var captchaWidgetmpFrm1e917095613f4d12849cd432d3284b2a; var mpCurrentScriptmpFrm1e917095613f4d12849cd432d3284b2aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1e917095613f4d12849cd432d3284b2a"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); if (window.self !== window.top) { if (document.currentScript?.parentNode?.nodeName?.toLowerCase() === 'head') { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener('DOMContentLoaded', () => { document.body.appendChild(containerDiv); }); } } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); } mpFormmpFrm1e917095613f4d12849cd432d3284b2aFind(); } 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); mpFormmpFrm1e917095613f4d12849cd432d3284b2aFind(); } })(); function mpFormmpFrm1e917095613f4d12849cd432d3284b2aFind() { if(!mpCurrentScriptmpFrm1e917095613f4d12849cd432d3284b2aContainer) return; if (mpCurrentScriptmpFrm1e917095613f4d12849cd432d3284b2aContainer && mpCurrentScriptmpFrm1e917095613f4d12849cd432d3284b2aContainer.nodeName && mpCurrentScriptmpFrm1e917095613f4d12849cd432d3284b2aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1e917095613f4d12849cd432d3284b2a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1e917095613f4d12849cd432d3284b2aContainer.children).forEach(c => { if (c.id === "mpFrm1e917095613f4d12849cd432d3284b2a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm1e917095613f4d12849cd432d3284b2aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1e917095613f4d12849cd432d3284b2a"; } } } } function mpForm8d5e2cd8a2c24de8b04914869c514735Check() { let checkBoxes = document.getElementById("mpform-8d5e2cd8a2c24de8b04914869c514735").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 mpForm8d5e2cd8a2c24de8b04914869c514735Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8d5e2cd8a2c24de8b04914869c514735").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8d5e2cd8a2c24de8b04914869c514735").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8d5e2cd8a2c24de8b04914869c514735").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-8d5e2cd8a2c24de8b04914869c514735')), 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: getTrackingId8d5e2cd8a2c24de8b04914869c514735() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8d5e2cd8a2c24de8b04914869c514735").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-8d5e2cd8a2c24de8b04914869c514735").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) { mpForm8d5e2cd8a2c24de8b04914869c514735Check(); 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-8d5e2cd8a2c24de8b04914869c514735').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-8d5e2cd8a2c24de8b04914869c514735").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-8d5e2cd8a2c24de8b04914869c514735').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1e917095613f4d12849cd432d3284b2a); } else { mpForm8d5e2cd8a2c24de8b04914869c514735Check(); 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 mpmRecaptchaLoaded8d5e2cd8a2c24de8b04914869c514735() { captchaWidgetmpFrm1e917095613f4d12849cd432d3284b2a = grecaptcha.render('mpmRecaptchampFrm1e917095613f4d12849cd432d3284b2a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8d5e2cd8a2c24de8b04914869c514735() { 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 mpmFormInit8d5e2cd8a2c24de8b04914869c514735 () { 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 finishedLoading8d5e2cd8a2c24de8b04914869c514735() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1e917095613f4d12849cd432d3284b2a'); if (!container) { mpFormmpFrm1e917095613f4d12849cd432d3284b2aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1e917095613f4d12849cd432d3284b2a'); return setTimeout(finishedLoading8d5e2cd8a2c24de8b04914869c514735, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8d5e2cd8a2c24de8b04914869c514735").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8d5e2cd8a2c24de8b04914869c514735").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-8d5e2cd8a2c24de8b04914869c514735-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-8d5e2cd8a2c24de8b04914869c514735-" + 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-8d5e2cd8a2c24de8b04914869c514735").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-8d5e2cd8a2c24de8b04914869c514735").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-8d5e2cd8a2c24de8b04914869c514735").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=mpmRecaptchaLoaded8d5e2cd8a2c24de8b04914869c514735&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8d5e2cd8a2c24de8b04914869c514735() { let popups = document.getElementById("mpform-8d5e2cd8a2c24de8b04914869c514735").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8d5e2cd8a2c24de8b04914869c514735() { 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 () { finishedLoading8d5e2cd8a2c24de8b04914869c514735(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8d5e2cd8a2c24de8b04914869c514735(); } } 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); mploadTelInput8d5e2cd8a2c24de8b04914869c514735(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8d5e2cd8a2c24de8b04914869c514735(); } else { function waitForOtherFormsmpFrm1e917095613f4d12849cd432d3284b2a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8d5e2cd8a2c24de8b04914869c514735(); } else { setTimeout(waitForOtherFormsmpFrm1e917095613f4d12849cd432d3284b2a,300); } } waitForOtherFormsmpFrm1e917095613f4d12849cd432d3284b2a(); }