var captchaWidgetmpFrmc2c2c53e4ffc458aabc486def617cb6a; var mpCurrentScriptmpFrmc2c2c53e4ffc458aabc486def617cb6aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc2c2c53e4ffc458aabc486def617cb6a"; 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); mpFormmpFrmc2c2c53e4ffc458aabc486def617cb6aFind(); } })(); function mpFormmpFrmc2c2c53e4ffc458aabc486def617cb6aFind() { if(!mpCurrentScriptmpFrmc2c2c53e4ffc458aabc486def617cb6aContainer) return; if (mpCurrentScriptmpFrmc2c2c53e4ffc458aabc486def617cb6aContainer && mpCurrentScriptmpFrmc2c2c53e4ffc458aabc486def617cb6aContainer.nodeName && mpCurrentScriptmpFrmc2c2c53e4ffc458aabc486def617cb6aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc2c2c53e4ffc458aabc486def617cb6a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc2c2c53e4ffc458aabc486def617cb6aContainer.children).forEach(c => { if (c.id === "mpFrmc2c2c53e4ffc458aabc486def617cb6a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte4ba5915fd46451a9b5c1fdd681b87fdContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc2c2c53e4ffc458aabc486def617cb6a"; } } } } function mpForme4ba5915fd46451a9b5c1fdd681b87fdCheck() { let checkBoxes = document.getElementById("mpform-e4ba5915fd46451a9b5c1fdd681b87fd").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 mpForme4ba5915fd46451a9b5c1fdd681b87fdSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e4ba5915fd46451a9b5c1fdd681b87fd").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e4ba5915fd46451a9b5c1fdd681b87fd").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e4ba5915fd46451a9b5c1fdd681b87fd").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-e4ba5915fd46451a9b5c1fdd681b87fd')), 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: getTrackingIde4ba5915fd46451a9b5c1fdd681b87fd() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e4ba5915fd46451a9b5c1fdd681b87fd").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-e4ba5915fd46451a9b5c1fdd681b87fd").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) { mpForme4ba5915fd46451a9b5c1fdd681b87fdCheck(); 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-e4ba5915fd46451a9b5c1fdd681b87fd').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-e4ba5915fd46451a9b5c1fdd681b87fd").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-e4ba5915fd46451a9b5c1fdd681b87fd').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc2c2c53e4ffc458aabc486def617cb6a); } else { mpForme4ba5915fd46451a9b5c1fdd681b87fdCheck(); 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 mpmRecaptchaLoadede4ba5915fd46451a9b5c1fdd681b87fd() { captchaWidgetmpFrmc2c2c53e4ffc458aabc486def617cb6a = grecaptcha.render('mpmRecaptchampFrmc2c2c53e4ffc458aabc486def617cb6a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde4ba5915fd46451a9b5c1fdd681b87fd() { 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 mpmFormInite4ba5915fd46451a9b5c1fdd681b87fd () { 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 finishedLoadinge4ba5915fd46451a9b5c1fdd681b87fd() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc2c2c53e4ffc458aabc486def617cb6a'); if (!container) { mpFormmpFrmc2c2c53e4ffc458aabc486def617cb6aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc2c2c53e4ffc458aabc486def617cb6a'); return setTimeout(finishedLoadinge4ba5915fd46451a9b5c1fdd681b87fd, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e4ba5915fd46451a9b5c1fdd681b87fd").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e4ba5915fd46451a9b5c1fdd681b87fd").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-e4ba5915fd46451a9b5c1fdd681b87fd").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-e4ba5915fd46451a9b5c1fdd681b87fd").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-e4ba5915fd46451a9b5c1fdd681b87fd").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=mpmRecaptchaLoadede4ba5915fd46451a9b5c1fdd681b87fd&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe4ba5915fd46451a9b5c1fdd681b87fd() { let popups = document.getElementById("mpform-e4ba5915fd46451a9b5c1fdd681b87fd").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute4ba5915fd46451a9b5c1fdd681b87fd() { 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 () { finishedLoadinge4ba5915fd46451a9b5c1fdd681b87fd(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge4ba5915fd46451a9b5c1fdd681b87fd(); } } 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); mploadTelInpute4ba5915fd46451a9b5c1fdd681b87fd(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite4ba5915fd46451a9b5c1fdd681b87fd(); } else { function waitForOtherFormsmpFrmc2c2c53e4ffc458aabc486def617cb6a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite4ba5915fd46451a9b5c1fdd681b87fd(); } else { setTimeout(waitForOtherFormsmpFrmc2c2c53e4ffc458aabc486def617cb6a,300); } } waitForOtherFormsmpFrmc2c2c53e4ffc458aabc486def617cb6a(); }