var captchaWidgetmpFrma7f5ef9fb7114e0287e00e7cb9c1d284; var mpCurrentScriptmpFrma7f5ef9fb7114e0287e00e7cb9c1d284Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma7f5ef9fb7114e0287e00e7cb9c1d284"; 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); mpFormmpFrma7f5ef9fb7114e0287e00e7cb9c1d284Find(); } })(); function mpFormmpFrma7f5ef9fb7114e0287e00e7cb9c1d284Find() { if(!mpCurrentScriptmpFrma7f5ef9fb7114e0287e00e7cb9c1d284Container) return; if (mpCurrentScriptmpFrma7f5ef9fb7114e0287e00e7cb9c1d284Container && mpCurrentScriptmpFrma7f5ef9fb7114e0287e00e7cb9c1d284Container.nodeName && mpCurrentScriptmpFrma7f5ef9fb7114e0287e00e7cb9c1d284Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma7f5ef9fb7114e0287e00e7cb9c1d284" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma7f5ef9fb7114e0287e00e7cb9c1d284Container.children).forEach(c => { if (c.id === "mpFrma7f5ef9fb7114e0287e00e7cb9c1d284") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4bdcd85c134e43e8867329a93d23b832Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma7f5ef9fb7114e0287e00e7cb9c1d284"; } } } } function mpForm4bdcd85c134e43e8867329a93d23b832Check() { let checkBoxes = document.getElementById("mpform-4bdcd85c134e43e8867329a93d23b832").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 mpForm4bdcd85c134e43e8867329a93d23b832Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4bdcd85c134e43e8867329a93d23b832").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4bdcd85c134e43e8867329a93d23b832").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4bdcd85c134e43e8867329a93d23b832").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-4bdcd85c134e43e8867329a93d23b832')), 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: getTrackingId4bdcd85c134e43e8867329a93d23b832() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4bdcd85c134e43e8867329a93d23b832").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-4bdcd85c134e43e8867329a93d23b832").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) { mpForm4bdcd85c134e43e8867329a93d23b832Check(); 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-4bdcd85c134e43e8867329a93d23b832').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-4bdcd85c134e43e8867329a93d23b832").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-4bdcd85c134e43e8867329a93d23b832').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma7f5ef9fb7114e0287e00e7cb9c1d284); } else { mpForm4bdcd85c134e43e8867329a93d23b832Check(); 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 mpmRecaptchaLoaded4bdcd85c134e43e8867329a93d23b832() { captchaWidgetmpFrma7f5ef9fb7114e0287e00e7cb9c1d284 = grecaptcha.render('mpmRecaptchampFrma7f5ef9fb7114e0287e00e7cb9c1d284', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4bdcd85c134e43e8867329a93d23b832() { 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 mpmFormInit4bdcd85c134e43e8867329a93d23b832 () { 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 finishedLoading4bdcd85c134e43e8867329a93d23b832() { window.mpFormLoading = false; let container = document.getElementById('mpFrma7f5ef9fb7114e0287e00e7cb9c1d284'); if (!container) { mpFormmpFrma7f5ef9fb7114e0287e00e7cb9c1d284Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma7f5ef9fb7114e0287e00e7cb9c1d284'); return setTimeout(finishedLoading4bdcd85c134e43e8867329a93d23b832, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4bdcd85c134e43e8867329a93d23b832").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4bdcd85c134e43e8867329a93d23b832").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-4bdcd85c134e43e8867329a93d23b832").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-4bdcd85c134e43e8867329a93d23b832").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-4bdcd85c134e43e8867329a93d23b832").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=mpmRecaptchaLoaded4bdcd85c134e43e8867329a93d23b832&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4bdcd85c134e43e8867329a93d23b832() { let popups = document.getElementById("mpform-4bdcd85c134e43e8867329a93d23b832").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4bdcd85c134e43e8867329a93d23b832() { 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 () { finishedLoading4bdcd85c134e43e8867329a93d23b832(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4bdcd85c134e43e8867329a93d23b832(); } } 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); mploadTelInput4bdcd85c134e43e8867329a93d23b832(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4bdcd85c134e43e8867329a93d23b832(); } else { function waitForOtherFormsmpFrma7f5ef9fb7114e0287e00e7cb9c1d284() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4bdcd85c134e43e8867329a93d23b832(); } else { setTimeout(waitForOtherFormsmpFrma7f5ef9fb7114e0287e00e7cb9c1d284,300); } } waitForOtherFormsmpFrma7f5ef9fb7114e0287e00e7cb9c1d284(); }