var captchaWidgetmpFrmb407aa093ba049d389a6fc0b1ef56c8d; var mpCurrentScriptmpFrmb407aa093ba049d389a6fc0b1ef56c8dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb407aa093ba049d389a6fc0b1ef56c8d"; 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); }); } mpFormmpFrmb407aa093ba049d389a6fc0b1ef56c8dFind(); } 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); mpFormmpFrmb407aa093ba049d389a6fc0b1ef56c8dFind(); } })(); function mpFormmpFrmb407aa093ba049d389a6fc0b1ef56c8dFind() { if(!mpCurrentScriptmpFrmb407aa093ba049d389a6fc0b1ef56c8dContainer) return; if (mpCurrentScriptmpFrmb407aa093ba049d389a6fc0b1ef56c8dContainer && mpCurrentScriptmpFrmb407aa093ba049d389a6fc0b1ef56c8dContainer.nodeName && mpCurrentScriptmpFrmb407aa093ba049d389a6fc0b1ef56c8dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb407aa093ba049d389a6fc0b1ef56c8d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb407aa093ba049d389a6fc0b1ef56c8dContainer.children).forEach(c => { if (c.id === "mpFrmb407aa093ba049d389a6fc0b1ef56c8d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptc07b163468d94918968edf7d4ea827edContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb407aa093ba049d389a6fc0b1ef56c8d"; } } } } function mpFormc07b163468d94918968edf7d4ea827edCheck() { let checkBoxes = document.getElementById("mpform-c07b163468d94918968edf7d4ea827ed").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 mpFormc07b163468d94918968edf7d4ea827edSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-c07b163468d94918968edf7d4ea827ed").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-c07b163468d94918968edf7d4ea827ed").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-c07b163468d94918968edf7d4ea827ed").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-c07b163468d94918968edf7d4ea827ed')), 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: getTrackingIdc07b163468d94918968edf7d4ea827ed() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-c07b163468d94918968edf7d4ea827ed").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-c07b163468d94918968edf7d4ea827ed").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) { mpFormc07b163468d94918968edf7d4ea827edCheck(); 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-c07b163468d94918968edf7d4ea827ed').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-c07b163468d94918968edf7d4ea827ed").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-c07b163468d94918968edf7d4ea827ed').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb407aa093ba049d389a6fc0b1ef56c8d); } else { mpFormc07b163468d94918968edf7d4ea827edCheck(); 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 mpmRecaptchaLoadedc07b163468d94918968edf7d4ea827ed() { captchaWidgetmpFrmb407aa093ba049d389a6fc0b1ef56c8d = grecaptcha.render('mpmRecaptchampFrmb407aa093ba049d389a6fc0b1ef56c8d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdc07b163468d94918968edf7d4ea827ed() { 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 mpmFormInitc07b163468d94918968edf7d4ea827ed () { 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 finishedLoadingc07b163468d94918968edf7d4ea827ed() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb407aa093ba049d389a6fc0b1ef56c8d'); if (!container) { mpFormmpFrmb407aa093ba049d389a6fc0b1ef56c8dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb407aa093ba049d389a6fc0b1ef56c8d'); return setTimeout(finishedLoadingc07b163468d94918968edf7d4ea827ed, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-c07b163468d94918968edf7d4ea827ed").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-c07b163468d94918968edf7d4ea827ed").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-c07b163468d94918968edf7d4ea827ed-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-c07b163468d94918968edf7d4ea827ed-" + 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-c07b163468d94918968edf7d4ea827ed").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-c07b163468d94918968edf7d4ea827ed").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-c07b163468d94918968edf7d4ea827ed").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=mpmRecaptchaLoadedc07b163468d94918968edf7d4ea827ed&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupc07b163468d94918968edf7d4ea827ed() { let popups = document.getElementById("mpform-c07b163468d94918968edf7d4ea827ed").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputc07b163468d94918968edf7d4ea827ed() { 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 () { finishedLoadingc07b163468d94918968edf7d4ea827ed(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingc07b163468d94918968edf7d4ea827ed(); } } 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); mploadTelInputc07b163468d94918968edf7d4ea827ed(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitc07b163468d94918968edf7d4ea827ed(); } else { function waitForOtherFormsmpFrmb407aa093ba049d389a6fc0b1ef56c8d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitc07b163468d94918968edf7d4ea827ed(); } else { setTimeout(waitForOtherFormsmpFrmb407aa093ba049d389a6fc0b1ef56c8d,300); } } waitForOtherFormsmpFrmb407aa093ba049d389a6fc0b1ef56c8d(); }