var captchaWidgetmpFrm7fb942aabf7a4a09a21734c8c309c5af; var mpCurrentScriptmpFrm7fb942aabf7a4a09a21734c8c309c5afContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7fb942aabf7a4a09a21734c8c309c5af"; 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); } mpFormmpFrm7fb942aabf7a4a09a21734c8c309c5afFind(); } 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); mpFormmpFrm7fb942aabf7a4a09a21734c8c309c5afFind(); } })(); function mpFormmpFrm7fb942aabf7a4a09a21734c8c309c5afFind() { if(!mpCurrentScriptmpFrm7fb942aabf7a4a09a21734c8c309c5afContainer) return; if (mpCurrentScriptmpFrm7fb942aabf7a4a09a21734c8c309c5afContainer && mpCurrentScriptmpFrm7fb942aabf7a4a09a21734c8c309c5afContainer.nodeName && mpCurrentScriptmpFrm7fb942aabf7a4a09a21734c8c309c5afContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7fb942aabf7a4a09a21734c8c309c5af" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7fb942aabf7a4a09a21734c8c309c5afContainer.children).forEach(c => { if (c.id === "mpFrm7fb942aabf7a4a09a21734c8c309c5af") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm7fb942aabf7a4a09a21734c8c309c5afContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7fb942aabf7a4a09a21734c8c309c5af"; } } } } function mpForm80791f6dc2c746f8b257c2c9760a9d2bCheck() { let checkBoxes = document.getElementById("mpform-80791f6dc2c746f8b257c2c9760a9d2b").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 mpForm80791f6dc2c746f8b257c2c9760a9d2bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-80791f6dc2c746f8b257c2c9760a9d2b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-80791f6dc2c746f8b257c2c9760a9d2b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-80791f6dc2c746f8b257c2c9760a9d2b").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-80791f6dc2c746f8b257c2c9760a9d2b')), 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: getTrackingId80791f6dc2c746f8b257c2c9760a9d2b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-80791f6dc2c746f8b257c2c9760a9d2b").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-80791f6dc2c746f8b257c2c9760a9d2b").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) { mpForm80791f6dc2c746f8b257c2c9760a9d2bCheck(); 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-80791f6dc2c746f8b257c2c9760a9d2b').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-80791f6dc2c746f8b257c2c9760a9d2b").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-80791f6dc2c746f8b257c2c9760a9d2b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7fb942aabf7a4a09a21734c8c309c5af); } else { mpForm80791f6dc2c746f8b257c2c9760a9d2bCheck(); 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 mpmRecaptchaLoaded80791f6dc2c746f8b257c2c9760a9d2b() { captchaWidgetmpFrm7fb942aabf7a4a09a21734c8c309c5af = grecaptcha.render('mpmRecaptchampFrm7fb942aabf7a4a09a21734c8c309c5af', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId80791f6dc2c746f8b257c2c9760a9d2b() { 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 mpmFormInit80791f6dc2c746f8b257c2c9760a9d2b () { 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 finishedLoading80791f6dc2c746f8b257c2c9760a9d2b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7fb942aabf7a4a09a21734c8c309c5af'); if (!container) { mpFormmpFrm7fb942aabf7a4a09a21734c8c309c5afFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7fb942aabf7a4a09a21734c8c309c5af'); return setTimeout(finishedLoading80791f6dc2c746f8b257c2c9760a9d2b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-80791f6dc2c746f8b257c2c9760a9d2b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-80791f6dc2c746f8b257c2c9760a9d2b").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-80791f6dc2c746f8b257c2c9760a9d2b-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-80791f6dc2c746f8b257c2c9760a9d2b-" + 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-80791f6dc2c746f8b257c2c9760a9d2b").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-80791f6dc2c746f8b257c2c9760a9d2b").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-80791f6dc2c746f8b257c2c9760a9d2b").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=mpmRecaptchaLoaded80791f6dc2c746f8b257c2c9760a9d2b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup80791f6dc2c746f8b257c2c9760a9d2b() { let popups = document.getElementById("mpform-80791f6dc2c746f8b257c2c9760a9d2b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput80791f6dc2c746f8b257c2c9760a9d2b() { 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 () { finishedLoading80791f6dc2c746f8b257c2c9760a9d2b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading80791f6dc2c746f8b257c2c9760a9d2b(); } } 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); mploadTelInput80791f6dc2c746f8b257c2c9760a9d2b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit80791f6dc2c746f8b257c2c9760a9d2b(); } else { function waitForOtherFormsmpFrm7fb942aabf7a4a09a21734c8c309c5af() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit80791f6dc2c746f8b257c2c9760a9d2b(); } else { setTimeout(waitForOtherFormsmpFrm7fb942aabf7a4a09a21734c8c309c5af,300); } } waitForOtherFormsmpFrm7fb942aabf7a4a09a21734c8c309c5af(); }