var captchaWidgetmpFrmef72062018c94725ba804d0949d09958; var mpCurrentScriptmpFrmef72062018c94725ba804d0949d09958Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmef72062018c94725ba804d0949d09958"; 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); }); } mpFormmpFrmef72062018c94725ba804d0949d09958Find(); } 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); mpFormmpFrmef72062018c94725ba804d0949d09958Find(); } })(); function mpFormmpFrmef72062018c94725ba804d0949d09958Find() { if(!mpCurrentScriptmpFrmef72062018c94725ba804d0949d09958Container) return; if (mpCurrentScriptmpFrmef72062018c94725ba804d0949d09958Container && mpCurrentScriptmpFrmef72062018c94725ba804d0949d09958Container.nodeName && mpCurrentScriptmpFrmef72062018c94725ba804d0949d09958Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmef72062018c94725ba804d0949d09958" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmef72062018c94725ba804d0949d09958Container.children).forEach(c => { if (c.id === "mpFrmef72062018c94725ba804d0949d09958") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd4db860e90fa44f2872fbe68c5ed1eabContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmef72062018c94725ba804d0949d09958"; } } } } function mpFormd4db860e90fa44f2872fbe68c5ed1eabCheck() { let checkBoxes = document.getElementById("mpform-d4db860e90fa44f2872fbe68c5ed1eab").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 mpFormd4db860e90fa44f2872fbe68c5ed1eabSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d4db860e90fa44f2872fbe68c5ed1eab").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d4db860e90fa44f2872fbe68c5ed1eab").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d4db860e90fa44f2872fbe68c5ed1eab").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-d4db860e90fa44f2872fbe68c5ed1eab')), 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: getTrackingIdd4db860e90fa44f2872fbe68c5ed1eab() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d4db860e90fa44f2872fbe68c5ed1eab").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-d4db860e90fa44f2872fbe68c5ed1eab").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) { mpFormd4db860e90fa44f2872fbe68c5ed1eabCheck(); 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-d4db860e90fa44f2872fbe68c5ed1eab').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-d4db860e90fa44f2872fbe68c5ed1eab").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-d4db860e90fa44f2872fbe68c5ed1eab').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmef72062018c94725ba804d0949d09958); } else { mpFormd4db860e90fa44f2872fbe68c5ed1eabCheck(); 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 mpmRecaptchaLoadedd4db860e90fa44f2872fbe68c5ed1eab() { captchaWidgetmpFrmef72062018c94725ba804d0949d09958 = grecaptcha.render('mpmRecaptchampFrmef72062018c94725ba804d0949d09958', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd4db860e90fa44f2872fbe68c5ed1eab() { 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 mpmFormInitd4db860e90fa44f2872fbe68c5ed1eab () { 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 finishedLoadingd4db860e90fa44f2872fbe68c5ed1eab() { window.mpFormLoading = false; let container = document.getElementById('mpFrmef72062018c94725ba804d0949d09958'); if (!container) { mpFormmpFrmef72062018c94725ba804d0949d09958Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmef72062018c94725ba804d0949d09958'); return setTimeout(finishedLoadingd4db860e90fa44f2872fbe68c5ed1eab, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d4db860e90fa44f2872fbe68c5ed1eab").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d4db860e90fa44f2872fbe68c5ed1eab").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-d4db860e90fa44f2872fbe68c5ed1eab-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-d4db860e90fa44f2872fbe68c5ed1eab-" + 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-d4db860e90fa44f2872fbe68c5ed1eab").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-d4db860e90fa44f2872fbe68c5ed1eab").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-d4db860e90fa44f2872fbe68c5ed1eab").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=mpmRecaptchaLoadedd4db860e90fa44f2872fbe68c5ed1eab&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd4db860e90fa44f2872fbe68c5ed1eab() { let popups = document.getElementById("mpform-d4db860e90fa44f2872fbe68c5ed1eab").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd4db860e90fa44f2872fbe68c5ed1eab() { 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 () { finishedLoadingd4db860e90fa44f2872fbe68c5ed1eab(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd4db860e90fa44f2872fbe68c5ed1eab(); } } 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); mploadTelInputd4db860e90fa44f2872fbe68c5ed1eab(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd4db860e90fa44f2872fbe68c5ed1eab(); } else { function waitForOtherFormsmpFrmef72062018c94725ba804d0949d09958() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd4db860e90fa44f2872fbe68c5ed1eab(); } else { setTimeout(waitForOtherFormsmpFrmef72062018c94725ba804d0949d09958,300); } } waitForOtherFormsmpFrmef72062018c94725ba804d0949d09958(); }