var captchaWidgetmpFrm300bce0f4dbb4e45a8e99f6153ffe165; var mpCurrentScriptmpFrm300bce0f4dbb4e45a8e99f6153ffe165Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm300bce0f4dbb4e45a8e99f6153ffe165"; 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); mpFormmpFrm300bce0f4dbb4e45a8e99f6153ffe165Find(); } })(); function mpFormmpFrm300bce0f4dbb4e45a8e99f6153ffe165Find() { if(!mpCurrentScriptmpFrm300bce0f4dbb4e45a8e99f6153ffe165Container) return; if (mpCurrentScriptmpFrm300bce0f4dbb4e45a8e99f6153ffe165Container && mpCurrentScriptmpFrm300bce0f4dbb4e45a8e99f6153ffe165Container.nodeName && mpCurrentScriptmpFrm300bce0f4dbb4e45a8e99f6153ffe165Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm300bce0f4dbb4e45a8e99f6153ffe165" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm300bce0f4dbb4e45a8e99f6153ffe165Container.children).forEach(c => { if (c.id === "mpFrm300bce0f4dbb4e45a8e99f6153ffe165") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript99150c958c9845598e4ee10aba299bd9Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm300bce0f4dbb4e45a8e99f6153ffe165"; } } } } function mpForm99150c958c9845598e4ee10aba299bd9Check() { let checkBoxes = document.getElementById("mpform-99150c958c9845598e4ee10aba299bd9").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 mpForm99150c958c9845598e4ee10aba299bd9Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-99150c958c9845598e4ee10aba299bd9").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-99150c958c9845598e4ee10aba299bd9").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-99150c958c9845598e4ee10aba299bd9").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-99150c958c9845598e4ee10aba299bd9')), 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: getTrackingId99150c958c9845598e4ee10aba299bd9() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-99150c958c9845598e4ee10aba299bd9").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-99150c958c9845598e4ee10aba299bd9").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) { mpForm99150c958c9845598e4ee10aba299bd9Check(); 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-99150c958c9845598e4ee10aba299bd9').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-99150c958c9845598e4ee10aba299bd9").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-99150c958c9845598e4ee10aba299bd9').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm300bce0f4dbb4e45a8e99f6153ffe165); } else { mpForm99150c958c9845598e4ee10aba299bd9Check(); 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 mpmRecaptchaLoaded99150c958c9845598e4ee10aba299bd9() { captchaWidgetmpFrm300bce0f4dbb4e45a8e99f6153ffe165 = grecaptcha.render('mpmRecaptchampFrm300bce0f4dbb4e45a8e99f6153ffe165', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId99150c958c9845598e4ee10aba299bd9() { 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 mpmFormInit99150c958c9845598e4ee10aba299bd9 () { 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 finishedLoading99150c958c9845598e4ee10aba299bd9() { window.mpFormLoading = false; let container = document.getElementById('mpFrm300bce0f4dbb4e45a8e99f6153ffe165'); if (!container) { mpFormmpFrm300bce0f4dbb4e45a8e99f6153ffe165Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm300bce0f4dbb4e45a8e99f6153ffe165'); return setTimeout(finishedLoading99150c958c9845598e4ee10aba299bd9, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-99150c958c9845598e4ee10aba299bd9").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-99150c958c9845598e4ee10aba299bd9").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-99150c958c9845598e4ee10aba299bd9").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-99150c958c9845598e4ee10aba299bd9").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-99150c958c9845598e4ee10aba299bd9").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=mpmRecaptchaLoaded99150c958c9845598e4ee10aba299bd9&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup99150c958c9845598e4ee10aba299bd9() { let popups = document.getElementById("mpform-99150c958c9845598e4ee10aba299bd9").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput99150c958c9845598e4ee10aba299bd9() { 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 () { finishedLoading99150c958c9845598e4ee10aba299bd9(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading99150c958c9845598e4ee10aba299bd9(); } } 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); mploadTelInput99150c958c9845598e4ee10aba299bd9(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit99150c958c9845598e4ee10aba299bd9(); } else { function waitForOtherFormsmpFrm300bce0f4dbb4e45a8e99f6153ffe165() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit99150c958c9845598e4ee10aba299bd9(); } else { setTimeout(waitForOtherFormsmpFrm300bce0f4dbb4e45a8e99f6153ffe165,300); } } waitForOtherFormsmpFrm300bce0f4dbb4e45a8e99f6153ffe165(); }