var captchaWidgetmpFrmeafa35efd5ec4acca5a5b1298c15f846; var mpCurrentScriptmpFrmeafa35efd5ec4acca5a5b1298c15f846Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmeafa35efd5ec4acca5a5b1298c15f846"; 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); }); } mpFormmpFrmeafa35efd5ec4acca5a5b1298c15f846Find(); } 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); mpFormmpFrmeafa35efd5ec4acca5a5b1298c15f846Find(); } })(); function mpFormmpFrmeafa35efd5ec4acca5a5b1298c15f846Find() { if(!mpCurrentScriptmpFrmeafa35efd5ec4acca5a5b1298c15f846Container) return; if (mpCurrentScriptmpFrmeafa35efd5ec4acca5a5b1298c15f846Container && mpCurrentScriptmpFrmeafa35efd5ec4acca5a5b1298c15f846Container.nodeName && mpCurrentScriptmpFrmeafa35efd5ec4acca5a5b1298c15f846Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmeafa35efd5ec4acca5a5b1298c15f846" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmeafa35efd5ec4acca5a5b1298c15f846Container.children).forEach(c => { if (c.id === "mpFrmeafa35efd5ec4acca5a5b1298c15f846") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript58198928b9204947bb2b9ef26b77e25cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmeafa35efd5ec4acca5a5b1298c15f846"; } } } } function mpForm58198928b9204947bb2b9ef26b77e25cCheck() { let checkBoxes = document.getElementById("mpform-58198928b9204947bb2b9ef26b77e25c").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 mpForm58198928b9204947bb2b9ef26b77e25cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-58198928b9204947bb2b9ef26b77e25c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-58198928b9204947bb2b9ef26b77e25c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-58198928b9204947bb2b9ef26b77e25c").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-58198928b9204947bb2b9ef26b77e25c')), 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: getTrackingId58198928b9204947bb2b9ef26b77e25c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-58198928b9204947bb2b9ef26b77e25c").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-58198928b9204947bb2b9ef26b77e25c").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) { mpForm58198928b9204947bb2b9ef26b77e25cCheck(); 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-58198928b9204947bb2b9ef26b77e25c').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-58198928b9204947bb2b9ef26b77e25c").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-58198928b9204947bb2b9ef26b77e25c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmeafa35efd5ec4acca5a5b1298c15f846); } else { mpForm58198928b9204947bb2b9ef26b77e25cCheck(); 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 mpmRecaptchaLoaded58198928b9204947bb2b9ef26b77e25c() { captchaWidgetmpFrmeafa35efd5ec4acca5a5b1298c15f846 = grecaptcha.render('mpmRecaptchampFrmeafa35efd5ec4acca5a5b1298c15f846', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId58198928b9204947bb2b9ef26b77e25c() { 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 mpmFormInit58198928b9204947bb2b9ef26b77e25c () { 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 finishedLoading58198928b9204947bb2b9ef26b77e25c() { window.mpFormLoading = false; let container = document.getElementById('mpFrmeafa35efd5ec4acca5a5b1298c15f846'); if (!container) { mpFormmpFrmeafa35efd5ec4acca5a5b1298c15f846Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmeafa35efd5ec4acca5a5b1298c15f846'); return setTimeout(finishedLoading58198928b9204947bb2b9ef26b77e25c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-58198928b9204947bb2b9ef26b77e25c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-58198928b9204947bb2b9ef26b77e25c").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-58198928b9204947bb2b9ef26b77e25c-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-58198928b9204947bb2b9ef26b77e25c-" + 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-58198928b9204947bb2b9ef26b77e25c").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-58198928b9204947bb2b9ef26b77e25c").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-58198928b9204947bb2b9ef26b77e25c").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=mpmRecaptchaLoaded58198928b9204947bb2b9ef26b77e25c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup58198928b9204947bb2b9ef26b77e25c() { let popups = document.getElementById("mpform-58198928b9204947bb2b9ef26b77e25c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput58198928b9204947bb2b9ef26b77e25c() { 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 () { finishedLoading58198928b9204947bb2b9ef26b77e25c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading58198928b9204947bb2b9ef26b77e25c(); } } 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); mploadTelInput58198928b9204947bb2b9ef26b77e25c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit58198928b9204947bb2b9ef26b77e25c(); } else { function waitForOtherFormsmpFrmeafa35efd5ec4acca5a5b1298c15f846() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit58198928b9204947bb2b9ef26b77e25c(); } else { setTimeout(waitForOtherFormsmpFrmeafa35efd5ec4acca5a5b1298c15f846,300); } } waitForOtherFormsmpFrmeafa35efd5ec4acca5a5b1298c15f846(); }