var mpmCaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf = ''; var mpmCaptchaTrustedOriginmpFrm6c5ab133707e4a82beee4643bcdb2fcf = 'https://api.transpond.io'; (function () { window.addEventListener('message', function (e) { if (!e.data || e.data.eleId !== 'mpFrm6c5ab133707e4a82beee4643bcdb2fcf') return; var trusted = mpmCaptchaTrustedOriginmpFrm6c5ab133707e4a82beee4643bcdb2fcf; if (e.origin !== trusted && e.origin !== trusted.replace('https://', 'http://')) return; if (e.data.type === 'mpmRecaptcha') { mpmCaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf = e.data.token || ''; var inp = document.getElementById('mpmRecaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf'); if (inp) inp.value = mpmCaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf; } if (e.data.type === 'mpmRecaptchaExpired') { mpmCaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf = ''; var expiredInp = document.getElementById('mpmRecaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf'); if (expiredInp) expiredInp.value = ''; } }); })(); function mpmLoadCaptchaIframempFrm6c5ab133707e4a82beee4643bcdb2fcf() { var host = document.getElementById('mpmRecaptchaEmbedmpFrm6c5ab133707e4a82beee4643bcdb2fcf'); if (!host || host.querySelector('iframe')) return; var theme = host.getAttribute('data-theme') || 'light'; var size = host.getAttribute('data-size') || 'normal'; var frameHeight = size === 'compact' ? 144 : 78; var iframe = document.createElement('iframe'); iframe.title = 'Captcha'; iframe.src = mpmCaptchaTrustedOriginmpFrm6c5ab133707e4a82beee4643bcdb2fcf + '/form/captcha-frame?am=40129&fid=41955&ele=mpFrm6c5ab133707e4a82beee4643bcdb2fcf&theme=' + encodeURIComponent(theme) + '&size=' + encodeURIComponent(size) + '&origin=' + encodeURIComponent(document.location.origin); iframe.style.border = '0'; iframe.style.width = '304px'; iframe.style.height = frameHeight + 'px'; host.appendChild(iframe); } function mpmResetCaptchaEmbedmpFrm6c5ab133707e4a82beee4643bcdb2fcf() { mpmCaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf = ''; var tokenInp = document.getElementById('mpmRecaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf'); if (tokenInp) tokenInp.value = ''; var embedHost = document.getElementById('mpmRecaptchaEmbedmpFrm6c5ab133707e4a82beee4643bcdb2fcf'); if (embedHost) embedHost.innerHTML = ''; mpmLoadCaptchaIframempFrm6c5ab133707e4a82beee4643bcdb2fcf(); } var mpCurrentScriptmpFrm6c5ab133707e4a82beee4643bcdb2fcfContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6c5ab133707e4a82beee4643bcdb2fcf"; 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); } mpFormmpFrm6c5ab133707e4a82beee4643bcdb2fcfFind(); } 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); mpFormmpFrm6c5ab133707e4a82beee4643bcdb2fcfFind(); } })(); function mpFormmpFrm6c5ab133707e4a82beee4643bcdb2fcfFind() { if(!mpCurrentScriptmpFrm6c5ab133707e4a82beee4643bcdb2fcfContainer) return; if (mpCurrentScriptmpFrm6c5ab133707e4a82beee4643bcdb2fcfContainer && mpCurrentScriptmpFrm6c5ab133707e4a82beee4643bcdb2fcfContainer.nodeName && mpCurrentScriptmpFrm6c5ab133707e4a82beee4643bcdb2fcfContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6c5ab133707e4a82beee4643bcdb2fcf" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6c5ab133707e4a82beee4643bcdb2fcfContainer.children).forEach(c => { if (c.id === "mpFrm6c5ab133707e4a82beee4643bcdb2fcf") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm6c5ab133707e4a82beee4643bcdb2fcfContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6c5ab133707e4a82beee4643bcdb2fcf"; } } } } function mpForm3145e1a27a0943f889aff978c6ea728dCheck() { let checkBoxes = document.getElementById("mpform-3145e1a27a0943f889aff978c6ea728d").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 mpForm3145e1a27a0943f889aff978c6ea728dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3145e1a27a0943f889aff978c6ea728d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3145e1a27a0943f889aff978c6ea728d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3145e1a27a0943f889aff978c6ea728d").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-3145e1a27a0943f889aff978c6ea728d')), 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: getTrackingId3145e1a27a0943f889aff978c6ea728d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3145e1a27a0943f889aff978c6ea728d").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; } if (!mpmCaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf) { mpMsg.innerHTML = 'Please complete the captcha'; if (msgHlder) msgHlder.style.display = "block"; return; } form_data = form_data.filter(function (f) { return f.name !== 'g-recaptcha-response'; }); form_data.push({ name: 'g-recaptcha-response', value: mpmCaptchaTokenmpFrm6c5ab133707e4a82beee4643bcdb2fcf }); let button = document.getElementById("mpform-3145e1a27a0943f889aff978c6ea728d").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) { mpForm3145e1a27a0943f889aff978c6ea728dCheck(); 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-3145e1a27a0943f889aff978c6ea728d').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-3145e1a27a0943f889aff978c6ea728d").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-3145e1a27a0943f889aff978c6ea728d').innerHTML = response.form } } mpmResetCaptchaEmbedmpFrm6c5ab133707e4a82beee4643bcdb2fcf(); } else { mpForm3145e1a27a0943f889aff978c6ea728dCheck(); 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; mpmResetCaptchaEmbedmpFrm6c5ab133707e4a82beee4643bcdb2fcf(); } }; 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 getTrackingId3145e1a27a0943f889aff978c6ea728d() { 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 mpmFormInit3145e1a27a0943f889aff978c6ea728d () { 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 finishedLoading3145e1a27a0943f889aff978c6ea728d() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6c5ab133707e4a82beee4643bcdb2fcf'); if (!container) { mpFormmpFrm6c5ab133707e4a82beee4643bcdb2fcfFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6c5ab133707e4a82beee4643bcdb2fcf'); return setTimeout(finishedLoading3145e1a27a0943f889aff978c6ea728d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3145e1a27a0943f889aff978c6ea728d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-3145e1a27a0943f889aff978c6ea728d").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-3145e1a27a0943f889aff978c6ea728d-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-3145e1a27a0943f889aff978c6ea728d-" + 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-3145e1a27a0943f889aff978c6ea728d").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-3145e1a27a0943f889aff978c6ea728d").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-3145e1a27a0943f889aff978c6ea728d").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } mpmLoadCaptchaIframempFrm6c5ab133707e4a82beee4643bcdb2fcf(); } function mpmPopup3145e1a27a0943f889aff978c6ea728d() { let popups = document.getElementById("mpform-3145e1a27a0943f889aff978c6ea728d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3145e1a27a0943f889aff978c6ea728d() { 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 () { finishedLoading3145e1a27a0943f889aff978c6ea728d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3145e1a27a0943f889aff978c6ea728d(); } } 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); mploadTelInput3145e1a27a0943f889aff978c6ea728d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3145e1a27a0943f889aff978c6ea728d(); } else { function waitForOtherFormsmpFrm6c5ab133707e4a82beee4643bcdb2fcf() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3145e1a27a0943f889aff978c6ea728d(); } else { setTimeout(waitForOtherFormsmpFrm6c5ab133707e4a82beee4643bcdb2fcf,300); } } waitForOtherFormsmpFrm6c5ab133707e4a82beee4643bcdb2fcf(); }