var captchaWidgetmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7; var mpCurrentScriptmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7"; 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); }); } mpFormmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Find(); } 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); mpFormmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Find(); } })(); function mpFormmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Find() { if(!mpCurrentScriptmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Container) return; if (mpCurrentScriptmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Container && mpCurrentScriptmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Container.nodeName && mpCurrentScriptmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Container.children).forEach(c => { if (c.id === "mpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta13a5090e8b14fc1837b9b17dd797c4cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7"; } } } } function mpForma13a5090e8b14fc1837b9b17dd797c4cCheck() { let checkBoxes = document.getElementById("mpform-a13a5090e8b14fc1837b9b17dd797c4c").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 mpForma13a5090e8b14fc1837b9b17dd797c4cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a13a5090e8b14fc1837b9b17dd797c4c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a13a5090e8b14fc1837b9b17dd797c4c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a13a5090e8b14fc1837b9b17dd797c4c").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-a13a5090e8b14fc1837b9b17dd797c4c')), 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: getTrackingIda13a5090e8b14fc1837b9b17dd797c4c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a13a5090e8b14fc1837b9b17dd797c4c").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-a13a5090e8b14fc1837b9b17dd797c4c").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) { mpForma13a5090e8b14fc1837b9b17dd797c4cCheck(); 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-a13a5090e8b14fc1837b9b17dd797c4c').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-a13a5090e8b14fc1837b9b17dd797c4c").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-a13a5090e8b14fc1837b9b17dd797c4c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7); } else { mpForma13a5090e8b14fc1837b9b17dd797c4cCheck(); 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 mpmRecaptchaLoadeda13a5090e8b14fc1837b9b17dd797c4c() { captchaWidgetmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7 = grecaptcha.render('mpmRecaptchampFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda13a5090e8b14fc1837b9b17dd797c4c() { 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 mpmFormInita13a5090e8b14fc1837b9b17dd797c4c () { 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 finishedLoadinga13a5090e8b14fc1837b9b17dd797c4c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7'); if (!container) { mpFormmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7'); return setTimeout(finishedLoadinga13a5090e8b14fc1837b9b17dd797c4c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a13a5090e8b14fc1837b9b17dd797c4c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a13a5090e8b14fc1837b9b17dd797c4c").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-a13a5090e8b14fc1837b9b17dd797c4c-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-a13a5090e8b14fc1837b9b17dd797c4c-" + 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-a13a5090e8b14fc1837b9b17dd797c4c").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-a13a5090e8b14fc1837b9b17dd797c4c").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-a13a5090e8b14fc1837b9b17dd797c4c").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=mpmRecaptchaLoadeda13a5090e8b14fc1837b9b17dd797c4c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa13a5090e8b14fc1837b9b17dd797c4c() { let popups = document.getElementById("mpform-a13a5090e8b14fc1837b9b17dd797c4c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa13a5090e8b14fc1837b9b17dd797c4c() { 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 () { finishedLoadinga13a5090e8b14fc1837b9b17dd797c4c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga13a5090e8b14fc1837b9b17dd797c4c(); } } 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); mploadTelInputa13a5090e8b14fc1837b9b17dd797c4c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita13a5090e8b14fc1837b9b17dd797c4c(); } else { function waitForOtherFormsmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita13a5090e8b14fc1837b9b17dd797c4c(); } else { setTimeout(waitForOtherFormsmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7,300); } } waitForOtherFormsmpFrm1cbbd7f9366c4bb2b0b9ae8f44ba9af7(); }