var captchaWidgetmpFrmb5c62a9372fc44bfbc1b293ebce58574; var mpCurrentScriptmpFrmb5c62a9372fc44bfbc1b293ebce58574Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb5c62a9372fc44bfbc1b293ebce58574"; 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); }); } mpFormmpFrmb5c62a9372fc44bfbc1b293ebce58574Find(); } 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); mpFormmpFrmb5c62a9372fc44bfbc1b293ebce58574Find(); } })(); function mpFormmpFrmb5c62a9372fc44bfbc1b293ebce58574Find() { if(!mpCurrentScriptmpFrmb5c62a9372fc44bfbc1b293ebce58574Container) return; if (mpCurrentScriptmpFrmb5c62a9372fc44bfbc1b293ebce58574Container && mpCurrentScriptmpFrmb5c62a9372fc44bfbc1b293ebce58574Container.nodeName && mpCurrentScriptmpFrmb5c62a9372fc44bfbc1b293ebce58574Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb5c62a9372fc44bfbc1b293ebce58574" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb5c62a9372fc44bfbc1b293ebce58574Container.children).forEach(c => { if (c.id === "mpFrmb5c62a9372fc44bfbc1b293ebce58574") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte5c9cb5dfa3f44c0a715b06cbbfc2ca2Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb5c62a9372fc44bfbc1b293ebce58574"; } } } } function mpForme5c9cb5dfa3f44c0a715b06cbbfc2ca2Check() { let checkBoxes = document.getElementById("mpform-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").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 mpForme5c9cb5dfa3f44c0a715b06cbbfc2ca2Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").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-e5c9cb5dfa3f44c0a715b06cbbfc2ca2')), 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: getTrackingIde5c9cb5dfa3f44c0a715b06cbbfc2ca2() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").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-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").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) { mpForme5c9cb5dfa3f44c0a715b06cbbfc2ca2Check(); 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-e5c9cb5dfa3f44c0a715b06cbbfc2ca2').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-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").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-e5c9cb5dfa3f44c0a715b06cbbfc2ca2').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb5c62a9372fc44bfbc1b293ebce58574); } else { mpForme5c9cb5dfa3f44c0a715b06cbbfc2ca2Check(); 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 mpmRecaptchaLoadede5c9cb5dfa3f44c0a715b06cbbfc2ca2() { captchaWidgetmpFrmb5c62a9372fc44bfbc1b293ebce58574 = grecaptcha.render('mpmRecaptchampFrmb5c62a9372fc44bfbc1b293ebce58574', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde5c9cb5dfa3f44c0a715b06cbbfc2ca2() { 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 mpmFormInite5c9cb5dfa3f44c0a715b06cbbfc2ca2 () { 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 finishedLoadinge5c9cb5dfa3f44c0a715b06cbbfc2ca2() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb5c62a9372fc44bfbc1b293ebce58574'); if (!container) { mpFormmpFrmb5c62a9372fc44bfbc1b293ebce58574Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb5c62a9372fc44bfbc1b293ebce58574'); return setTimeout(finishedLoadinge5c9cb5dfa3f44c0a715b06cbbfc2ca2, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").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-e5c9cb5dfa3f44c0a715b06cbbfc2ca2-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-e5c9cb5dfa3f44c0a715b06cbbfc2ca2-" + 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-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").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-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").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-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").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=mpmRecaptchaLoadede5c9cb5dfa3f44c0a715b06cbbfc2ca2&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe5c9cb5dfa3f44c0a715b06cbbfc2ca2() { let popups = document.getElementById("mpform-e5c9cb5dfa3f44c0a715b06cbbfc2ca2").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute5c9cb5dfa3f44c0a715b06cbbfc2ca2() { 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 () { finishedLoadinge5c9cb5dfa3f44c0a715b06cbbfc2ca2(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge5c9cb5dfa3f44c0a715b06cbbfc2ca2(); } } 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); mploadTelInpute5c9cb5dfa3f44c0a715b06cbbfc2ca2(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite5c9cb5dfa3f44c0a715b06cbbfc2ca2(); } else { function waitForOtherFormsmpFrmb5c62a9372fc44bfbc1b293ebce58574() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite5c9cb5dfa3f44c0a715b06cbbfc2ca2(); } else { setTimeout(waitForOtherFormsmpFrmb5c62a9372fc44bfbc1b293ebce58574,300); } } waitForOtherFormsmpFrmb5c62a9372fc44bfbc1b293ebce58574(); }