var captchaWidgetmpFrm071198d164c14498bfe2f8afc0a9a86c; var mpCurrentScriptmpFrm071198d164c14498bfe2f8afc0a9a86cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm071198d164c14498bfe2f8afc0a9a86c"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); if (window.self !== window.top) { if (document.currentScript?.parentNode?.nodeName?.toLowerCase() === 'head') { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener('DOMContentLoaded', () => { document.body.appendChild(containerDiv); }); } } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); } mpFormmpFrm071198d164c14498bfe2f8afc0a9a86cFind(); } 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); mpFormmpFrm071198d164c14498bfe2f8afc0a9a86cFind(); } })(); function mpFormmpFrm071198d164c14498bfe2f8afc0a9a86cFind() { if(!mpCurrentScriptmpFrm071198d164c14498bfe2f8afc0a9a86cContainer) return; if (mpCurrentScriptmpFrm071198d164c14498bfe2f8afc0a9a86cContainer && mpCurrentScriptmpFrm071198d164c14498bfe2f8afc0a9a86cContainer.nodeName && mpCurrentScriptmpFrm071198d164c14498bfe2f8afc0a9a86cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm071198d164c14498bfe2f8afc0a9a86c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm071198d164c14498bfe2f8afc0a9a86cContainer.children).forEach(c => { if (c.id === "mpFrm071198d164c14498bfe2f8afc0a9a86c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm071198d164c14498bfe2f8afc0a9a86cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm071198d164c14498bfe2f8afc0a9a86c"; } } } } function mpFormc123dc85e9734362a155e3462c385c36Check() { let checkBoxes = document.getElementById("mpform-c123dc85e9734362a155e3462c385c36").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 mpFormc123dc85e9734362a155e3462c385c36Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-c123dc85e9734362a155e3462c385c36").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-c123dc85e9734362a155e3462c385c36").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-c123dc85e9734362a155e3462c385c36").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-c123dc85e9734362a155e3462c385c36')), 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: getTrackingIdc123dc85e9734362a155e3462c385c36() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-c123dc85e9734362a155e3462c385c36").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-c123dc85e9734362a155e3462c385c36").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) { mpFormc123dc85e9734362a155e3462c385c36Check(); 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-c123dc85e9734362a155e3462c385c36').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-c123dc85e9734362a155e3462c385c36").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } if(response.hideForm){ let mpMsgParent = msgHlder.parentElement; if(mpMsgParent && msgHlder){ mpMsg.innerHTML = response.message; mpMsgParent.innerHTML = msgHlder.innerHTML; } } else { mpMsg.innerHTML = response.message; } } else if (response.replace) { document.getElementById('mpform-c123dc85e9734362a155e3462c385c36').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm071198d164c14498bfe2f8afc0a9a86c); } else { mpFormc123dc85e9734362a155e3462c385c36Check(); 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 mpmRecaptchaLoadedc123dc85e9734362a155e3462c385c36() { captchaWidgetmpFrm071198d164c14498bfe2f8afc0a9a86c = grecaptcha.render('mpmRecaptchampFrm071198d164c14498bfe2f8afc0a9a86c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdc123dc85e9734362a155e3462c385c36() { 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 mpmFormInitc123dc85e9734362a155e3462c385c36 () { 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 finishedLoadingc123dc85e9734362a155e3462c385c36() { window.mpFormLoading = false; let container = document.getElementById('mpFrm071198d164c14498bfe2f8afc0a9a86c'); if (!container) { mpFormmpFrm071198d164c14498bfe2f8afc0a9a86cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm071198d164c14498bfe2f8afc0a9a86c'); return setTimeout(finishedLoadingc123dc85e9734362a155e3462c385c36, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-c123dc85e9734362a155e3462c385c36").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-c123dc85e9734362a155e3462c385c36").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-c123dc85e9734362a155e3462c385c36-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-c123dc85e9734362a155e3462c385c36-" + 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-c123dc85e9734362a155e3462c385c36").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-c123dc85e9734362a155e3462c385c36").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-c123dc85e9734362a155e3462c385c36").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=mpmRecaptchaLoadedc123dc85e9734362a155e3462c385c36&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupc123dc85e9734362a155e3462c385c36() { let popups = document.getElementById("mpform-c123dc85e9734362a155e3462c385c36").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputc123dc85e9734362a155e3462c385c36() { 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 () { finishedLoadingc123dc85e9734362a155e3462c385c36(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingc123dc85e9734362a155e3462c385c36(); } } 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); mploadTelInputc123dc85e9734362a155e3462c385c36(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitc123dc85e9734362a155e3462c385c36(); } else { function waitForOtherFormsmpFrm071198d164c14498bfe2f8afc0a9a86c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitc123dc85e9734362a155e3462c385c36(); } else { setTimeout(waitForOtherFormsmpFrm071198d164c14498bfe2f8afc0a9a86c,300); } } waitForOtherFormsmpFrm071198d164c14498bfe2f8afc0a9a86c(); }