var captchaWidgetmpFrm2f29dcc4fbc64bda96d2ad72d1b395db; var mpCurrentScriptmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2f29dcc4fbc64bda96d2ad72d1b395db"; 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); }); } mpFormmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbFind(); } 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); mpFormmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbFind(); } })(); function mpFormmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbFind() { if(!mpCurrentScriptmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbContainer) return; if (mpCurrentScriptmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbContainer && mpCurrentScriptmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbContainer.nodeName && mpCurrentScriptmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2f29dcc4fbc64bda96d2ad72d1b395db" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbContainer.children).forEach(c => { if (c.id === "mpFrm2f29dcc4fbc64bda96d2ad72d1b395db") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2dc69caadc9d402faf42803c06ee6d49Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2f29dcc4fbc64bda96d2ad72d1b395db"; } } } } function mpForm2dc69caadc9d402faf42803c06ee6d49Check() { let checkBoxes = document.getElementById("mpform-2dc69caadc9d402faf42803c06ee6d49").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 mpForm2dc69caadc9d402faf42803c06ee6d49Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2dc69caadc9d402faf42803c06ee6d49").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2dc69caadc9d402faf42803c06ee6d49").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2dc69caadc9d402faf42803c06ee6d49").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-2dc69caadc9d402faf42803c06ee6d49')), 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: getTrackingId2dc69caadc9d402faf42803c06ee6d49() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2dc69caadc9d402faf42803c06ee6d49").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-2dc69caadc9d402faf42803c06ee6d49").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) { mpForm2dc69caadc9d402faf42803c06ee6d49Check(); 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-2dc69caadc9d402faf42803c06ee6d49').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-2dc69caadc9d402faf42803c06ee6d49").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-2dc69caadc9d402faf42803c06ee6d49').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2f29dcc4fbc64bda96d2ad72d1b395db); } else { mpForm2dc69caadc9d402faf42803c06ee6d49Check(); 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 mpmRecaptchaLoaded2dc69caadc9d402faf42803c06ee6d49() { captchaWidgetmpFrm2f29dcc4fbc64bda96d2ad72d1b395db = grecaptcha.render('mpmRecaptchampFrm2f29dcc4fbc64bda96d2ad72d1b395db', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2dc69caadc9d402faf42803c06ee6d49() { 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 mpmFormInit2dc69caadc9d402faf42803c06ee6d49 () { 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 finishedLoading2dc69caadc9d402faf42803c06ee6d49() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2f29dcc4fbc64bda96d2ad72d1b395db'); if (!container) { mpFormmpFrm2f29dcc4fbc64bda96d2ad72d1b395dbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2f29dcc4fbc64bda96d2ad72d1b395db'); return setTimeout(finishedLoading2dc69caadc9d402faf42803c06ee6d49, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2dc69caadc9d402faf42803c06ee6d49").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2dc69caadc9d402faf42803c06ee6d49").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-2dc69caadc9d402faf42803c06ee6d49-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-2dc69caadc9d402faf42803c06ee6d49-" + 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-2dc69caadc9d402faf42803c06ee6d49").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-2dc69caadc9d402faf42803c06ee6d49").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-2dc69caadc9d402faf42803c06ee6d49").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=mpmRecaptchaLoaded2dc69caadc9d402faf42803c06ee6d49&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2dc69caadc9d402faf42803c06ee6d49() { let popups = document.getElementById("mpform-2dc69caadc9d402faf42803c06ee6d49").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2dc69caadc9d402faf42803c06ee6d49() { 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 () { finishedLoading2dc69caadc9d402faf42803c06ee6d49(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2dc69caadc9d402faf42803c06ee6d49(); } } 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); mploadTelInput2dc69caadc9d402faf42803c06ee6d49(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2dc69caadc9d402faf42803c06ee6d49(); } else { function waitForOtherFormsmpFrm2f29dcc4fbc64bda96d2ad72d1b395db() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2dc69caadc9d402faf42803c06ee6d49(); } else { setTimeout(waitForOtherFormsmpFrm2f29dcc4fbc64bda96d2ad72d1b395db,300); } } waitForOtherFormsmpFrm2f29dcc4fbc64bda96d2ad72d1b395db(); }