var captchaWidgetmpFrm0856dd0632b142beaf0c6bd234c6c51b; var mpCurrentScriptmpFrm0856dd0632b142beaf0c6bd234c6c51bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0856dd0632b142beaf0c6bd234c6c51b"; 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); }); } mpFormmpFrm0856dd0632b142beaf0c6bd234c6c51bFind(); } 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); mpFormmpFrm0856dd0632b142beaf0c6bd234c6c51bFind(); } })(); function mpFormmpFrm0856dd0632b142beaf0c6bd234c6c51bFind() { if(!mpCurrentScriptmpFrm0856dd0632b142beaf0c6bd234c6c51bContainer) return; if (mpCurrentScriptmpFrm0856dd0632b142beaf0c6bd234c6c51bContainer && mpCurrentScriptmpFrm0856dd0632b142beaf0c6bd234c6c51bContainer.nodeName && mpCurrentScriptmpFrm0856dd0632b142beaf0c6bd234c6c51bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0856dd0632b142beaf0c6bd234c6c51b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0856dd0632b142beaf0c6bd234c6c51bContainer.children).forEach(c => { if (c.id === "mpFrm0856dd0632b142beaf0c6bd234c6c51b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1a3467e020d749c4a06e4f580cce1565Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0856dd0632b142beaf0c6bd234c6c51b"; } } } } function mpForm1a3467e020d749c4a06e4f580cce1565Check() { let checkBoxes = document.getElementById("mpform-1a3467e020d749c4a06e4f580cce1565").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 mpForm1a3467e020d749c4a06e4f580cce1565Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1a3467e020d749c4a06e4f580cce1565").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1a3467e020d749c4a06e4f580cce1565").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1a3467e020d749c4a06e4f580cce1565").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-1a3467e020d749c4a06e4f580cce1565')), 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: getTrackingId1a3467e020d749c4a06e4f580cce1565() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1a3467e020d749c4a06e4f580cce1565").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-1a3467e020d749c4a06e4f580cce1565").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) { mpForm1a3467e020d749c4a06e4f580cce1565Check(); 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-1a3467e020d749c4a06e4f580cce1565').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-1a3467e020d749c4a06e4f580cce1565").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-1a3467e020d749c4a06e4f580cce1565').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0856dd0632b142beaf0c6bd234c6c51b); } else { mpForm1a3467e020d749c4a06e4f580cce1565Check(); 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 mpmRecaptchaLoaded1a3467e020d749c4a06e4f580cce1565() { captchaWidgetmpFrm0856dd0632b142beaf0c6bd234c6c51b = grecaptcha.render('mpmRecaptchampFrm0856dd0632b142beaf0c6bd234c6c51b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1a3467e020d749c4a06e4f580cce1565() { 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 mpmFormInit1a3467e020d749c4a06e4f580cce1565 () { 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 finishedLoading1a3467e020d749c4a06e4f580cce1565() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0856dd0632b142beaf0c6bd234c6c51b'); if (!container) { mpFormmpFrm0856dd0632b142beaf0c6bd234c6c51bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0856dd0632b142beaf0c6bd234c6c51b'); return setTimeout(finishedLoading1a3467e020d749c4a06e4f580cce1565, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1a3467e020d749c4a06e4f580cce1565").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1a3467e020d749c4a06e4f580cce1565").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-1a3467e020d749c4a06e4f580cce1565-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-1a3467e020d749c4a06e4f580cce1565-" + 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-1a3467e020d749c4a06e4f580cce1565").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-1a3467e020d749c4a06e4f580cce1565").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-1a3467e020d749c4a06e4f580cce1565").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=mpmRecaptchaLoaded1a3467e020d749c4a06e4f580cce1565&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1a3467e020d749c4a06e4f580cce1565() { let popups = document.getElementById("mpform-1a3467e020d749c4a06e4f580cce1565").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1a3467e020d749c4a06e4f580cce1565() { 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 () { finishedLoading1a3467e020d749c4a06e4f580cce1565(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1a3467e020d749c4a06e4f580cce1565(); } } 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); mploadTelInput1a3467e020d749c4a06e4f580cce1565(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1a3467e020d749c4a06e4f580cce1565(); } else { function waitForOtherFormsmpFrm0856dd0632b142beaf0c6bd234c6c51b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1a3467e020d749c4a06e4f580cce1565(); } else { setTimeout(waitForOtherFormsmpFrm0856dd0632b142beaf0c6bd234c6c51b,300); } } waitForOtherFormsmpFrm0856dd0632b142beaf0c6bd234c6c51b(); }