var captchaWidgetmpFrm3115b8c8e959461e8a9c1f928059e0d8; var mpCurrentScriptmpFrm3115b8c8e959461e8a9c1f928059e0d8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3115b8c8e959461e8a9c1f928059e0d8"; 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); }); } mpFormmpFrm3115b8c8e959461e8a9c1f928059e0d8Find(); } 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); mpFormmpFrm3115b8c8e959461e8a9c1f928059e0d8Find(); } })(); function mpFormmpFrm3115b8c8e959461e8a9c1f928059e0d8Find() { if(!mpCurrentScriptmpFrm3115b8c8e959461e8a9c1f928059e0d8Container) return; if (mpCurrentScriptmpFrm3115b8c8e959461e8a9c1f928059e0d8Container && mpCurrentScriptmpFrm3115b8c8e959461e8a9c1f928059e0d8Container.nodeName && mpCurrentScriptmpFrm3115b8c8e959461e8a9c1f928059e0d8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3115b8c8e959461e8a9c1f928059e0d8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3115b8c8e959461e8a9c1f928059e0d8Container.children).forEach(c => { if (c.id === "mpFrm3115b8c8e959461e8a9c1f928059e0d8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript173621c1233148a7867b62002b48c220Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3115b8c8e959461e8a9c1f928059e0d8"; } } } } function mpForm173621c1233148a7867b62002b48c220Check() { let checkBoxes = document.getElementById("mpform-173621c1233148a7867b62002b48c220").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 mpForm173621c1233148a7867b62002b48c220Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-173621c1233148a7867b62002b48c220").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-173621c1233148a7867b62002b48c220").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-173621c1233148a7867b62002b48c220").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-173621c1233148a7867b62002b48c220')), 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: getTrackingId173621c1233148a7867b62002b48c220() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-173621c1233148a7867b62002b48c220").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-173621c1233148a7867b62002b48c220").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) { mpForm173621c1233148a7867b62002b48c220Check(); 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-173621c1233148a7867b62002b48c220').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-173621c1233148a7867b62002b48c220").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-173621c1233148a7867b62002b48c220').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3115b8c8e959461e8a9c1f928059e0d8); } else { mpForm173621c1233148a7867b62002b48c220Check(); 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 mpmRecaptchaLoaded173621c1233148a7867b62002b48c220() { captchaWidgetmpFrm3115b8c8e959461e8a9c1f928059e0d8 = grecaptcha.render('mpmRecaptchampFrm3115b8c8e959461e8a9c1f928059e0d8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId173621c1233148a7867b62002b48c220() { 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 mpmFormInit173621c1233148a7867b62002b48c220 () { 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 finishedLoading173621c1233148a7867b62002b48c220() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3115b8c8e959461e8a9c1f928059e0d8'); if (!container) { mpFormmpFrm3115b8c8e959461e8a9c1f928059e0d8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3115b8c8e959461e8a9c1f928059e0d8'); return setTimeout(finishedLoading173621c1233148a7867b62002b48c220, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-173621c1233148a7867b62002b48c220").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-173621c1233148a7867b62002b48c220").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-173621c1233148a7867b62002b48c220").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-173621c1233148a7867b62002b48c220").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-173621c1233148a7867b62002b48c220").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=mpmRecaptchaLoaded173621c1233148a7867b62002b48c220&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup173621c1233148a7867b62002b48c220() { let popups = document.getElementById("mpform-173621c1233148a7867b62002b48c220").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput173621c1233148a7867b62002b48c220() { 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 () { finishedLoading173621c1233148a7867b62002b48c220(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading173621c1233148a7867b62002b48c220(); } } 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); mploadTelInput173621c1233148a7867b62002b48c220(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit173621c1233148a7867b62002b48c220(); } else { function waitForOtherFormsmpFrm3115b8c8e959461e8a9c1f928059e0d8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit173621c1233148a7867b62002b48c220(); } else { setTimeout(waitForOtherFormsmpFrm3115b8c8e959461e8a9c1f928059e0d8,300); } } waitForOtherFormsmpFrm3115b8c8e959461e8a9c1f928059e0d8(); }