var captchaWidgetmpFrmeb0c0cf675e244e9a0db7765a3992b5c; var mpCurrentScriptmpFrmeb0c0cf675e244e9a0db7765a3992b5cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmeb0c0cf675e244e9a0db7765a3992b5c"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrmeb0c0cf675e244e9a0db7765a3992b5cFind(); } })(); function mpFormmpFrmeb0c0cf675e244e9a0db7765a3992b5cFind() { if(!mpCurrentScriptmpFrmeb0c0cf675e244e9a0db7765a3992b5cContainer) return; if (mpCurrentScriptmpFrmeb0c0cf675e244e9a0db7765a3992b5cContainer && mpCurrentScriptmpFrmeb0c0cf675e244e9a0db7765a3992b5cContainer.nodeName && mpCurrentScriptmpFrmeb0c0cf675e244e9a0db7765a3992b5cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmeb0c0cf675e244e9a0db7765a3992b5c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmeb0c0cf675e244e9a0db7765a3992b5cContainer.children).forEach(c => { if (c.id === "mpFrmeb0c0cf675e244e9a0db7765a3992b5c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2317baf81db24d5eb7cdfe75de624020Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmeb0c0cf675e244e9a0db7765a3992b5c"; } } } } function mpForm2317baf81db24d5eb7cdfe75de624020Check() { let checkBoxes = document.getElementById("mpform-2317baf81db24d5eb7cdfe75de624020").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 mpForm2317baf81db24d5eb7cdfe75de624020Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2317baf81db24d5eb7cdfe75de624020").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2317baf81db24d5eb7cdfe75de624020").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2317baf81db24d5eb7cdfe75de624020").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-2317baf81db24d5eb7cdfe75de624020')), 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: getTrackingId2317baf81db24d5eb7cdfe75de624020() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2317baf81db24d5eb7cdfe75de624020").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-2317baf81db24d5eb7cdfe75de624020").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) { mpForm2317baf81db24d5eb7cdfe75de624020Check(); 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-2317baf81db24d5eb7cdfe75de624020').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-2317baf81db24d5eb7cdfe75de624020").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-2317baf81db24d5eb7cdfe75de624020').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmeb0c0cf675e244e9a0db7765a3992b5c); } else { mpForm2317baf81db24d5eb7cdfe75de624020Check(); 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 mpmRecaptchaLoaded2317baf81db24d5eb7cdfe75de624020() { captchaWidgetmpFrmeb0c0cf675e244e9a0db7765a3992b5c = grecaptcha.render('mpmRecaptchampFrmeb0c0cf675e244e9a0db7765a3992b5c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2317baf81db24d5eb7cdfe75de624020() { 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 mpmFormInit2317baf81db24d5eb7cdfe75de624020 () { 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 finishedLoading2317baf81db24d5eb7cdfe75de624020() { window.mpFormLoading = false; let container = document.getElementById('mpFrmeb0c0cf675e244e9a0db7765a3992b5c'); if (!container) { mpFormmpFrmeb0c0cf675e244e9a0db7765a3992b5cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmeb0c0cf675e244e9a0db7765a3992b5c'); return setTimeout(finishedLoading2317baf81db24d5eb7cdfe75de624020, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2317baf81db24d5eb7cdfe75de624020").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2317baf81db24d5eb7cdfe75de624020").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-2317baf81db24d5eb7cdfe75de624020").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-2317baf81db24d5eb7cdfe75de624020").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-2317baf81db24d5eb7cdfe75de624020").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=mpmRecaptchaLoaded2317baf81db24d5eb7cdfe75de624020&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2317baf81db24d5eb7cdfe75de624020() { let popups = document.getElementById("mpform-2317baf81db24d5eb7cdfe75de624020").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2317baf81db24d5eb7cdfe75de624020() { 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 () { finishedLoading2317baf81db24d5eb7cdfe75de624020(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2317baf81db24d5eb7cdfe75de624020(); } } 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); mploadTelInput2317baf81db24d5eb7cdfe75de624020(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2317baf81db24d5eb7cdfe75de624020(); } else { function waitForOtherFormsmpFrmeb0c0cf675e244e9a0db7765a3992b5c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2317baf81db24d5eb7cdfe75de624020(); } else { setTimeout(waitForOtherFormsmpFrmeb0c0cf675e244e9a0db7765a3992b5c,300); } } waitForOtherFormsmpFrmeb0c0cf675e244e9a0db7765a3992b5c(); }