var captchaWidgetmpFrm4e9697733a254b5fb48c45432de73574; var mpCurrentScriptmpFrm4e9697733a254b5fb48c45432de73574Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4e9697733a254b5fb48c45432de73574"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "26999"); 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); mpFormmpFrm4e9697733a254b5fb48c45432de73574Find(); } })(); function mpFormmpFrm4e9697733a254b5fb48c45432de73574Find() { if(!mpCurrentScriptmpFrm4e9697733a254b5fb48c45432de73574Container) return; if (mpCurrentScriptmpFrm4e9697733a254b5fb48c45432de73574Container && mpCurrentScriptmpFrm4e9697733a254b5fb48c45432de73574Container.nodeName && mpCurrentScriptmpFrm4e9697733a254b5fb48c45432de73574Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='26999']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4e9697733a254b5fb48c45432de73574" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4e9697733a254b5fb48c45432de73574Container.children).forEach(c => { if (c.id === "mpFrm4e9697733a254b5fb48c45432de73574") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript10b7b3d28c8945f28230ed2e17054451Container.children).filter(e => e.dataset && e.dataset.mpid === "26999"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4e9697733a254b5fb48c45432de73574"; } } } } function mpForm10b7b3d28c8945f28230ed2e17054451Check() { let checkBoxes = document.getElementById("mpform-10b7b3d28c8945f28230ed2e17054451").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 mpForm10b7b3d28c8945f28230ed2e17054451Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-10b7b3d28c8945f28230ed2e17054451").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-10b7b3d28c8945f28230ed2e17054451").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-10b7b3d28c8945f28230ed2e17054451").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-10b7b3d28c8945f28230ed2e17054451')), 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: getTrackingId10b7b3d28c8945f28230ed2e17054451() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-10b7b3d28c8945f28230ed2e17054451").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-10b7b3d28c8945f28230ed2e17054451").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=34793&fid=26999", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm10b7b3d28c8945f28230ed2e17054451Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-10b7b3d28c8945f28230ed2e17054451').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-10b7b3d28c8945f28230ed2e17054451").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-10b7b3d28c8945f28230ed2e17054451').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4e9697733a254b5fb48c45432de73574); } else { mpForm10b7b3d28c8945f28230ed2e17054451Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; var error = "Error submitting form"; if (xhr.responseText) { error = JSON.parse(xhr.responseText); mpMsg.innerHTML = error.error; } else { 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 mpmRecaptchaLoaded10b7b3d28c8945f28230ed2e17054451() { captchaWidgetmpFrm4e9697733a254b5fb48c45432de73574 = grecaptcha.render('mpmRecaptchampFrm4e9697733a254b5fb48c45432de73574', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId10b7b3d28c8945f28230ed2e17054451() { 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 mpmFormInit10b7b3d28c8945f28230ed2e17054451 () { var subscriberData = undefined; var form = '

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'; let failedCount = 0 function finishedLoading10b7b3d28c8945f28230ed2e17054451() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4e9697733a254b5fb48c45432de73574'); if (!container) { mpFormmpFrm4e9697733a254b5fb48c45432de73574Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4e9697733a254b5fb48c45432de73574'); return setTimeout(finishedLoading10b7b3d28c8945f28230ed2e17054451, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-10b7b3d28c8945f28230ed2e17054451").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-10b7b3d28c8945f28230ed2e17054451").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://api.transpond.io/plugins/telNoVerificationUtils.js" } ); } } if(subscriberData) { let customFields = document.getElementById("mpform-10b7b3d28c8945f28230ed2e17054451").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-10b7b3d28c8945f28230ed2e17054451").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-10b7b3d28c8945f28230ed2e17054451").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=mpmRecaptchaLoaded10b7b3d28c8945f28230ed2e17054451&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup10b7b3d28c8945f28230ed2e17054451() { let popups = document.getElementById("mpform-10b7b3d28c8945f28230ed2e17054451").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput10b7b3d28c8945f28230ed2e17054451() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading10b7b3d28c8945f28230ed2e17054451(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading10b7b3d28c8945f28230ed2e17054451(); } } 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://api.transpond.io/plugins/telNoVerification.css"; mTelI.type = "text/css"; mTelI.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(mTelI); mploadTelInput10b7b3d28c8945f28230ed2e17054451(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit10b7b3d28c8945f28230ed2e17054451(); } else { function waitForOtherFormsmpFrm4e9697733a254b5fb48c45432de73574() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit10b7b3d28c8945f28230ed2e17054451(); } else { setTimeout(waitForOtherFormsmpFrm4e9697733a254b5fb48c45432de73574,300); } } waitForOtherFormsmpFrm4e9697733a254b5fb48c45432de73574(); }