{{{labels.headline}}}

{{{labels.body_copy}}}

{{{labels.terms_and_conditions_text}}}

{{^only_sms_enabled}} {{#show_phone_number_field}} {{/show_phone_number_field}} {{^show_phone_number_field}} {{/show_phone_number_field}} {{/only_sms_enabled}} {{#only_sms_enabled}} {{/only_sms_enabled}}

`; SI.Config.isInlineFormEnabled = "INLINE" === SI.Config.form_display_type.toUpperCase(); var appikonBisInlineFormTemplateVars = SI.extend({}, SI.Config); var appikonBisInlineForm = jQuery(''); if(SI.Config.isInlineFormEnabled) { appikonBisInlineForm = jQuery(Mustache.render(appikonBisInlineFormTemplate.trim(), appikonBisInlineFormTemplateVars)); if(!appikonBisInlineFormTemplateVars.only_sms_enabled){ appikonBisInlineForm.find('#appikon-bis-inline-form-email').on('change', function (t) { var appikonBisInlineFormEmail = appikonBisInlineForm.find('#appikon-bis-inline-form-email').val(); const emailPattern = /^(([^<>()[\]\\.,;:\s@"]+(\.[^<>()[\]\\.,;:\s@"]+)*)|(".+"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/; if (!emailPattern.test(appikonBisInlineFormEmail)) { jQuery('#appikon-bis-form-email-warning').removeClass("appikon-bis-form-hide-warning").addClass("appikon-bis-form-warning"); jQuery('#appikon-bis-inline-form-submit').attr("disabled","true"); }else { jQuery('#appikon-bis-form-email-warning').removeClass("appikon-bis-form-warning").addClass("appikon-bis-form-hide-warning"); jQuery('#appikon-bis-inline-form-submit').removeAttr("disabled","true"); } }) appikonBisInlineForm.find('#appikon-bis-inline-form-submit').on('click', function (t) { var input = jQuery('#appikon-bis-inline-form-phone-no'); SI.preventDefault(t) t.stopPropagation ? t.stopPropagation() : t.cancelBubble = !0 var appikonBisInlineFormEmail = appikonBisInlineForm.find('#appikon-bis-inline-form-email').val(); if(typeof(window.appikonBisInlineFormIntlTelInput) === "undefined"){ var appikonBisInlineFormPhoneNumber =''; }else{ var appikonBisInlineFormPhoneNumber = appikonBisInlineFormIntlTelInput.getNumber(); } if(appikonBisInlineFormTemplateVars.show_terms_and_conditions == true){ var BisInlineFormMessage = appikonBisInlineForm.find('#appikon-bis-inline-form-message'); var tcAccepted; if (jQuery('#acceptTermsAndConditionsForInlineForm').is(":checked")){ tcAccepted = true; }else{ tcAccepted = false; } if(tcAccepted == false){ BisInlineFormMessage.html(jQuery("

", { "class": "appikon-bis-inline-form-error", html: "Please accept Terms And Conditions" })) return; }else{ BisInlineFormMessage.html(""); } } var appikonBisacceptMarketing = appikonBisInlineForm.find('[name="customer_accepts_marketing"]').is(":checked"); var appikonBisInlineFormMessage = appikonBisInlineForm.find('#appikon-bis-inline-form-message'); if(!appikonBisInlineFormEmail && !appikonBisInlineFormPhoneNumber){ jQuery('#appikon-bis-inline-form-submit').attr("disabled","true"); appikonBisInlineFormMessage.html(jQuery("

", { "class": "appikon-bis-inline-form-error", html: SI.Config.labels.empty_email_phone_validation_message })) }else{ if(appikonBisInlineFormEmail.length == 0){ appikonBisInlineFormEmail = null; } if(appikonBisInlineFormPhoneNumber.length == 0){ appikonBisInlineFormPhoneNumber = null; } if(appikonBisInlineFormTemplateVars.show_terms_and_conditions == true){ var BisInlineFormMessage = appikonBisInlineForm.find('#appikon-bis-inline-form-message'); var tcAccepted; if (jQuery('#acceptTermsAndConditionsForInlineForm').is(":checked")){ tcAccepted = true; }else{ tcAccepted = false; } if(tcAccepted == false){ BisInlineFormMessage.html(jQuery("

", { "class": "appikon-bis-inline-form-error", html: "Please accept Terms And Conditions" })) return; }else{ BisInlineFormMessage.html(""); } } var appikonBisInlineFormVariantId = null; var currentVariant = SI.detectVariant(SI.popup); if (currentVariant && SI.popup.variantIsUnavailable(currentVariant)) { appikonBisInlineFormVariantId = currentVariant.id; } else { appikonBisInlineFormVariantId = SI.popup.variants[0].id; } appikonBisInlineFormMessage.html(''); jQuery(t.target).prop('disabled', true); SI.create(appikonBisInlineFormEmail, appikonBisInlineFormVariantId, SI.popup.product.id , {phone_number : appikonBisInlineFormPhoneNumber , accepts_marketing:appikonBisacceptMarketing }) .then(function (st, resp) { resp = SI.parseJSON(resp); if("OK" === resp.status) { appikonBisInlineFormMessage.html(jQuery("

", { "class": "appikon-bis-inline-form-success", html: SI.Config.labels.registration_complete })) } else if("Error" === resp.status) { appikonBisInlineFormMessage.html(jQuery("

", { "class": "appikon-bis-inline-form-error", html: SI.Config.labels.empty_email_phone_validation_message })) } jQuery(t.target).prop('disabled', false); }); } }); }else{ appikonBisInlineForm.find('#appikon-bis-inline-form-submit').on('click', function (t) { var input = jQuery('#appikon-bis-inline-form-phone-no'); SI.preventDefault(t) t.stopPropagation ? t.stopPropagation() : t.cancelBubble = !0 if(typeof(window.appikonBisInlineFormIntlTelInput) === "undefined"){ var appikonBisInlineFormPhoneNumber =''; }else{ var appikonBisInlineFormPhoneNumber = appikonBisInlineFormIntlTelInput.getNumber(); } if(appikonBisInlineFormTemplateVars.show_terms_and_conditions == true){ var BisInlineFormMessage = appikonBisInlineForm.find('#appikon-bis-inline-form-message'); var tcAccepted; if (jQuery('#acceptTermsAndConditionsForInlineForm').is(":checked")){ tcAccepted = true; }else{ tcAccepted = false; } if(tcAccepted == false){ BisInlineFormMessage.html(jQuery("

", { "class": "appikon-bis-inline-form-error", html: "Please accept Terms And Conditions" })) return; }else{ BisInlineFormMessage.html(""); } } var appikonBisacceptMarketing = appikonBisInlineForm.find('[name="customer_accepts_marketing"]').is(":checked"); var appikonBisInlineFormMessage = appikonBisInlineForm.find('#appikon-bis-inline-form-message'); if(!appikonBisInlineFormPhoneNumber){ jQuery('#appikon-bis-inline-form-submit').attr("disabled","true"); appikonBisInlineFormMessage.html(jQuery("

", { "class": "appikon-bis-inline-form-error", html: SI.Config.labels.empty_email_phone_validation_message })) }else{ if(appikonBisInlineFormPhoneNumber.length == 0){ appikonBisInlineFormPhoneNumber = null; } var appikonBisInlineFormVariantId = null; var currentVariant = SI.detectVariant(SI.popup); if (currentVariant && SI.popup.variantIsUnavailable(currentVariant)) { appikonBisInlineFormVariantId = currentVariant.id; } else { appikonBisInlineFormVariantId = SI.popup.variants[0].id; } appikonBisInlineFormMessage.html(''); jQuery(t.target).prop('disabled', true); SI.create(null, appikonBisInlineFormVariantId, SI.popup.product.id , {phone_number : appikonBisInlineFormPhoneNumber , accepts_marketing:appikonBisacceptMarketing }) .then(function (st, resp) { resp = SI.parseJSON(resp); if("OK" === resp.status) { appikonBisInlineFormMessage.html(jQuery("

", { "class": "appikon-bis-inline-form-success", html: SI.Config.labels.registration_complete })) } else if("Error" === resp.status) { appikonBisInlineFormMessage.html(jQuery("

", { "class": "appikon-bis-inline-form-error", html: SI.Config.labels.empty_email_phone_validation_message })) } jQuery(t.target).prop('disabled', false); }); } }); } }

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Collection: CAREPLUS

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