var captchaWidgetmpFrm3c35463dd73c4305a097c36ec235f4ee; var mpCurrentScriptmpFrm3c35463dd73c4305a097c36ec235f4eeContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3c35463dd73c4305a097c36ec235f4ee"; 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); }); } mpFormmpFrm3c35463dd73c4305a097c36ec235f4eeFind(); } 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); mpFormmpFrm3c35463dd73c4305a097c36ec235f4eeFind(); } })(); function mpFormmpFrm3c35463dd73c4305a097c36ec235f4eeFind() { if(!mpCurrentScriptmpFrm3c35463dd73c4305a097c36ec235f4eeContainer) return; if (mpCurrentScriptmpFrm3c35463dd73c4305a097c36ec235f4eeContainer && mpCurrentScriptmpFrm3c35463dd73c4305a097c36ec235f4eeContainer.nodeName && mpCurrentScriptmpFrm3c35463dd73c4305a097c36ec235f4eeContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3c35463dd73c4305a097c36ec235f4ee" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3c35463dd73c4305a097c36ec235f4eeContainer.children).forEach(c => { if (c.id === "mpFrm3c35463dd73c4305a097c36ec235f4ee") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4468065ccb6147bd928affa75960d35bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3c35463dd73c4305a097c36ec235f4ee"; } } } } function mpForm4468065ccb6147bd928affa75960d35bCheck() { let checkBoxes = document.getElementById("mpform-4468065ccb6147bd928affa75960d35b").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 mpForm4468065ccb6147bd928affa75960d35bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4468065ccb6147bd928affa75960d35b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4468065ccb6147bd928affa75960d35b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4468065ccb6147bd928affa75960d35b").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-4468065ccb6147bd928affa75960d35b')), 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: getTrackingId4468065ccb6147bd928affa75960d35b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4468065ccb6147bd928affa75960d35b").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-4468065ccb6147bd928affa75960d35b").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) { mpForm4468065ccb6147bd928affa75960d35bCheck(); 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-4468065ccb6147bd928affa75960d35b').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-4468065ccb6147bd928affa75960d35b").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-4468065ccb6147bd928affa75960d35b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3c35463dd73c4305a097c36ec235f4ee); } else { mpForm4468065ccb6147bd928affa75960d35bCheck(); 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 mpmRecaptchaLoaded4468065ccb6147bd928affa75960d35b() { captchaWidgetmpFrm3c35463dd73c4305a097c36ec235f4ee = grecaptcha.render('mpmRecaptchampFrm3c35463dd73c4305a097c36ec235f4ee', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4468065ccb6147bd928affa75960d35b() { 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 mpmFormInit4468065ccb6147bd928affa75960d35b () { 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 finishedLoading4468065ccb6147bd928affa75960d35b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3c35463dd73c4305a097c36ec235f4ee'); if (!container) { mpFormmpFrm3c35463dd73c4305a097c36ec235f4eeFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3c35463dd73c4305a097c36ec235f4ee'); return setTimeout(finishedLoading4468065ccb6147bd928affa75960d35b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4468065ccb6147bd928affa75960d35b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4468065ccb6147bd928affa75960d35b").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-4468065ccb6147bd928affa75960d35b-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-4468065ccb6147bd928affa75960d35b-" + 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-4468065ccb6147bd928affa75960d35b").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-4468065ccb6147bd928affa75960d35b").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-4468065ccb6147bd928affa75960d35b").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=mpmRecaptchaLoaded4468065ccb6147bd928affa75960d35b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4468065ccb6147bd928affa75960d35b() { let popups = document.getElementById("mpform-4468065ccb6147bd928affa75960d35b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4468065ccb6147bd928affa75960d35b() { 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 () { finishedLoading4468065ccb6147bd928affa75960d35b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4468065ccb6147bd928affa75960d35b(); } } 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); mploadTelInput4468065ccb6147bd928affa75960d35b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4468065ccb6147bd928affa75960d35b(); } else { function waitForOtherFormsmpFrm3c35463dd73c4305a097c36ec235f4ee() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4468065ccb6147bd928affa75960d35b(); } else { setTimeout(waitForOtherFormsmpFrm3c35463dd73c4305a097c36ec235f4ee,300); } } waitForOtherFormsmpFrm3c35463dd73c4305a097c36ec235f4ee(); }