var captchaWidgetmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be; var mpCurrentScriptmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63beContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be"; 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); mpFormmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63beFind(); } })(); function mpFormmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63beFind() { if(!mpCurrentScriptmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63beContainer) return; if (mpCurrentScriptmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63beContainer && mpCurrentScriptmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63beContainer.nodeName && mpCurrentScriptmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63beContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63beContainer.children).forEach(c => { if (c.id === "mpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3aa13e61973b486d9d10084d13edaf1cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be"; } } } } function mpForm3aa13e61973b486d9d10084d13edaf1cCheck() { let checkBoxes = document.getElementById("mpform-3aa13e61973b486d9d10084d13edaf1c").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 mpForm3aa13e61973b486d9d10084d13edaf1cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3aa13e61973b486d9d10084d13edaf1c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3aa13e61973b486d9d10084d13edaf1c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3aa13e61973b486d9d10084d13edaf1c").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-3aa13e61973b486d9d10084d13edaf1c')), 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: getTrackingId3aa13e61973b486d9d10084d13edaf1c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3aa13e61973b486d9d10084d13edaf1c").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-3aa13e61973b486d9d10084d13edaf1c").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) { mpForm3aa13e61973b486d9d10084d13edaf1cCheck(); 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-3aa13e61973b486d9d10084d13edaf1c').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-3aa13e61973b486d9d10084d13edaf1c").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-3aa13e61973b486d9d10084d13edaf1c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be); } else { mpForm3aa13e61973b486d9d10084d13edaf1cCheck(); 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 mpmRecaptchaLoaded3aa13e61973b486d9d10084d13edaf1c() { captchaWidgetmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be = grecaptcha.render('mpmRecaptchampFrm2b2d7417f0e34ee0bfb2b0f2d76a63be', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3aa13e61973b486d9d10084d13edaf1c() { 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 mpmFormInit3aa13e61973b486d9d10084d13edaf1c () { 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 finishedLoading3aa13e61973b486d9d10084d13edaf1c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be'); if (!container) { mpFormmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63beFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be'); return setTimeout(finishedLoading3aa13e61973b486d9d10084d13edaf1c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3aa13e61973b486d9d10084d13edaf1c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3aa13e61973b486d9d10084d13edaf1c").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-3aa13e61973b486d9d10084d13edaf1c").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-3aa13e61973b486d9d10084d13edaf1c").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-3aa13e61973b486d9d10084d13edaf1c").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=mpmRecaptchaLoaded3aa13e61973b486d9d10084d13edaf1c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3aa13e61973b486d9d10084d13edaf1c() { let popups = document.getElementById("mpform-3aa13e61973b486d9d10084d13edaf1c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3aa13e61973b486d9d10084d13edaf1c() { 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 () { finishedLoading3aa13e61973b486d9d10084d13edaf1c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3aa13e61973b486d9d10084d13edaf1c(); } } 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); mploadTelInput3aa13e61973b486d9d10084d13edaf1c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3aa13e61973b486d9d10084d13edaf1c(); } else { function waitForOtherFormsmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3aa13e61973b486d9d10084d13edaf1c(); } else { setTimeout(waitForOtherFormsmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be,300); } } waitForOtherFormsmpFrm2b2d7417f0e34ee0bfb2b0f2d76a63be(); }