var captchaWidgetmpFrm2d246b3384af4893a67a45e7a63ea76d; var mpCurrentScriptmpFrm2d246b3384af4893a67a45e7a63ea76dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2d246b3384af4893a67a45e7a63ea76d"; 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); } mpFormmpFrm2d246b3384af4893a67a45e7a63ea76dFind(); } 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); mpFormmpFrm2d246b3384af4893a67a45e7a63ea76dFind(); } })(); function mpFormmpFrm2d246b3384af4893a67a45e7a63ea76dFind() { if(!mpCurrentScriptmpFrm2d246b3384af4893a67a45e7a63ea76dContainer) return; if (mpCurrentScriptmpFrm2d246b3384af4893a67a45e7a63ea76dContainer && mpCurrentScriptmpFrm2d246b3384af4893a67a45e7a63ea76dContainer.nodeName && mpCurrentScriptmpFrm2d246b3384af4893a67a45e7a63ea76dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2d246b3384af4893a67a45e7a63ea76d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2d246b3384af4893a67a45e7a63ea76dContainer.children).forEach(c => { if (c.id === "mpFrm2d246b3384af4893a67a45e7a63ea76d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm2d246b3384af4893a67a45e7a63ea76dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2d246b3384af4893a67a45e7a63ea76d"; } } } } function mpFormd75b5d57c47946958e5b52e6d7cb08ccCheck() { let checkBoxes = document.getElementById("mpform-d75b5d57c47946958e5b52e6d7cb08cc").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 mpFormd75b5d57c47946958e5b52e6d7cb08ccSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d75b5d57c47946958e5b52e6d7cb08cc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d75b5d57c47946958e5b52e6d7cb08cc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d75b5d57c47946958e5b52e6d7cb08cc").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-d75b5d57c47946958e5b52e6d7cb08cc')), 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: getTrackingIdd75b5d57c47946958e5b52e6d7cb08cc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d75b5d57c47946958e5b52e6d7cb08cc").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-d75b5d57c47946958e5b52e6d7cb08cc").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) { mpFormd75b5d57c47946958e5b52e6d7cb08ccCheck(); 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-d75b5d57c47946958e5b52e6d7cb08cc').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-d75b5d57c47946958e5b52e6d7cb08cc").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-d75b5d57c47946958e5b52e6d7cb08cc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2d246b3384af4893a67a45e7a63ea76d); } else { mpFormd75b5d57c47946958e5b52e6d7cb08ccCheck(); 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 mpmRecaptchaLoadedd75b5d57c47946958e5b52e6d7cb08cc() { captchaWidgetmpFrm2d246b3384af4893a67a45e7a63ea76d = grecaptcha.render('mpmRecaptchampFrm2d246b3384af4893a67a45e7a63ea76d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd75b5d57c47946958e5b52e6d7cb08cc() { 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 mpmFormInitd75b5d57c47946958e5b52e6d7cb08cc () { 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 finishedLoadingd75b5d57c47946958e5b52e6d7cb08cc() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2d246b3384af4893a67a45e7a63ea76d'); if (!container) { mpFormmpFrm2d246b3384af4893a67a45e7a63ea76dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2d246b3384af4893a67a45e7a63ea76d'); return setTimeout(finishedLoadingd75b5d57c47946958e5b52e6d7cb08cc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d75b5d57c47946958e5b52e6d7cb08cc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-d75b5d57c47946958e5b52e6d7cb08cc").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-d75b5d57c47946958e5b52e6d7cb08cc-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-d75b5d57c47946958e5b52e6d7cb08cc-" + 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-d75b5d57c47946958e5b52e6d7cb08cc").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-d75b5d57c47946958e5b52e6d7cb08cc").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-d75b5d57c47946958e5b52e6d7cb08cc").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=mpmRecaptchaLoadedd75b5d57c47946958e5b52e6d7cb08cc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd75b5d57c47946958e5b52e6d7cb08cc() { let popups = document.getElementById("mpform-d75b5d57c47946958e5b52e6d7cb08cc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd75b5d57c47946958e5b52e6d7cb08cc() { 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 () { finishedLoadingd75b5d57c47946958e5b52e6d7cb08cc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd75b5d57c47946958e5b52e6d7cb08cc(); } } 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); mploadTelInputd75b5d57c47946958e5b52e6d7cb08cc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd75b5d57c47946958e5b52e6d7cb08cc(); } else { function waitForOtherFormsmpFrm2d246b3384af4893a67a45e7a63ea76d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd75b5d57c47946958e5b52e6d7cb08cc(); } else { setTimeout(waitForOtherFormsmpFrm2d246b3384af4893a67a45e7a63ea76d,300); } } waitForOtherFormsmpFrm2d246b3384af4893a67a45e7a63ea76d(); }