var captchaWidgetmpFrm511a883121ea442e991578cc820a51f3; var mpCurrentScriptmpFrm511a883121ea442e991578cc820a51f3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm511a883121ea442e991578cc820a51f3"; 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); }); } mpFormmpFrm511a883121ea442e991578cc820a51f3Find(); } 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); mpFormmpFrm511a883121ea442e991578cc820a51f3Find(); } })(); function mpFormmpFrm511a883121ea442e991578cc820a51f3Find() { if(!mpCurrentScriptmpFrm511a883121ea442e991578cc820a51f3Container) return; if (mpCurrentScriptmpFrm511a883121ea442e991578cc820a51f3Container && mpCurrentScriptmpFrm511a883121ea442e991578cc820a51f3Container.nodeName && mpCurrentScriptmpFrm511a883121ea442e991578cc820a51f3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm511a883121ea442e991578cc820a51f3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm511a883121ea442e991578cc820a51f3Container.children).forEach(c => { if (c.id === "mpFrm511a883121ea442e991578cc820a51f3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript29db0c35c8d349d1a85f7950a860ec9aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm511a883121ea442e991578cc820a51f3"; } } } } function mpForm29db0c35c8d349d1a85f7950a860ec9aCheck() { let checkBoxes = document.getElementById("mpform-29db0c35c8d349d1a85f7950a860ec9a").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 mpForm29db0c35c8d349d1a85f7950a860ec9aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-29db0c35c8d349d1a85f7950a860ec9a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-29db0c35c8d349d1a85f7950a860ec9a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-29db0c35c8d349d1a85f7950a860ec9a").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-29db0c35c8d349d1a85f7950a860ec9a')), 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: getTrackingId29db0c35c8d349d1a85f7950a860ec9a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-29db0c35c8d349d1a85f7950a860ec9a").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-29db0c35c8d349d1a85f7950a860ec9a").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) { mpForm29db0c35c8d349d1a85f7950a860ec9aCheck(); 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-29db0c35c8d349d1a85f7950a860ec9a').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-29db0c35c8d349d1a85f7950a860ec9a").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-29db0c35c8d349d1a85f7950a860ec9a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm511a883121ea442e991578cc820a51f3); } else { mpForm29db0c35c8d349d1a85f7950a860ec9aCheck(); 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 mpmRecaptchaLoaded29db0c35c8d349d1a85f7950a860ec9a() { captchaWidgetmpFrm511a883121ea442e991578cc820a51f3 = grecaptcha.render('mpmRecaptchampFrm511a883121ea442e991578cc820a51f3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId29db0c35c8d349d1a85f7950a860ec9a() { 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 mpmFormInit29db0c35c8d349d1a85f7950a860ec9a () { 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 finishedLoading29db0c35c8d349d1a85f7950a860ec9a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm511a883121ea442e991578cc820a51f3'); if (!container) { mpFormmpFrm511a883121ea442e991578cc820a51f3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm511a883121ea442e991578cc820a51f3'); return setTimeout(finishedLoading29db0c35c8d349d1a85f7950a860ec9a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-29db0c35c8d349d1a85f7950a860ec9a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-29db0c35c8d349d1a85f7950a860ec9a").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-29db0c35c8d349d1a85f7950a860ec9a").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-29db0c35c8d349d1a85f7950a860ec9a").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-29db0c35c8d349d1a85f7950a860ec9a").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=mpmRecaptchaLoaded29db0c35c8d349d1a85f7950a860ec9a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup29db0c35c8d349d1a85f7950a860ec9a() { let popups = document.getElementById("mpform-29db0c35c8d349d1a85f7950a860ec9a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput29db0c35c8d349d1a85f7950a860ec9a() { 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 () { finishedLoading29db0c35c8d349d1a85f7950a860ec9a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading29db0c35c8d349d1a85f7950a860ec9a(); } } 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); mploadTelInput29db0c35c8d349d1a85f7950a860ec9a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit29db0c35c8d349d1a85f7950a860ec9a(); } else { function waitForOtherFormsmpFrm511a883121ea442e991578cc820a51f3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit29db0c35c8d349d1a85f7950a860ec9a(); } else { setTimeout(waitForOtherFormsmpFrm511a883121ea442e991578cc820a51f3,300); } } waitForOtherFormsmpFrm511a883121ea442e991578cc820a51f3(); }