var captchaWidgetmpFrm84b266031b7948b5a7c4c441b984c431; var mpCurrentScriptmpFrm84b266031b7948b5a7c4c441b984c431Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm84b266031b7948b5a7c4c441b984c431"; 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); }); } mpFormmpFrm84b266031b7948b5a7c4c441b984c431Find(); } 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); mpFormmpFrm84b266031b7948b5a7c4c441b984c431Find(); } })(); function mpFormmpFrm84b266031b7948b5a7c4c441b984c431Find() { if(!mpCurrentScriptmpFrm84b266031b7948b5a7c4c441b984c431Container) return; if (mpCurrentScriptmpFrm84b266031b7948b5a7c4c441b984c431Container && mpCurrentScriptmpFrm84b266031b7948b5a7c4c441b984c431Container.nodeName && mpCurrentScriptmpFrm84b266031b7948b5a7c4c441b984c431Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm84b266031b7948b5a7c4c441b984c431" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm84b266031b7948b5a7c4c441b984c431Container.children).forEach(c => { if (c.id === "mpFrm84b266031b7948b5a7c4c441b984c431") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript926912b95b884e06a96b1879196f2130Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm84b266031b7948b5a7c4c441b984c431"; } } } } function mpForm926912b95b884e06a96b1879196f2130Check() { let checkBoxes = document.getElementById("mpform-926912b95b884e06a96b1879196f2130").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 mpForm926912b95b884e06a96b1879196f2130Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-926912b95b884e06a96b1879196f2130").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-926912b95b884e06a96b1879196f2130").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-926912b95b884e06a96b1879196f2130").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-926912b95b884e06a96b1879196f2130')), 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: getTrackingId926912b95b884e06a96b1879196f2130() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-926912b95b884e06a96b1879196f2130").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-926912b95b884e06a96b1879196f2130").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) { mpForm926912b95b884e06a96b1879196f2130Check(); 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-926912b95b884e06a96b1879196f2130').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-926912b95b884e06a96b1879196f2130").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-926912b95b884e06a96b1879196f2130').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm84b266031b7948b5a7c4c441b984c431); } else { mpForm926912b95b884e06a96b1879196f2130Check(); 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 mpmRecaptchaLoaded926912b95b884e06a96b1879196f2130() { captchaWidgetmpFrm84b266031b7948b5a7c4c441b984c431 = grecaptcha.render('mpmRecaptchampFrm84b266031b7948b5a7c4c441b984c431', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId926912b95b884e06a96b1879196f2130() { 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 mpmFormInit926912b95b884e06a96b1879196f2130 () { 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 finishedLoading926912b95b884e06a96b1879196f2130() { window.mpFormLoading = false; let container = document.getElementById('mpFrm84b266031b7948b5a7c4c441b984c431'); if (!container) { mpFormmpFrm84b266031b7948b5a7c4c441b984c431Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm84b266031b7948b5a7c4c441b984c431'); return setTimeout(finishedLoading926912b95b884e06a96b1879196f2130, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-926912b95b884e06a96b1879196f2130").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-926912b95b884e06a96b1879196f2130").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-926912b95b884e06a96b1879196f2130").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-926912b95b884e06a96b1879196f2130").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-926912b95b884e06a96b1879196f2130").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=mpmRecaptchaLoaded926912b95b884e06a96b1879196f2130&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup926912b95b884e06a96b1879196f2130() { let popups = document.getElementById("mpform-926912b95b884e06a96b1879196f2130").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput926912b95b884e06a96b1879196f2130() { 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 () { finishedLoading926912b95b884e06a96b1879196f2130(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading926912b95b884e06a96b1879196f2130(); } } 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); mploadTelInput926912b95b884e06a96b1879196f2130(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit926912b95b884e06a96b1879196f2130(); } else { function waitForOtherFormsmpFrm84b266031b7948b5a7c4c441b984c431() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit926912b95b884e06a96b1879196f2130(); } else { setTimeout(waitForOtherFormsmpFrm84b266031b7948b5a7c4c441b984c431,300); } } waitForOtherFormsmpFrm84b266031b7948b5a7c4c441b984c431(); }