var captchaWidgetmpFrme76b1c3cf4b74ac68796c3b883a4a176; var mpCurrentScriptmpFrme76b1c3cf4b74ac68796c3b883a4a176Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrme76b1c3cf4b74ac68796c3b883a4a176"; 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); }); } mpFormmpFrme76b1c3cf4b74ac68796c3b883a4a176Find(); } 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); mpFormmpFrme76b1c3cf4b74ac68796c3b883a4a176Find(); } })(); function mpFormmpFrme76b1c3cf4b74ac68796c3b883a4a176Find() { if(!mpCurrentScriptmpFrme76b1c3cf4b74ac68796c3b883a4a176Container) return; if (mpCurrentScriptmpFrme76b1c3cf4b74ac68796c3b883a4a176Container && mpCurrentScriptmpFrme76b1c3cf4b74ac68796c3b883a4a176Container.nodeName && mpCurrentScriptmpFrme76b1c3cf4b74ac68796c3b883a4a176Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrme76b1c3cf4b74ac68796c3b883a4a176" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrme76b1c3cf4b74ac68796c3b883a4a176Container.children).forEach(c => { if (c.id === "mpFrme76b1c3cf4b74ac68796c3b883a4a176") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript17c994fa76b749ea8efb94f8808718ddContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrme76b1c3cf4b74ac68796c3b883a4a176"; } } } } function mpForm17c994fa76b749ea8efb94f8808718ddCheck() { let checkBoxes = document.getElementById("mpform-17c994fa76b749ea8efb94f8808718dd").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 mpForm17c994fa76b749ea8efb94f8808718ddSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-17c994fa76b749ea8efb94f8808718dd").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-17c994fa76b749ea8efb94f8808718dd").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-17c994fa76b749ea8efb94f8808718dd").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-17c994fa76b749ea8efb94f8808718dd')), 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: getTrackingId17c994fa76b749ea8efb94f8808718dd() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-17c994fa76b749ea8efb94f8808718dd").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-17c994fa76b749ea8efb94f8808718dd").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) { mpForm17c994fa76b749ea8efb94f8808718ddCheck(); 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-17c994fa76b749ea8efb94f8808718dd').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-17c994fa76b749ea8efb94f8808718dd").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-17c994fa76b749ea8efb94f8808718dd').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrme76b1c3cf4b74ac68796c3b883a4a176); } else { mpForm17c994fa76b749ea8efb94f8808718ddCheck(); 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 mpmRecaptchaLoaded17c994fa76b749ea8efb94f8808718dd() { captchaWidgetmpFrme76b1c3cf4b74ac68796c3b883a4a176 = grecaptcha.render('mpmRecaptchampFrme76b1c3cf4b74ac68796c3b883a4a176', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId17c994fa76b749ea8efb94f8808718dd() { 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 mpmFormInit17c994fa76b749ea8efb94f8808718dd () { 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 finishedLoading17c994fa76b749ea8efb94f8808718dd() { window.mpFormLoading = false; let container = document.getElementById('mpFrme76b1c3cf4b74ac68796c3b883a4a176'); if (!container) { mpFormmpFrme76b1c3cf4b74ac68796c3b883a4a176Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrme76b1c3cf4b74ac68796c3b883a4a176'); return setTimeout(finishedLoading17c994fa76b749ea8efb94f8808718dd, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-17c994fa76b749ea8efb94f8808718dd").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-17c994fa76b749ea8efb94f8808718dd").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-17c994fa76b749ea8efb94f8808718dd-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-17c994fa76b749ea8efb94f8808718dd-" + 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-17c994fa76b749ea8efb94f8808718dd").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-17c994fa76b749ea8efb94f8808718dd").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-17c994fa76b749ea8efb94f8808718dd").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=mpmRecaptchaLoaded17c994fa76b749ea8efb94f8808718dd&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup17c994fa76b749ea8efb94f8808718dd() { let popups = document.getElementById("mpform-17c994fa76b749ea8efb94f8808718dd").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput17c994fa76b749ea8efb94f8808718dd() { 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 () { finishedLoading17c994fa76b749ea8efb94f8808718dd(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading17c994fa76b749ea8efb94f8808718dd(); } } 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); mploadTelInput17c994fa76b749ea8efb94f8808718dd(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit17c994fa76b749ea8efb94f8808718dd(); } else { function waitForOtherFormsmpFrme76b1c3cf4b74ac68796c3b883a4a176() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit17c994fa76b749ea8efb94f8808718dd(); } else { setTimeout(waitForOtherFormsmpFrme76b1c3cf4b74ac68796c3b883a4a176,300); } } waitForOtherFormsmpFrme76b1c3cf4b74ac68796c3b883a4a176(); }