var captchaWidgetmpFrmf3dee738563a4f81bf7dd55545c9e308; var mpCurrentScriptmpFrmf3dee738563a4f81bf7dd55545c9e308Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf3dee738563a4f81bf7dd55545c9e308"; 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); }); } mpFormmpFrmf3dee738563a4f81bf7dd55545c9e308Find(); } 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); mpFormmpFrmf3dee738563a4f81bf7dd55545c9e308Find(); } })(); function mpFormmpFrmf3dee738563a4f81bf7dd55545c9e308Find() { if(!mpCurrentScriptmpFrmf3dee738563a4f81bf7dd55545c9e308Container) return; if (mpCurrentScriptmpFrmf3dee738563a4f81bf7dd55545c9e308Container && mpCurrentScriptmpFrmf3dee738563a4f81bf7dd55545c9e308Container.nodeName && mpCurrentScriptmpFrmf3dee738563a4f81bf7dd55545c9e308Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf3dee738563a4f81bf7dd55545c9e308" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf3dee738563a4f81bf7dd55545c9e308Container.children).forEach(c => { if (c.id === "mpFrmf3dee738563a4f81bf7dd55545c9e308") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript79e0f99b222c44f99ce667d27e5234e6Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf3dee738563a4f81bf7dd55545c9e308"; } } } } function mpForm79e0f99b222c44f99ce667d27e5234e6Check() { let checkBoxes = document.getElementById("mpform-79e0f99b222c44f99ce667d27e5234e6").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 mpForm79e0f99b222c44f99ce667d27e5234e6Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-79e0f99b222c44f99ce667d27e5234e6").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-79e0f99b222c44f99ce667d27e5234e6").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-79e0f99b222c44f99ce667d27e5234e6").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-79e0f99b222c44f99ce667d27e5234e6')), 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: getTrackingId79e0f99b222c44f99ce667d27e5234e6() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-79e0f99b222c44f99ce667d27e5234e6").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-79e0f99b222c44f99ce667d27e5234e6").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) { mpForm79e0f99b222c44f99ce667d27e5234e6Check(); 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-79e0f99b222c44f99ce667d27e5234e6').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-79e0f99b222c44f99ce667d27e5234e6").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-79e0f99b222c44f99ce667d27e5234e6').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf3dee738563a4f81bf7dd55545c9e308); } else { mpForm79e0f99b222c44f99ce667d27e5234e6Check(); 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 mpmRecaptchaLoaded79e0f99b222c44f99ce667d27e5234e6() { captchaWidgetmpFrmf3dee738563a4f81bf7dd55545c9e308 = grecaptcha.render('mpmRecaptchampFrmf3dee738563a4f81bf7dd55545c9e308', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId79e0f99b222c44f99ce667d27e5234e6() { 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 mpmFormInit79e0f99b222c44f99ce667d27e5234e6 () { 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 finishedLoading79e0f99b222c44f99ce667d27e5234e6() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf3dee738563a4f81bf7dd55545c9e308'); if (!container) { mpFormmpFrmf3dee738563a4f81bf7dd55545c9e308Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf3dee738563a4f81bf7dd55545c9e308'); return setTimeout(finishedLoading79e0f99b222c44f99ce667d27e5234e6, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-79e0f99b222c44f99ce667d27e5234e6").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-79e0f99b222c44f99ce667d27e5234e6").querySelectorAll('input[type=TELNO]'); if(telInputs) { 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" } ); } } if(subscriberData) { let customFields = document.getElementById("mpform-79e0f99b222c44f99ce667d27e5234e6").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-79e0f99b222c44f99ce667d27e5234e6").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-79e0f99b222c44f99ce667d27e5234e6").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=mpmRecaptchaLoaded79e0f99b222c44f99ce667d27e5234e6&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup79e0f99b222c44f99ce667d27e5234e6() { let popups = document.getElementById("mpform-79e0f99b222c44f99ce667d27e5234e6").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput79e0f99b222c44f99ce667d27e5234e6() { 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 () { finishedLoading79e0f99b222c44f99ce667d27e5234e6(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading79e0f99b222c44f99ce667d27e5234e6(); } } 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); mploadTelInput79e0f99b222c44f99ce667d27e5234e6(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit79e0f99b222c44f99ce667d27e5234e6(); } else { function waitForOtherFormsmpFrmf3dee738563a4f81bf7dd55545c9e308() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit79e0f99b222c44f99ce667d27e5234e6(); } else { setTimeout(waitForOtherFormsmpFrmf3dee738563a4f81bf7dd55545c9e308,300); } } waitForOtherFormsmpFrmf3dee738563a4f81bf7dd55545c9e308(); }