var captchaWidgetmpFrm052f2b575e9b4a258c5c39ecbeca626d; var mpCurrentScriptmpFrm052f2b575e9b4a258c5c39ecbeca626dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm052f2b575e9b4a258c5c39ecbeca626d"; 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); }); } mpFormmpFrm052f2b575e9b4a258c5c39ecbeca626dFind(); } 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); mpFormmpFrm052f2b575e9b4a258c5c39ecbeca626dFind(); } })(); function mpFormmpFrm052f2b575e9b4a258c5c39ecbeca626dFind() { if(!mpCurrentScriptmpFrm052f2b575e9b4a258c5c39ecbeca626dContainer) return; if (mpCurrentScriptmpFrm052f2b575e9b4a258c5c39ecbeca626dContainer && mpCurrentScriptmpFrm052f2b575e9b4a258c5c39ecbeca626dContainer.nodeName && mpCurrentScriptmpFrm052f2b575e9b4a258c5c39ecbeca626dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm052f2b575e9b4a258c5c39ecbeca626d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm052f2b575e9b4a258c5c39ecbeca626dContainer.children).forEach(c => { if (c.id === "mpFrm052f2b575e9b4a258c5c39ecbeca626d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8c47495a20f84a51848e4dd0824eee23Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm052f2b575e9b4a258c5c39ecbeca626d"; } } } } function mpForm8c47495a20f84a51848e4dd0824eee23Check() { let checkBoxes = document.getElementById("mpform-8c47495a20f84a51848e4dd0824eee23").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 mpForm8c47495a20f84a51848e4dd0824eee23Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8c47495a20f84a51848e4dd0824eee23").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8c47495a20f84a51848e4dd0824eee23").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8c47495a20f84a51848e4dd0824eee23").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-8c47495a20f84a51848e4dd0824eee23')), 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: getTrackingId8c47495a20f84a51848e4dd0824eee23() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8c47495a20f84a51848e4dd0824eee23").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-8c47495a20f84a51848e4dd0824eee23").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) { mpForm8c47495a20f84a51848e4dd0824eee23Check(); 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-8c47495a20f84a51848e4dd0824eee23').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-8c47495a20f84a51848e4dd0824eee23").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-8c47495a20f84a51848e4dd0824eee23').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm052f2b575e9b4a258c5c39ecbeca626d); } else { mpForm8c47495a20f84a51848e4dd0824eee23Check(); 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 mpmRecaptchaLoaded8c47495a20f84a51848e4dd0824eee23() { captchaWidgetmpFrm052f2b575e9b4a258c5c39ecbeca626d = grecaptcha.render('mpmRecaptchampFrm052f2b575e9b4a258c5c39ecbeca626d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8c47495a20f84a51848e4dd0824eee23() { 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 mpmFormInit8c47495a20f84a51848e4dd0824eee23 () { 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 finishedLoading8c47495a20f84a51848e4dd0824eee23() { window.mpFormLoading = false; let container = document.getElementById('mpFrm052f2b575e9b4a258c5c39ecbeca626d'); if (!container) { mpFormmpFrm052f2b575e9b4a258c5c39ecbeca626dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm052f2b575e9b4a258c5c39ecbeca626d'); return setTimeout(finishedLoading8c47495a20f84a51848e4dd0824eee23, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8c47495a20f84a51848e4dd0824eee23").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8c47495a20f84a51848e4dd0824eee23").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-8c47495a20f84a51848e4dd0824eee23-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-8c47495a20f84a51848e4dd0824eee23-" + 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-8c47495a20f84a51848e4dd0824eee23").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-8c47495a20f84a51848e4dd0824eee23").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-8c47495a20f84a51848e4dd0824eee23").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=mpmRecaptchaLoaded8c47495a20f84a51848e4dd0824eee23&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8c47495a20f84a51848e4dd0824eee23() { let popups = document.getElementById("mpform-8c47495a20f84a51848e4dd0824eee23").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8c47495a20f84a51848e4dd0824eee23() { 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 () { finishedLoading8c47495a20f84a51848e4dd0824eee23(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8c47495a20f84a51848e4dd0824eee23(); } } 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); mploadTelInput8c47495a20f84a51848e4dd0824eee23(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8c47495a20f84a51848e4dd0824eee23(); } else { function waitForOtherFormsmpFrm052f2b575e9b4a258c5c39ecbeca626d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8c47495a20f84a51848e4dd0824eee23(); } else { setTimeout(waitForOtherFormsmpFrm052f2b575e9b4a258c5c39ecbeca626d,300); } } waitForOtherFormsmpFrm052f2b575e9b4a258c5c39ecbeca626d(); }