var captchaWidgetmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6; var mpCurrentScriptmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6"; 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); mpFormmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6Find(); } })(); function mpFormmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6Find() { if(!mpCurrentScriptmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6Container) return; if (mpCurrentScriptmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6Container && mpCurrentScriptmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6Container.nodeName && mpCurrentScriptmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6Container.children).forEach(c => { if (c.id === "mpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9e024f6b731148d1a4d5f4640c53f8bdContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6"; } } } } function mpForm9e024f6b731148d1a4d5f4640c53f8bdCheck() { let checkBoxes = document.getElementById("mpform-9e024f6b731148d1a4d5f4640c53f8bd").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 mpForm9e024f6b731148d1a4d5f4640c53f8bdSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9e024f6b731148d1a4d5f4640c53f8bd").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9e024f6b731148d1a4d5f4640c53f8bd").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9e024f6b731148d1a4d5f4640c53f8bd").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-9e024f6b731148d1a4d5f4640c53f8bd')), 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: getTrackingId9e024f6b731148d1a4d5f4640c53f8bd() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9e024f6b731148d1a4d5f4640c53f8bd").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-9e024f6b731148d1a4d5f4640c53f8bd").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) { mpForm9e024f6b731148d1a4d5f4640c53f8bdCheck(); 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-9e024f6b731148d1a4d5f4640c53f8bd').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-9e024f6b731148d1a4d5f4640c53f8bd").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-9e024f6b731148d1a4d5f4640c53f8bd').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6); } else { mpForm9e024f6b731148d1a4d5f4640c53f8bdCheck(); 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 mpmRecaptchaLoaded9e024f6b731148d1a4d5f4640c53f8bd() { captchaWidgetmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6 = grecaptcha.render('mpmRecaptchampFrmf8a60f5c2fe6484aa5b55eb0b26df6e6', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9e024f6b731148d1a4d5f4640c53f8bd() { 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 mpmFormInit9e024f6b731148d1a4d5f4640c53f8bd () { 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 finishedLoading9e024f6b731148d1a4d5f4640c53f8bd() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6'); if (!container) { mpFormmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6'); return setTimeout(finishedLoading9e024f6b731148d1a4d5f4640c53f8bd, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9e024f6b731148d1a4d5f4640c53f8bd").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9e024f6b731148d1a4d5f4640c53f8bd").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-9e024f6b731148d1a4d5f4640c53f8bd").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-9e024f6b731148d1a4d5f4640c53f8bd").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-9e024f6b731148d1a4d5f4640c53f8bd").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=mpmRecaptchaLoaded9e024f6b731148d1a4d5f4640c53f8bd&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9e024f6b731148d1a4d5f4640c53f8bd() { let popups = document.getElementById("mpform-9e024f6b731148d1a4d5f4640c53f8bd").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9e024f6b731148d1a4d5f4640c53f8bd() { 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 () { finishedLoading9e024f6b731148d1a4d5f4640c53f8bd(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9e024f6b731148d1a4d5f4640c53f8bd(); } } 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); mploadTelInput9e024f6b731148d1a4d5f4640c53f8bd(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9e024f6b731148d1a4d5f4640c53f8bd(); } else { function waitForOtherFormsmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9e024f6b731148d1a4d5f4640c53f8bd(); } else { setTimeout(waitForOtherFormsmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6,300); } } waitForOtherFormsmpFrmf8a60f5c2fe6484aa5b55eb0b26df6e6(); }