var captchaWidgetmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2; var mpCurrentScriptmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2"; 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); }); } mpFormmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Find(); } 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); mpFormmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Find(); } })(); function mpFormmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Find() { if(!mpCurrentScriptmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Container) return; if (mpCurrentScriptmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Container && mpCurrentScriptmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Container.nodeName && mpCurrentScriptmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Container.children).forEach(c => { if (c.id === "mpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript508b279f482443af86e1383698a289c8Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2"; } } } } function mpForm508b279f482443af86e1383698a289c8Check() { let checkBoxes = document.getElementById("mpform-508b279f482443af86e1383698a289c8").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 mpForm508b279f482443af86e1383698a289c8Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-508b279f482443af86e1383698a289c8").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-508b279f482443af86e1383698a289c8").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-508b279f482443af86e1383698a289c8").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-508b279f482443af86e1383698a289c8')), 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: getTrackingId508b279f482443af86e1383698a289c8() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-508b279f482443af86e1383698a289c8").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-508b279f482443af86e1383698a289c8").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) { mpForm508b279f482443af86e1383698a289c8Check(); 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-508b279f482443af86e1383698a289c8').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-508b279f482443af86e1383698a289c8").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-508b279f482443af86e1383698a289c8').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2); } else { mpForm508b279f482443af86e1383698a289c8Check(); 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 mpmRecaptchaLoaded508b279f482443af86e1383698a289c8() { captchaWidgetmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2 = grecaptcha.render('mpmRecaptchampFrm91b3eee9aca84e3e9cbe8f745a2c7ea2', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId508b279f482443af86e1383698a289c8() { 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 mpmFormInit508b279f482443af86e1383698a289c8 () { 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 finishedLoading508b279f482443af86e1383698a289c8() { window.mpFormLoading = false; let container = document.getElementById('mpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2'); if (!container) { mpFormmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2'); return setTimeout(finishedLoading508b279f482443af86e1383698a289c8, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-508b279f482443af86e1383698a289c8").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-508b279f482443af86e1383698a289c8").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-508b279f482443af86e1383698a289c8-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-508b279f482443af86e1383698a289c8-" + 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-508b279f482443af86e1383698a289c8").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-508b279f482443af86e1383698a289c8").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-508b279f482443af86e1383698a289c8").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=mpmRecaptchaLoaded508b279f482443af86e1383698a289c8&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup508b279f482443af86e1383698a289c8() { let popups = document.getElementById("mpform-508b279f482443af86e1383698a289c8").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput508b279f482443af86e1383698a289c8() { 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 () { finishedLoading508b279f482443af86e1383698a289c8(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading508b279f482443af86e1383698a289c8(); } } 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); mploadTelInput508b279f482443af86e1383698a289c8(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit508b279f482443af86e1383698a289c8(); } else { function waitForOtherFormsmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit508b279f482443af86e1383698a289c8(); } else { setTimeout(waitForOtherFormsmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2,300); } } waitForOtherFormsmpFrm91b3eee9aca84e3e9cbe8f745a2c7ea2(); }