var captchaWidgetmpFrmc83ffc6deb9d47689ba420d4c714c544; var mpCurrentScriptmpFrmc83ffc6deb9d47689ba420d4c714c544Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc83ffc6deb9d47689ba420d4c714c544"; 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); mpFormmpFrmc83ffc6deb9d47689ba420d4c714c544Find(); } })(); function mpFormmpFrmc83ffc6deb9d47689ba420d4c714c544Find() { if(!mpCurrentScriptmpFrmc83ffc6deb9d47689ba420d4c714c544Container) return; if (mpCurrentScriptmpFrmc83ffc6deb9d47689ba420d4c714c544Container && mpCurrentScriptmpFrmc83ffc6deb9d47689ba420d4c714c544Container.nodeName && mpCurrentScriptmpFrmc83ffc6deb9d47689ba420d4c714c544Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc83ffc6deb9d47689ba420d4c714c544" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc83ffc6deb9d47689ba420d4c714c544Container.children).forEach(c => { if (c.id === "mpFrmc83ffc6deb9d47689ba420d4c714c544") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptfa5937b3b44c45698865d7f762ca1d15Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc83ffc6deb9d47689ba420d4c714c544"; } } } } function mpFormfa5937b3b44c45698865d7f762ca1d15Check() { let checkBoxes = document.getElementById("mpform-fa5937b3b44c45698865d7f762ca1d15").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 mpFormfa5937b3b44c45698865d7f762ca1d15Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-fa5937b3b44c45698865d7f762ca1d15").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-fa5937b3b44c45698865d7f762ca1d15").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-fa5937b3b44c45698865d7f762ca1d15").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-fa5937b3b44c45698865d7f762ca1d15')), 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: getTrackingIdfa5937b3b44c45698865d7f762ca1d15() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-fa5937b3b44c45698865d7f762ca1d15").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-fa5937b3b44c45698865d7f762ca1d15").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) { mpFormfa5937b3b44c45698865d7f762ca1d15Check(); 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-fa5937b3b44c45698865d7f762ca1d15').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-fa5937b3b44c45698865d7f762ca1d15").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-fa5937b3b44c45698865d7f762ca1d15').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc83ffc6deb9d47689ba420d4c714c544); } else { mpFormfa5937b3b44c45698865d7f762ca1d15Check(); 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 mpmRecaptchaLoadedfa5937b3b44c45698865d7f762ca1d15() { captchaWidgetmpFrmc83ffc6deb9d47689ba420d4c714c544 = grecaptcha.render('mpmRecaptchampFrmc83ffc6deb9d47689ba420d4c714c544', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdfa5937b3b44c45698865d7f762ca1d15() { 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 mpmFormInitfa5937b3b44c45698865d7f762ca1d15 () { 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 finishedLoadingfa5937b3b44c45698865d7f762ca1d15() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc83ffc6deb9d47689ba420d4c714c544'); if (!container) { mpFormmpFrmc83ffc6deb9d47689ba420d4c714c544Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc83ffc6deb9d47689ba420d4c714c544'); return setTimeout(finishedLoadingfa5937b3b44c45698865d7f762ca1d15, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-fa5937b3b44c45698865d7f762ca1d15").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-fa5937b3b44c45698865d7f762ca1d15").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-fa5937b3b44c45698865d7f762ca1d15").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-fa5937b3b44c45698865d7f762ca1d15").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-fa5937b3b44c45698865d7f762ca1d15").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=mpmRecaptchaLoadedfa5937b3b44c45698865d7f762ca1d15&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupfa5937b3b44c45698865d7f762ca1d15() { let popups = document.getElementById("mpform-fa5937b3b44c45698865d7f762ca1d15").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputfa5937b3b44c45698865d7f762ca1d15() { 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 () { finishedLoadingfa5937b3b44c45698865d7f762ca1d15(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingfa5937b3b44c45698865d7f762ca1d15(); } } 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); mploadTelInputfa5937b3b44c45698865d7f762ca1d15(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitfa5937b3b44c45698865d7f762ca1d15(); } else { function waitForOtherFormsmpFrmc83ffc6deb9d47689ba420d4c714c544() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitfa5937b3b44c45698865d7f762ca1d15(); } else { setTimeout(waitForOtherFormsmpFrmc83ffc6deb9d47689ba420d4c714c544,300); } } waitForOtherFormsmpFrmc83ffc6deb9d47689ba420d4c714c544(); }