var captchaWidgetmpFrmfd73902f8a3247febef4a1d6fafffa1e; var mpCurrentScriptmpFrmfd73902f8a3247febef4a1d6fafffa1eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfd73902f8a3247febef4a1d6fafffa1e"; 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); } mpFormmpFrmfd73902f8a3247febef4a1d6fafffa1eFind(); } 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); mpFormmpFrmfd73902f8a3247febef4a1d6fafffa1eFind(); } })(); function mpFormmpFrmfd73902f8a3247febef4a1d6fafffa1eFind() { if(!mpCurrentScriptmpFrmfd73902f8a3247febef4a1d6fafffa1eContainer) return; if (mpCurrentScriptmpFrmfd73902f8a3247febef4a1d6fafffa1eContainer && mpCurrentScriptmpFrmfd73902f8a3247febef4a1d6fafffa1eContainer.nodeName && mpCurrentScriptmpFrmfd73902f8a3247febef4a1d6fafffa1eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfd73902f8a3247febef4a1d6fafffa1e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfd73902f8a3247febef4a1d6fafffa1eContainer.children).forEach(c => { if (c.id === "mpFrmfd73902f8a3247febef4a1d6fafffa1e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrmfd73902f8a3247febef4a1d6fafffa1eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfd73902f8a3247febef4a1d6fafffa1e"; } } } } function mpForm9c7df88095e645aaa195007d80becb1cCheck() { let checkBoxes = document.getElementById("mpform-9c7df88095e645aaa195007d80becb1c").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 mpForm9c7df88095e645aaa195007d80becb1cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9c7df88095e645aaa195007d80becb1c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9c7df88095e645aaa195007d80becb1c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9c7df88095e645aaa195007d80becb1c").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-9c7df88095e645aaa195007d80becb1c')), 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: getTrackingId9c7df88095e645aaa195007d80becb1c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9c7df88095e645aaa195007d80becb1c").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-9c7df88095e645aaa195007d80becb1c").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) { mpForm9c7df88095e645aaa195007d80becb1cCheck(); 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-9c7df88095e645aaa195007d80becb1c').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-9c7df88095e645aaa195007d80becb1c").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-9c7df88095e645aaa195007d80becb1c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfd73902f8a3247febef4a1d6fafffa1e); } else { mpForm9c7df88095e645aaa195007d80becb1cCheck(); 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 mpmRecaptchaLoaded9c7df88095e645aaa195007d80becb1c() { captchaWidgetmpFrmfd73902f8a3247febef4a1d6fafffa1e = grecaptcha.render('mpmRecaptchampFrmfd73902f8a3247febef4a1d6fafffa1e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9c7df88095e645aaa195007d80becb1c() { 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 mpmFormInit9c7df88095e645aaa195007d80becb1c () { 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 finishedLoading9c7df88095e645aaa195007d80becb1c() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfd73902f8a3247febef4a1d6fafffa1e'); if (!container) { mpFormmpFrmfd73902f8a3247febef4a1d6fafffa1eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfd73902f8a3247febef4a1d6fafffa1e'); return setTimeout(finishedLoading9c7df88095e645aaa195007d80becb1c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9c7df88095e645aaa195007d80becb1c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-9c7df88095e645aaa195007d80becb1c").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-9c7df88095e645aaa195007d80becb1c-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-9c7df88095e645aaa195007d80becb1c-" + 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-9c7df88095e645aaa195007d80becb1c").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-9c7df88095e645aaa195007d80becb1c").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-9c7df88095e645aaa195007d80becb1c").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=mpmRecaptchaLoaded9c7df88095e645aaa195007d80becb1c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9c7df88095e645aaa195007d80becb1c() { let popups = document.getElementById("mpform-9c7df88095e645aaa195007d80becb1c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9c7df88095e645aaa195007d80becb1c() { 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 () { finishedLoading9c7df88095e645aaa195007d80becb1c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9c7df88095e645aaa195007d80becb1c(); } } 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); mploadTelInput9c7df88095e645aaa195007d80becb1c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9c7df88095e645aaa195007d80becb1c(); } else { function waitForOtherFormsmpFrmfd73902f8a3247febef4a1d6fafffa1e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9c7df88095e645aaa195007d80becb1c(); } else { setTimeout(waitForOtherFormsmpFrmfd73902f8a3247febef4a1d6fafffa1e,300); } } waitForOtherFormsmpFrmfd73902f8a3247febef4a1d6fafffa1e(); }