c => { if (c.id === "mpFrm0f8a6661b6824d94a75d6f8bf0305e7f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript884f01aa0c2e45458e54829a8a1c1367Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0f8a6661b6824d94a75d6f8bf0305e7f"; } } } } function mpForm884f01aa0c2e45458e54829a8a1c1367Check() { let checkBoxes = document.getElementById("mpform-884f01aa0c2e45458e54829a8a1c1367").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 mpForm884f01aa0c2e45458e54829a8a1c1367Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-884f01aa0c2e45458e54829a8a1c1367").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-884f01aa0c2e45458e54829a8a1c1367").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-884f01aa0c2e45458e54829a8a1c1367").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-884f01aa0c2e45458e54829a8a1c1367')), 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: getTrackingId884f01aa0c2e45458e54829a8a1c1367() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-884f01aa0c2e45458e54829a8a1c1367").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-884f01aa0c2e45458e54829a8a1c1367").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) { mpForm884f01aa0c2e45458e54829a8a1c1367Check(); 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-884f01aa0c2e45458e54829a8a1c1367').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-884f01aa0c2e45458e54829a8a1c1367").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-884f01aa0c2e45458e54829a8a1c1367').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0f8a6661b6824d94a75d6f8bf0305e7f); } else { mpForm884f01aa0c2e45458e54829a8a1c1367Check(); 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 mpmRecaptchaLoaded884f01aa0c2e45458e54829a8a1c1367() { captchaWidgetmpFrm0f8a6661b6824d94a75d6f8bf0305e7f = grecaptcha.render('mpmRecaptchampFrm0f8a6661b6824d94a75d6f8bf0305e7f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId884f01aa0c2e45458e54829a8a1c1367() { 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 mpmFormInit884f01aa0c2e45458e54829a8a1c1367 () { 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 finishedLoading884f01aa0c2e45458e54829a8a1c1367() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0f8a6661b6824d94a75d6f8bf0305e7f'); if (!container) { mpFormmpFrm0f8a6661b6824d94a75d6f8bf0305e7fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0f8a6661b6824d94a75d6f8bf0305e7f'); return setTimeout(finishedLoading884f01aa0c2e45458e54829a8a1c1367, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-884f01aa0c2e45458e54829a8a1c1367").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-884f01aa0c2e45458e54829a8a1c1367").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-884f01aa0c2e45458e54829a8a1c1367-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-884f01aa0c2e45458e54829a8a1c1367-" + 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-884f01aa0c2e45458e54829a8a1c1367").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-884f01aa0c2e45458e54829a8a1c1367").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-884f01aa0c2e45458e54829a8a1c1367").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=mpmRecaptchaLoaded884f01aa0c2e45458e54829a8a1c1367&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup884f01aa0c2e45458e54829a8a1c1367() { let popups = document.getElementById("mpform-884f01aa0c2e45458e54829a8a1c1367").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput884f01aa0c2e45458e54829a8a1c1367() { 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 () { finishedLoading884f01aa0c2e45458e54829a8a1c1367(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading884f01aa0c2e45458e54829a8a1c1367(); } } 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); mploadTelInput884f01aa0c2e45458e54829a8a1c1367(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit884f01aa0c2e45458e54829a8a1c1367(); } else { function waitForOtherFormsmpFrm0f8a6661b6824d94a75d6f8bf0305e7f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit884f01aa0c2e45458e54829a8a1c1367(); } else { setTimeout(waitForOtherFormsmpFrm0f8a6661b6824d94a75d6f8bf0305e7f,300); } } waitForOtherFormsmpFrm0f8a6661b6824d94a75d6f8bf0305e7f(); }