var captchaWidgetmpFrm708079aefb0d4aa3916c0627a4216c24; var mpCurrentScriptmpFrm708079aefb0d4aa3916c0627a4216c24Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm708079aefb0d4aa3916c0627a4216c24"; 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); }); } mpFormmpFrm708079aefb0d4aa3916c0627a4216c24Find(); } 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); mpFormmpFrm708079aefb0d4aa3916c0627a4216c24Find(); } })(); function mpFormmpFrm708079aefb0d4aa3916c0627a4216c24Find() { if(!mpCurrentScriptmpFrm708079aefb0d4aa3916c0627a4216c24Container) return; if (mpCurrentScriptmpFrm708079aefb0d4aa3916c0627a4216c24Container && mpCurrentScriptmpFrm708079aefb0d4aa3916c0627a4216c24Container.nodeName && mpCurrentScriptmpFrm708079aefb0d4aa3916c0627a4216c24Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm708079aefb0d4aa3916c0627a4216c24" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm708079aefb0d4aa3916c0627a4216c24Container.children).forEach(c => { if (c.id === "mpFrm708079aefb0d4aa3916c0627a4216c24") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5f4e266f7861496d93ed66dcf349d043Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm708079aefb0d4aa3916c0627a4216c24"; } } } } function mpForm5f4e266f7861496d93ed66dcf349d043Check() { let checkBoxes = document.getElementById("mpform-5f4e266f7861496d93ed66dcf349d043").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 mpForm5f4e266f7861496d93ed66dcf349d043Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5f4e266f7861496d93ed66dcf349d043").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5f4e266f7861496d93ed66dcf349d043").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5f4e266f7861496d93ed66dcf349d043").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-5f4e266f7861496d93ed66dcf349d043')), 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: getTrackingId5f4e266f7861496d93ed66dcf349d043() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5f4e266f7861496d93ed66dcf349d043").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-5f4e266f7861496d93ed66dcf349d043").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) { mpForm5f4e266f7861496d93ed66dcf349d043Check(); 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-5f4e266f7861496d93ed66dcf349d043').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-5f4e266f7861496d93ed66dcf349d043").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-5f4e266f7861496d93ed66dcf349d043').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm708079aefb0d4aa3916c0627a4216c24); } else { mpForm5f4e266f7861496d93ed66dcf349d043Check(); 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 mpmRecaptchaLoaded5f4e266f7861496d93ed66dcf349d043() { captchaWidgetmpFrm708079aefb0d4aa3916c0627a4216c24 = grecaptcha.render('mpmRecaptchampFrm708079aefb0d4aa3916c0627a4216c24', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5f4e266f7861496d93ed66dcf349d043() { 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 mpmFormInit5f4e266f7861496d93ed66dcf349d043 () { 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 finishedLoading5f4e266f7861496d93ed66dcf349d043() { window.mpFormLoading = false; let container = document.getElementById('mpFrm708079aefb0d4aa3916c0627a4216c24'); if (!container) { mpFormmpFrm708079aefb0d4aa3916c0627a4216c24Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm708079aefb0d4aa3916c0627a4216c24'); return setTimeout(finishedLoading5f4e266f7861496d93ed66dcf349d043, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5f4e266f7861496d93ed66dcf349d043").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5f4e266f7861496d93ed66dcf349d043").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-5f4e266f7861496d93ed66dcf349d043-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-5f4e266f7861496d93ed66dcf349d043-" + 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-5f4e266f7861496d93ed66dcf349d043").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-5f4e266f7861496d93ed66dcf349d043").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-5f4e266f7861496d93ed66dcf349d043").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=mpmRecaptchaLoaded5f4e266f7861496d93ed66dcf349d043&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5f4e266f7861496d93ed66dcf349d043() { let popups = document.getElementById("mpform-5f4e266f7861496d93ed66dcf349d043").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5f4e266f7861496d93ed66dcf349d043() { 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 () { finishedLoading5f4e266f7861496d93ed66dcf349d043(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5f4e266f7861496d93ed66dcf349d043(); } } 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); mploadTelInput5f4e266f7861496d93ed66dcf349d043(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5f4e266f7861496d93ed66dcf349d043(); } else { function waitForOtherFormsmpFrm708079aefb0d4aa3916c0627a4216c24() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5f4e266f7861496d93ed66dcf349d043(); } else { setTimeout(waitForOtherFormsmpFrm708079aefb0d4aa3916c0627a4216c24,300); } } waitForOtherFormsmpFrm708079aefb0d4aa3916c0627a4216c24(); }