var captchaWidgetmpFrm9c89266a8f3142deaac51b1bf4b72ddd; var mpCurrentScriptmpFrm9c89266a8f3142deaac51b1bf4b72dddContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9c89266a8f3142deaac51b1bf4b72ddd"; 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); } mpFormmpFrm9c89266a8f3142deaac51b1bf4b72dddFind(); } 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); mpFormmpFrm9c89266a8f3142deaac51b1bf4b72dddFind(); } })(); function mpFormmpFrm9c89266a8f3142deaac51b1bf4b72dddFind() { if(!mpCurrentScriptmpFrm9c89266a8f3142deaac51b1bf4b72dddContainer) return; if (mpCurrentScriptmpFrm9c89266a8f3142deaac51b1bf4b72dddContainer && mpCurrentScriptmpFrm9c89266a8f3142deaac51b1bf4b72dddContainer.nodeName && mpCurrentScriptmpFrm9c89266a8f3142deaac51b1bf4b72dddContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9c89266a8f3142deaac51b1bf4b72ddd" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9c89266a8f3142deaac51b1bf4b72dddContainer.children).forEach(c => { if (c.id === "mpFrm9c89266a8f3142deaac51b1bf4b72ddd") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm9c89266a8f3142deaac51b1bf4b72dddContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9c89266a8f3142deaac51b1bf4b72ddd"; } } } } function mpFormfc3d8b0cdf984d4cb230fc07dd897c8cCheck() { let checkBoxes = document.getElementById("mpform-fc3d8b0cdf984d4cb230fc07dd897c8c").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 mpFormfc3d8b0cdf984d4cb230fc07dd897c8cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-fc3d8b0cdf984d4cb230fc07dd897c8c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-fc3d8b0cdf984d4cb230fc07dd897c8c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-fc3d8b0cdf984d4cb230fc07dd897c8c").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-fc3d8b0cdf984d4cb230fc07dd897c8c')), 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: getTrackingIdfc3d8b0cdf984d4cb230fc07dd897c8c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-fc3d8b0cdf984d4cb230fc07dd897c8c").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-fc3d8b0cdf984d4cb230fc07dd897c8c").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) { mpFormfc3d8b0cdf984d4cb230fc07dd897c8cCheck(); 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-fc3d8b0cdf984d4cb230fc07dd897c8c').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-fc3d8b0cdf984d4cb230fc07dd897c8c").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } if(response.hideForm){ let mpMsgParent = msgHlder.parentElement; if(mpMsgParent && msgHlder){ mpMsg.innerHTML = response.message; mpMsgParent.innerHTML = msgHlder.innerHTML; } } else { mpMsg.innerHTML = response.message; } } else if (response.replace) { document.getElementById('mpform-fc3d8b0cdf984d4cb230fc07dd897c8c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9c89266a8f3142deaac51b1bf4b72ddd); } else { mpFormfc3d8b0cdf984d4cb230fc07dd897c8cCheck(); 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 mpmRecaptchaLoadedfc3d8b0cdf984d4cb230fc07dd897c8c() { captchaWidgetmpFrm9c89266a8f3142deaac51b1bf4b72ddd = grecaptcha.render('mpmRecaptchampFrm9c89266a8f3142deaac51b1bf4b72ddd', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdfc3d8b0cdf984d4cb230fc07dd897c8c() { 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 mpmFormInitfc3d8b0cdf984d4cb230fc07dd897c8c () { 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 finishedLoadingfc3d8b0cdf984d4cb230fc07dd897c8c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9c89266a8f3142deaac51b1bf4b72ddd'); if (!container) { mpFormmpFrm9c89266a8f3142deaac51b1bf4b72dddFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9c89266a8f3142deaac51b1bf4b72ddd'); return setTimeout(finishedLoadingfc3d8b0cdf984d4cb230fc07dd897c8c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-fc3d8b0cdf984d4cb230fc07dd897c8c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-fc3d8b0cdf984d4cb230fc07dd897c8c").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-fc3d8b0cdf984d4cb230fc07dd897c8c-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-fc3d8b0cdf984d4cb230fc07dd897c8c-" + 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-fc3d8b0cdf984d4cb230fc07dd897c8c").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-fc3d8b0cdf984d4cb230fc07dd897c8c").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-fc3d8b0cdf984d4cb230fc07dd897c8c").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=mpmRecaptchaLoadedfc3d8b0cdf984d4cb230fc07dd897c8c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupfc3d8b0cdf984d4cb230fc07dd897c8c() { let popups = document.getElementById("mpform-fc3d8b0cdf984d4cb230fc07dd897c8c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputfc3d8b0cdf984d4cb230fc07dd897c8c() { 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 () { finishedLoadingfc3d8b0cdf984d4cb230fc07dd897c8c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingfc3d8b0cdf984d4cb230fc07dd897c8c(); } } 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); mploadTelInputfc3d8b0cdf984d4cb230fc07dd897c8c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitfc3d8b0cdf984d4cb230fc07dd897c8c(); } else { function waitForOtherFormsmpFrm9c89266a8f3142deaac51b1bf4b72ddd() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitfc3d8b0cdf984d4cb230fc07dd897c8c(); } else { setTimeout(waitForOtherFormsmpFrm9c89266a8f3142deaac51b1bf4b72ddd,300); } } waitForOtherFormsmpFrm9c89266a8f3142deaac51b1bf4b72ddd(); }