var captchaWidgetmpFrmd9baacf4a4694e0f8760047ba2f1f87f; var mpCurrentScriptmpFrmd9baacf4a4694e0f8760047ba2f1f87fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd9baacf4a4694e0f8760047ba2f1f87f"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrmd9baacf4a4694e0f8760047ba2f1f87fFind(); } })(); function mpFormmpFrmd9baacf4a4694e0f8760047ba2f1f87fFind() { if(!mpCurrentScriptmpFrmd9baacf4a4694e0f8760047ba2f1f87fContainer) return; if (mpCurrentScriptmpFrmd9baacf4a4694e0f8760047ba2f1f87fContainer && mpCurrentScriptmpFrmd9baacf4a4694e0f8760047ba2f1f87fContainer.nodeName && mpCurrentScriptmpFrmd9baacf4a4694e0f8760047ba2f1f87fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd9baacf4a4694e0f8760047ba2f1f87f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd9baacf4a4694e0f8760047ba2f1f87fContainer.children).forEach(c => { if (c.id === "mpFrmd9baacf4a4694e0f8760047ba2f1f87f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4db8de93cf544161b2abaef85bd5f3a5Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd9baacf4a4694e0f8760047ba2f1f87f"; } } } } function mpForm4db8de93cf544161b2abaef85bd5f3a5Check() { let checkBoxes = document.getElementById("mpform-4db8de93cf544161b2abaef85bd5f3a5").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 mpForm4db8de93cf544161b2abaef85bd5f3a5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4db8de93cf544161b2abaef85bd5f3a5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4db8de93cf544161b2abaef85bd5f3a5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4db8de93cf544161b2abaef85bd5f3a5").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-4db8de93cf544161b2abaef85bd5f3a5')), 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: getTrackingId4db8de93cf544161b2abaef85bd5f3a5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4db8de93cf544161b2abaef85bd5f3a5").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-4db8de93cf544161b2abaef85bd5f3a5").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) { mpForm4db8de93cf544161b2abaef85bd5f3a5Check(); 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-4db8de93cf544161b2abaef85bd5f3a5').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-4db8de93cf544161b2abaef85bd5f3a5").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-4db8de93cf544161b2abaef85bd5f3a5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd9baacf4a4694e0f8760047ba2f1f87f); } else { mpForm4db8de93cf544161b2abaef85bd5f3a5Check(); 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 mpmRecaptchaLoaded4db8de93cf544161b2abaef85bd5f3a5() { captchaWidgetmpFrmd9baacf4a4694e0f8760047ba2f1f87f = grecaptcha.render('mpmRecaptchampFrmd9baacf4a4694e0f8760047ba2f1f87f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4db8de93cf544161b2abaef85bd5f3a5() { 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 mpmFormInit4db8de93cf544161b2abaef85bd5f3a5 () { 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 finishedLoading4db8de93cf544161b2abaef85bd5f3a5() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd9baacf4a4694e0f8760047ba2f1f87f'); if (!container) { mpFormmpFrmd9baacf4a4694e0f8760047ba2f1f87fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd9baacf4a4694e0f8760047ba2f1f87f'); return setTimeout(finishedLoading4db8de93cf544161b2abaef85bd5f3a5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4db8de93cf544161b2abaef85bd5f3a5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4db8de93cf544161b2abaef85bd5f3a5").querySelectorAll('input[type=TELNO]'); if(telInputs) { 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" } ); } } if(subscriberData) { let customFields = document.getElementById("mpform-4db8de93cf544161b2abaef85bd5f3a5").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-4db8de93cf544161b2abaef85bd5f3a5").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-4db8de93cf544161b2abaef85bd5f3a5").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=mpmRecaptchaLoaded4db8de93cf544161b2abaef85bd5f3a5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4db8de93cf544161b2abaef85bd5f3a5() { let popups = document.getElementById("mpform-4db8de93cf544161b2abaef85bd5f3a5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4db8de93cf544161b2abaef85bd5f3a5() { 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 () { finishedLoading4db8de93cf544161b2abaef85bd5f3a5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4db8de93cf544161b2abaef85bd5f3a5(); } } 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); mploadTelInput4db8de93cf544161b2abaef85bd5f3a5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4db8de93cf544161b2abaef85bd5f3a5(); } else { function waitForOtherFormsmpFrmd9baacf4a4694e0f8760047ba2f1f87f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4db8de93cf544161b2abaef85bd5f3a5(); } else { setTimeout(waitForOtherFormsmpFrmd9baacf4a4694e0f8760047ba2f1f87f,300); } } waitForOtherFormsmpFrmd9baacf4a4694e0f8760047ba2f1f87f(); }