var captchaWidgetmpFrmf4c69f8b7d7947ba9aa2036a76aa093d; var mpCurrentScriptmpFrmf4c69f8b7d7947ba9aa2036a76aa093dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf4c69f8b7d7947ba9aa2036a76aa093d"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmf4c69f8b7d7947ba9aa2036a76aa093dFind(); } 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); mpFormmpFrmf4c69f8b7d7947ba9aa2036a76aa093dFind(); } })(); function mpFormmpFrmf4c69f8b7d7947ba9aa2036a76aa093dFind() { if(!mpCurrentScriptmpFrmf4c69f8b7d7947ba9aa2036a76aa093dContainer) return; if (mpCurrentScriptmpFrmf4c69f8b7d7947ba9aa2036a76aa093dContainer && mpCurrentScriptmpFrmf4c69f8b7d7947ba9aa2036a76aa093dContainer.nodeName && mpCurrentScriptmpFrmf4c69f8b7d7947ba9aa2036a76aa093dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf4c69f8b7d7947ba9aa2036a76aa093d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf4c69f8b7d7947ba9aa2036a76aa093dContainer.children).forEach(c => { if (c.id === "mpFrmf4c69f8b7d7947ba9aa2036a76aa093d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptefd643ea312c45f8a0f114c873becf18Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf4c69f8b7d7947ba9aa2036a76aa093d"; } } } } function mpFormefd643ea312c45f8a0f114c873becf18Check() { let checkBoxes = document.getElementById("mpform-efd643ea312c45f8a0f114c873becf18").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 mpFormefd643ea312c45f8a0f114c873becf18Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-efd643ea312c45f8a0f114c873becf18").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-efd643ea312c45f8a0f114c873becf18").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-efd643ea312c45f8a0f114c873becf18").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-efd643ea312c45f8a0f114c873becf18')), 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: getTrackingIdefd643ea312c45f8a0f114c873becf18() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-efd643ea312c45f8a0f114c873becf18").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-efd643ea312c45f8a0f114c873becf18").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormefd643ea312c45f8a0f114c873becf18Check(); 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-efd643ea312c45f8a0f114c873becf18').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-efd643ea312c45f8a0f114c873becf18").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-efd643ea312c45f8a0f114c873becf18').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf4c69f8b7d7947ba9aa2036a76aa093d); } else { mpFormefd643ea312c45f8a0f114c873becf18Check(); 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 mpmRecaptchaLoadedefd643ea312c45f8a0f114c873becf18() { captchaWidgetmpFrmf4c69f8b7d7947ba9aa2036a76aa093d = grecaptcha.render('mpmRecaptchampFrmf4c69f8b7d7947ba9aa2036a76aa093d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdefd643ea312c45f8a0f114c873becf18() { 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 mpmFormInitefd643ea312c45f8a0f114c873becf18 () { 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 finishedLoadingefd643ea312c45f8a0f114c873becf18() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf4c69f8b7d7947ba9aa2036a76aa093d'); if (!container) { mpFormmpFrmf4c69f8b7d7947ba9aa2036a76aa093dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf4c69f8b7d7947ba9aa2036a76aa093d'); return setTimeout(finishedLoadingefd643ea312c45f8a0f114c873becf18, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-efd643ea312c45f8a0f114c873becf18").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-efd643ea312c45f8a0f114c873becf18").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-efd643ea312c45f8a0f114c873becf18-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-efd643ea312c45f8a0f114c873becf18-" + 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-efd643ea312c45f8a0f114c873becf18").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-efd643ea312c45f8a0f114c873becf18").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-efd643ea312c45f8a0f114c873becf18").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=mpmRecaptchaLoadedefd643ea312c45f8a0f114c873becf18&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupefd643ea312c45f8a0f114c873becf18() { let popups = document.getElementById("mpform-efd643ea312c45f8a0f114c873becf18").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputefd643ea312c45f8a0f114c873becf18() { 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 () { finishedLoadingefd643ea312c45f8a0f114c873becf18(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingefd643ea312c45f8a0f114c873becf18(); } } 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); mploadTelInputefd643ea312c45f8a0f114c873becf18(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitefd643ea312c45f8a0f114c873becf18(); } else { function waitForOtherFormsmpFrmf4c69f8b7d7947ba9aa2036a76aa093d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitefd643ea312c45f8a0f114c873becf18(); } else { setTimeout(waitForOtherFormsmpFrmf4c69f8b7d7947ba9aa2036a76aa093d,300); } } waitForOtherFormsmpFrmf4c69f8b7d7947ba9aa2036a76aa093d(); }