var captchaWidgetmpFrmfc8c76c1f88e46a78f346b9bedc3d301; var mpCurrentScriptmpFrmfc8c76c1f88e46a78f346b9bedc3d301Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfc8c76c1f88e46a78f346b9bedc3d301"; 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); }); } mpFormmpFrmfc8c76c1f88e46a78f346b9bedc3d301Find(); } 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); mpFormmpFrmfc8c76c1f88e46a78f346b9bedc3d301Find(); } })(); function mpFormmpFrmfc8c76c1f88e46a78f346b9bedc3d301Find() { if(!mpCurrentScriptmpFrmfc8c76c1f88e46a78f346b9bedc3d301Container) return; if (mpCurrentScriptmpFrmfc8c76c1f88e46a78f346b9bedc3d301Container && mpCurrentScriptmpFrmfc8c76c1f88e46a78f346b9bedc3d301Container.nodeName && mpCurrentScriptmpFrmfc8c76c1f88e46a78f346b9bedc3d301Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfc8c76c1f88e46a78f346b9bedc3d301" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfc8c76c1f88e46a78f346b9bedc3d301Container.children).forEach(c => { if (c.id === "mpFrmfc8c76c1f88e46a78f346b9bedc3d301") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3fd0458d44374c67bfe954a304d19150Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfc8c76c1f88e46a78f346b9bedc3d301"; } } } } function mpForm3fd0458d44374c67bfe954a304d19150Check() { let checkBoxes = document.getElementById("mpform-3fd0458d44374c67bfe954a304d19150").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 mpForm3fd0458d44374c67bfe954a304d19150Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3fd0458d44374c67bfe954a304d19150").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3fd0458d44374c67bfe954a304d19150").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3fd0458d44374c67bfe954a304d19150").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-3fd0458d44374c67bfe954a304d19150')), 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: getTrackingId3fd0458d44374c67bfe954a304d19150() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3fd0458d44374c67bfe954a304d19150").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-3fd0458d44374c67bfe954a304d19150").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) { mpForm3fd0458d44374c67bfe954a304d19150Check(); 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-3fd0458d44374c67bfe954a304d19150').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-3fd0458d44374c67bfe954a304d19150").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-3fd0458d44374c67bfe954a304d19150').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfc8c76c1f88e46a78f346b9bedc3d301); } else { mpForm3fd0458d44374c67bfe954a304d19150Check(); 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 mpmRecaptchaLoaded3fd0458d44374c67bfe954a304d19150() { captchaWidgetmpFrmfc8c76c1f88e46a78f346b9bedc3d301 = grecaptcha.render('mpmRecaptchampFrmfc8c76c1f88e46a78f346b9bedc3d301', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3fd0458d44374c67bfe954a304d19150() { 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 mpmFormInit3fd0458d44374c67bfe954a304d19150 () { 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 finishedLoading3fd0458d44374c67bfe954a304d19150() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfc8c76c1f88e46a78f346b9bedc3d301'); if (!container) { mpFormmpFrmfc8c76c1f88e46a78f346b9bedc3d301Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfc8c76c1f88e46a78f346b9bedc3d301'); return setTimeout(finishedLoading3fd0458d44374c67bfe954a304d19150, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3fd0458d44374c67bfe954a304d19150").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3fd0458d44374c67bfe954a304d19150").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-3fd0458d44374c67bfe954a304d19150-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-3fd0458d44374c67bfe954a304d19150-" + 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-3fd0458d44374c67bfe954a304d19150").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-3fd0458d44374c67bfe954a304d19150").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-3fd0458d44374c67bfe954a304d19150").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=mpmRecaptchaLoaded3fd0458d44374c67bfe954a304d19150&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3fd0458d44374c67bfe954a304d19150() { let popups = document.getElementById("mpform-3fd0458d44374c67bfe954a304d19150").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3fd0458d44374c67bfe954a304d19150() { 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 () { finishedLoading3fd0458d44374c67bfe954a304d19150(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3fd0458d44374c67bfe954a304d19150(); } } 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); mploadTelInput3fd0458d44374c67bfe954a304d19150(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3fd0458d44374c67bfe954a304d19150(); } else { function waitForOtherFormsmpFrmfc8c76c1f88e46a78f346b9bedc3d301() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3fd0458d44374c67bfe954a304d19150(); } else { setTimeout(waitForOtherFormsmpFrmfc8c76c1f88e46a78f346b9bedc3d301,300); } } waitForOtherFormsmpFrmfc8c76c1f88e46a78f346b9bedc3d301(); }