https://education.zimvie.com/static/js/7760.0c1a305e.chunk.js

1"use strict";(self.webpackChunkzimvie_adobe_frontend=self.webpackChunkzimvie_adobe_frontend||[]).push([[7760],{21523:(e,a,t)=>{t.d(a,{A:()=>u});var s=t(68903),r=t(98810),i=t(59573),n=t(78534),l=t(91324),o=t(39349),d=t(44978),c=t(24858),m=(t(44699),t(70579));const u=e=>{let{mentorshipForm:a=!1}=e;const{control:t,setValue:u}=(0,c.xW)(),{showRegions:x}=(0,o.K)(t,u);return(0,m.jsxs)(m.Fragment,{children:[(0,m.jsxs)(s.Ay,{container:!0,spacing:2,columnSpacing:2,children:[(0,m.jsx)(s.Ay,{item:!0,xs:12,sm:3,children:(0,m.jsx)(i.A,{name:"requesterFirstName",type:"text",label:(0,d.t)("canadaRequestForm.requesterFirstName"),placeholder:(0,d.t)("canadaRequestForm.firstNamePlaceholder"),required:!0})}),(0,m.jsx)(s.Ay,{item:!0,xs:12,sm:3,children:(0,m.jsx)(i.A,{name:"requesterLastName",type:"text",label:(0,d.t)("canadaRequestForm.requesterLastName"),placeholder:(0,d.t)("canadaRequestForm.lastNamePlaceholder"),required:!0})}),(0,m.jsx)(s.Ay,{item:!0,xs:12,sm:3,children:(0,m.jsx)(i.A,{name:"requesterEmailAddress",type:"text",label:(0,d.t)("canadaRequestForm.requesterEmail"),placeholder:(0,d.t)("mentorshipProgram.hcpEmailPlaceholder"),required:!0})})]}),(0,m.jsxs)(s.Ay,{container:!0,spacing:2,columnSpacing:2,children:[(0,m.jsx)(s.Ay,{item:!0,xs:12,sm:3,children:(0,m.jsx)(i.A,{name:"requesterMobilePhone",type:"text",label:(0,d.t)("canadaRequestForm.requesterMobile"),placeholder:(0,d.t)("canadaRequestForm.requesterMobilePlaceholder"),required:!0})}),(0,m.jsx)(s.Ay,{item:!0,xs:12,sm:3,children:(0,m.jsx)(r.A,{name:"requesterDistrict",options:l.r_,label:(0,d.t)("admin.customFields.district"),placeholder:(0,d.t)("form.select"),handleChange:()=>{u("requesterRegion","")},required:!0})}),(0,m.jsx)(s.Ay,{item:!0,xs:12,sm:3,className:"multiSelectDropdown",children:(0,m.jsx)(r.A,{name:"requesterRegion",options:x,label:(0,d.t)("admin.customFields.region"),placeholder:(0,d.t)("form.select"),required:!0})})]}),!a&&(0,m.jsx)(s.Ay,{container:!0,spacing:2,columnSpacing:2,children:(0,m.jsx)(s.Ay,{item:!0,xs:12,sm:6,pb:4,children:(0,m.jsx)(n.A,{name:"optionalComments",type:"text",label:(0,d.t)("canadaRequestForm.additionalComments"),placeholder:(0,d.t)("canadaRequestForm.additionalCommentsPlaceholder"),rows:3})})})]})}},9826:(e,a,t)=>{t.d(a,{A:()=>o});var s=t(68903),r=t(85865),i=t(41669),n=t(44978),l=t(70579);const o=e=>{var a;let{summaryData:t}=e;const o=t;return(0,l.jsx)(l.Fragment,{children:(0,l.jsx)(s.Ay,{container:!0,spacing:2,mt:1,children:null===i._B||void 0===i._B||null===(a=i._B.filter((e=>{const a=null===t||void 0===t?void 0:t[null===e||void 0===e?void 0:e.key];return null!=a&&""!==a&&void 0!==a})))||void 0===a?void 0:a.map((e=>{return(0,l.jsxs)(s.Ay,{item:!0,xs:6,className:"review-grid",children:[(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"title-text "+(e.required?"required-text":""),children:(0,n.t)(null===e||void 0===e?void 0:e.label)}),(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"content-text",children:null!==e&&void 0!==e&&e.formatter?null===e||void 0===e?void 0:e.formatter(null===o||void 0===o?void 0:o[null===e||void 0===e?void 0:e.key]):"itemConjunctionWithWebcast"===(null===e||void 0===e?void 0:e.key)?(a=null===o||void 0===o?void 0:o[e.key],a?(0,n.t)("form.yes"):(0,n.t)("form.no")):null===o||void 0===o?void 0:o[null===e||void 0===e?void 0:e.key]})]},e.key);var a}))})})}},18001:(e,a,t)=>{t.d(a,{A:()=>o});var s=t(68903),r=t(85865),i=t(41669),n=t(44978),l=t(70579);const o=e=>{let{summaryData:a}=e;return(0,l.jsx)(l.Fragment,{children:(0,l.jsx)(s.Ay,{container:!0,spacing:2,mt:1,children:i.vw.filter((e=>{const t=null===a||void 0===a?void 0:a[e.key];return null!=t&&""!==t&&void 0!==t})).map((e=>(0,l.jsxs)(s.Ay,{item:!0,xs:6,className:"review-grid",children:[(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"title-text "+(e.required?"required-text":""),children:(0,n.t)(e.label)}),(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"content-text",children:e.getValue?e.getValue(a):a[e.key]})]},e.key)))})})}},74612:(e,a,t)=>{t.d(a,{A:()=>o});var s=t(68903),r=t(85865),i=t(41669),n=t(44978),l=t(70579);const o=e=>{let{summaryData:a}=e;return(0,l.jsx)(l.Fragment,{children:(0,l.jsx)(s.Ay,{container:!0,spacing:2,mt:1,children:null===i.Kq||void 0===i.Kq?void 0:i.Kq.filter((e=>{const t=null===a||void 0===a?void 0:a[null===e||void 0===e?void 0:e.key];return"requesterName"===(null===e||void 0===e?void 0:e.key)||null!=t&&""!==t&&void 0!==t&&(e=>null!=e&&""!==e&&void 0!==e&&"\u2014"!==e)(null===a||void 0===a?void 0:a[null===e||void 0===e?void 0:e.key])})).map((e=>(0,l.jsxs)(s.Ay,{item:!0,xs:6,className:"review-grid",children:[(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"title-text "+(null!==e&&void 0!==e&&e.required?"required-text":""),children:(0,n.t)(null===e||void 0===e?void 0:e.label)}),(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"content-text",children:null!==e&&void 0!==e&&e.getValue?null===e||void 0===e?void 0:e.getValue(a):null!==e&&void 0!==e&&e.formatter?e.formatter(null===a||void 0===a?void 0:a[e.key]):null===a||void 0===a?void 0:a[null===e||void 0===e?void 0:e.key]})]},null===e||void 0===e?void 0:e.key)))})})}},53886:(e,a,t)=>{t.d(a,{A:()=>o});var s=t(68903),r=t(85865),i=t(41669),n=t(44978),l=t(70579);const o=e=>{let{summaryData:a}=e;return(0,l.jsx)(l.Fragment,{children:(0,l.jsx)(s.Ay,{container:!0,spacing:2,mt:1,children:i.wI.filter((e=>{const t=null===a||void 0===a?void 0:a[e.key];return null!=t&&""!==t&&void 0!==t})).map((e=>(0,l.jsxs)(s.Ay,{item:!0,xs:6,className:"review-grid",children:[(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"title-text "+(e.required?"required-text":""),children:(0,n.t)(e.label)}),(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"content-text",children:e.getValue?e.getValue(a):a[e.key]})]},e.key)))})})}},56486:(e,a,t)=>{t.d(a,{A:()=>o});var s=t(68903),r=t(85865),i=t(41669),n=t(44978),l=t(70579);const o=e=>{let{summaryData:a}=e;return(0,l.jsx)(l.Fragment,{children:(0,l.jsx)(s.Ay,{container:!0,spacing:2,mt:1,children:i.os.filter((e=>{const t=null===a||void 0===a?void 0:a[e.key];return null!=t&&""!==t&&void 0!==t})).map((e=>(0,l.jsxs)(s.Ay,{item:!0,xs:6,className:"review-grid",children:[(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"title-text "+(e.required?"required-text":""),children:(0,n.t)(e.label)}),(0,l.jsx)(r.A,{variant:"body1",component:"p",className:"content-text",children:e.getValue?e.getValue(a):a[e.key]})]},e.key)))})})}},20914:(e,a,t)=>{t.r(a),t.d(a,{default:()=>K});var s=t(18403),r=t(96446),i=t(92314),n=t(55263),l=t(85865),o=t(16289),d=t(4730),c=t(44978),m=t(24858),u=t(73216),x=t(35475),p=t(80899);const h=20,j=p.Ik().shape({requesterFirstName:p.Yj().required(`${(0,c.t)("canadaRequestForm.requesterFirstName")} ${(0,c.t)("form.isRequired")}`),requesterLastName:p.Yj().required(`${(0,c.t)("canadaRequestForm.requesterLastName")} ${(0,c.t)("form.isRequired")}`),requesterEmailAddress:p.Yj().matches(/^[^\s@]+@[^\s@]+\.[^\s@]+$/,`${(0,c.t)("form.invali

1dEmail")}`).required(`${(0,c.t)("canadaRequestForm.requesterEmail")} ${(0,c.t)("form.isRequired")}`),requesterMobilePhone:p.Yj().matches(/^\+?1?[-\s]?\(?[0-9]{3}\)?[\s-]?[0-9]{3}[\s-]?[0-9]{4}$/,`${(0,c.t)("canadaRequestForm.requesterMobile")} ${(0,c.t)("businessAddress.validationMessage")}`).min(7,`${(0,c.t)("businessAddress.errorMessageMinCharacters")} 7-20 ${(0,c.t)("businessAddress.charactersSmall")}`).max(h,`${(0,c.t)("businessAddress.errorMessageMaxCharacters")} 7-20 ${(0,c.t)("businessAddress.charactersSmall")}`).required(`${(0,c.t)("canadaRequestForm.requesterMobile")} ${(0,c.t)("form.isRequired")}`),requesterDistrict:p.Yj().required(`${(0,c.t)("admin.customFields.district")} ${(0,c.t)("form.isRequired")}`),requesterRegion:p.Yj().required(`${(0,c.t)("admin.customFields.region")} ${(0,c.t)("form.isRequired")}`),isThisAFieldEducationOrUniversityRequest:p.Yj().required(`${(0,c.t)("regionalProgram.programValidError")}`),requestName:p.Yj().required(`${(0,c.t)("requestFormValidation.requestName")} ${(0,c.t)("form.isRequired")}`),meetingEventDate:p.p6().required(`${(0,c.t)("canadaRequestForm.meetingDateLabel")} ${(0,c.t)("form.isRequired")}`),dateToReceiveMaterialBy:p.p6().required(`${(0,c.t)("canadaRequestForm.receiveMaterialLabel")} ${(0,c.t)("form.isRequired")}`),estimatedNumberOfAttendees:p.Yj().required(`${(0,c.t)("canadaRequestForm.attendeeErrorMsg")}`),typeOfWebcast:p.Yj().when(["itemConjunctionWithWebcast"],(function(e,a){return!0===e[0]?a.required(`${(0,c.t)("regionalProgram.programValidError")}`):a.notRequired().nullable()})),courseType:p.Yj().required(`${(0,c.t)("regionalProgram.programValidError")}`),prefix:p.Yj().required(`${(0,c.t)("requestFormSteps.step_5.input1Label")} ${(0,c.t)("form.isRequired")}`),firstName:p.Yj().required(`${(0,c.t)("canadaRequestForm.firstName")} ${(0,c.t)("form.isRequired")}`),lastName:p.Yj().required(`${(0,c.t)("canadaRequestForm.lastName")} ${(0,c.t)("form.isRequired")}`),companyName:p.Yj().required(`${(0,c.t)("canadaRequestForm.companyName")} ${(0,c.t)("form.isRequired")}`),streetAddress:p.Yj().required(`${(0,c.t)("canadaRequestForm.streetAddress")} ${(0,c.t)("form.isRequired")}`),addressLine2:p.Yj().optional(),phoneNumber:p.Yj().matches(/^\+?1?[-\s]?\(?[0-9]{3}\)?[\s-]?[0-9]{3}[\s-]?[0-9]{4}$/,`${(0,c.t)("canadaRequestForm.phoneNumber")} ${(0,c.t)("businessAddress.validationMessage")}`).min(7,`${(0,c.t)("businessAddress.errorMessageMinCharacters")} 7-20 ${(0,c.t)("businessAddress.charactersSmall")}`).max(h,`${(0,c.t)("businessAddress.errorMessageMaxCharacters")} 7-20 ${(0,c.t)("businessAddress.charactersSmall")}`).required(`${(0,c.t)("canadaRequestForm.phoneNumber")} ${(0,c.t)("form.isRequired")}`),city:p.Yj().required(`${(0,c.t)("canadaRequestForm.city")} ${(0,c.t)("form.isRequired")}`),stateRegionProvince:p.Yj().required(`${(0,c.t)("canadaRequestForm.stateRegionProvince")} ${(0,c.t)("form.isRequired")}`),postalZipCode:p.Yj().matches(/^[A-Za-z0-9 -]+$/,`${(0,c.t)("canadaRequestForm.postalCode")} ${(0,c.t)("form.invalid")}`).required(`${(0,c.t)("canadaRequestForm.postalCode")} ${(0,c.t)("form.isRequired")}`)});t(44699);var q=t(68903),v=t(11906),A=t(88456),y=t(65043),b=t(74117),g=t(83462),R=t(26600),N=t(39336),F=t(35316),f=t(29347),$=t(10249),S=t(9826),k=t(18001),C=t(74612),T=t(53886),w=t(56486),D=t(70579);const L=e=>{let{open:a=!0,setOpenReview:t}=e;const{getValues:s}=(0,m.xW)(),i=s(),n=()=>{t(!1)};return(0,D.jsxs)(g.A,{className:"request-form-3-review-Dialog",open:a,onClose:n,fullWidth:!0,maxWidth:"md",children:[(0,D.jsx)(R.A,{children:(0,c.t)("requestFormSteps.review.formSummary")}),(0,D.jsx)(N.A,{}),(0,D.jsx)(F.A,{className:"review-DialogContent",children:(0,D.jsxs)(r.A,{children:[(0,D.jsx)(C.A,{summaryData:i}),(0,D.jsx)(N.A,{sx:{marginTop:2,marginBottom:1}}),(0,D.jsx)(S.A,{summaryData:i}),(0,D.jsx)(N.A,{sx:{marginTop:2,marginBottom:1}}),(0,D.jsx)(k.A,{summaryData:i}),(0,D.jsx)(T.A,{summaryData:i}),(0,D.jsx)(w.A,{summaryData:i}),(0,D.jsx)(N.A,{sx:{marginTop:2,marginBottom:1}}),(0,D.jsx)($.A,{summaryData:i,formType:"CANADA_EDUCATION_MATERIALS_HANDS_ON_REQUEST_FORM"})]})}),(0,D.jsx)(f.A,{className:"review-Dialog-footer",children:(0,D.jsx)(v.A,{autoFocus:!0,className:"review-Dialog-ok-btn",onClick:n,children:(0,c.t)("button.ok")})})]})},M=()=>{const{t:e}=(0,b.Bd)(),[a,t]=(0,y.useState)(!1);return(0,D.jsxs)(D.Fragment,{children:[(0,D.jsx)(q.Ay,{className:"rq-form-buttons",container:!0,justifyContent:"flex-end",alignItems:"end",spacing:2,children:(0,D.jsxs)(q.Ay,{item:!0,children:[(0,D.jsx)(v.A,{className:"rq-form-review-btn",onClick:()=>{t(!0)},children:e("button.review")}),(0,D.jsx)(v.A,{type:"submit",className:"rq-form-next-btn",children:e("button.submit")})]})}),(0,D.jsx)(A.A,{}),(0,D.jsx)(L,{open:a,setOpenReview:t})]})};var P=t(59573),_=t(2429),B=t(76055),E=t(91324),O=t(41669);const W=()=>{const[e,a]=(0,y.useState)("");return(0,D.jsxs)(D.Fragment,{children:[(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"drillUnitOsseocisionOrWH",type:"number",errorHidden:!0,label:(0,c.t)("canadaRequestForm.opt3InputLabel"),placeholder:(0,c.t)("canadaRequestForm.opt3InputLabel"),hintText:(0,c.t)("canadaRequestForm.opt3InputLabelHint"),useNumbers:!0})})}),(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(_.A,{name:"newWHMotor",label:(0,D.jsx)(l.A,{item:!0,xs:12,className:"shapeTextBox",children:(0,D.jsx)("div",{className:"BulletText",children:(0,c.t)("canadaRequestForm.wHMotor")})}),onChange:e=>{const t=e.target.value;a((e=>e===t?"":t))},value:e,options:E.Qx})})})]})},Y=()=>{var e;const[a,t]=(0,y.useState)(null),{setValue:s}=(0,m.xW)(),i=(0,O.rc)();return(0,D.jsxs)("div",{children:[(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,mt:2,children:(0,D.jsx)(q.Ay,{item:!0,xs:12,children:(0,D.jsx)(r.A,{className:"feeRadio",children:(0,D.jsx)(_.A,{name:"courseType",label:(0,D.jsxs)(l.A,{item:!0,xs:12,className:"shapeTextBox",children:[(0,D.jsx)("div",{className:"bulletShape"}),(0,D.jsxs)("div",{className:"BulletText",children:[(0,c.t)("canadaRequestForm.courseTypeLabel"),

1(0,D.jsx)("span",{className:"required",children:"*"})]})]}),onChange:e=>{if(t(e.target.value),a!==(0,c.t)("canadaRequestForm.optionRegenerative")){const e=O.wi;(0,O.l6)(e,s)}if(a!==(0,c.t)("canadaRequestForm.optionRestorative")){const e=O._4;(0,O.l6)(e,s)}if(a!==(0,c.t)("canadaRequestForm.optionSurgical")){const e=O.iU;(0,O.l6)(e,s)}if(a!==(0,c.t)("canadaRequestForm.optionCombination")){const e=[...O.wi,...O._4,...O.iU];(0,O.l6)(e,s)}},options:E.UQ})})})}),(a===(0,c.t)("canadaRequestForm.optionSurgical")||a===(0,c.t)("canadaRequestForm.optionCombination"))&&(0,D.jsx)(q.Ay,{item:!0,xs:12,children:(0,D.jsx)(r.A,{className:"feeRadio",children:(0,D.jsx)(B.A,{name:"pigJawOrCadaver",label:(0,D.jsxs)(l.A,{item:!0,xs:12,className:"shapeTextBox",children:[(0,D.jsx)("div",{className:"bulletShape"}),(0,D.jsx)("div",{className:"BulletText",children:(0,c.t)("canadaRequestForm.EquipmentLable")})]}),defaultChecked:!1,customStyle:{marginRight:2,marginLeft:-1.6}})})}),(a===(0,c.t)("canadaRequestForm.optionSurgical")||a===(0,c.t)("canadaRequestForm.optionCombination"))&&(0,D.jsx)(W,{selectedOption:a}),[(0,c.t)("canadaRequestForm.optionRegenerative"),(0,c.t)("canadaRequestForm.optionRestorative"),(0,c.t)("canadaRequestForm.optionSurgical"),(0,c.t)("canadaRequestForm.optionCombination")].includes(a)&&(null===(e=i[a])||void 0===e?void 0:e.reduce(((e,a,t)=>{const s=Math.floor(t/3);return e[s]||(e[s]=[]),e[s].push(a),e}),[]).map(((e,a)=>(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:e.map(((e,a)=>(0,D.jsxs)(q.Ay,{item:!0,xs:12,sm:3,children:[" ",(0,D.jsx)(P.A,{name:e.name,type:e.type,errorHidden:!0,label:e.label,placeholder:e.label,hintText:e.hint,useNumbers:!0})]},a)))},a))))]})};var V=t(8559);const I=()=>{const{control:e,setValue:a,clearErrors:t}=(0,m.xW)(),s=(0,m.FH)({control:e,name:"itemConjunctionWithWebcast"});return(0,D.jsxs)(D.Fragment,{children:[(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,mt:1,children:(0,D.jsx)(q.Ay,{item:!0,xs:12,pt:0,children:(0,D.jsx)(r.A,{className:"feeRadio",children:(0,D.jsx)(_.A,{name:"isThisAFieldEducationOrUniversityRequest",label:(0,D.jsxs)(l.A,{item:!0,xs:12,className:"shapeTextBox",children:[(0,D.jsx)("div",{className:"bulletShape"}),(0,D.jsxs)("div",{className:"BulletText",children:[(0,c.t)("canadaRequestForm.programDetailLabel"),

1(0,D.jsx)("span",{className:"required",children:"*"})]})]}),options:E.yU})})})}),(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:6,children:(0,D.jsx)(P.A,{name:"requestName",type:"text",label:(0,c.t)("canadaRequestForm.requesterNameLabel"),placeholder:(0,c.t)("canadaRequestForm.requesterNamePlaceholder"),required:!0})})}),(0,D.jsxs)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:[(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(V.A,{name:"meetingEventDate",label:(0,c.t)("canadaRequestForm.meetingDateLabel"),required:!0})}),(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(V.A,{name:"dateToReceiveMaterialBy",label:(0,c.t)("canadaRequestForm.receiveMaterialLabel"),required:!0})})]}),(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:6,pt:0,children:(0,D.jsx)(P.A,{name:"estimatedNumberOfAttendees",className:"phone-number",type:"number",label:(0,c.t)("canadaRequestForm.numberOfAttendees"),placeholder:(0,c.t)("canadaRequestForm.numberOfAttendeesPlaceholder"),required:!0,useNumbers:!0})})}),(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:(0,D.jsx)(q.Ay,{item:!0,xs:12,pt:0,children:(0,D.jsx)(B.A,{name:"itemConjunctionWithWebcast",label:(0,D.jsxs)(l.A,{item:!0,xs:12,className:"shapeTextBox",children:[(0,D.jsx)("div",{className:"bulletShape"}),(0,D.jsx)("div",{className:"BulletText",children:(0,c.t)("canadaRequestForm.webcastLable")})]}),defaultChecked:!1,customStyle:{marginRight:2,marginLeft:-1.6},onChangeValue:()=>(a("typeOfWebcast",null),void t("typeOfWebcast"))})})}),s&&(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,mt:2,children:(0,D.jsx)(q.Ay,{item:!0,xs:12,children:(0,D.jsx)(r.A,{className:"feeRadio",children:(0,D.jsx)(_.A,{name:"typeOfWebcast",label:(0,D.jsxs)(l.A,{item:!0,xs:12,className:"shapeTextBox",children:[(0,D.jsx)("div",{className:"bulletShape"}),(0,D.jsxs)("div",{className:"BulletText",children:[(0,c.t)("canadaRequestForm.typeOfWebcast"),(0,D.jsx)("span",{className:"required",children:"*"})]})]}),options:E.MD})})})})]})};var H=t(21523),U=t(98810);const z=()=>(0,D.jsxs)(r.A,{children:[(0,D.jsxs)(q.Ay,{container:!0,spacing:2,columnSpacing:2,mt:2,children:[(0,D.jsx)(q.Ay,{item:!0,xs:12,pb:0,mb:0,children:(0,D.jsx)(l.A,{className:"page-title",children:(0,c.t)("canadaRequestForm.shippingInformation")})}),(0,D.jsx)(q.Ay,{item:!0,xs:12,pt:0,mt:0,children:(0,D.jsx)(l.A,{component:"p",children:(0,c.t)("canadaRequestForm.shippingInformationlabel")})})]}),(0,D.jsx)("div",{className:"seprator"}),(0,D.jsxs)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:[(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(U.A,{name:"prefix",label:(0,c.t)("canadaRequestForm.prefixLabel"),options:E.Hl,placeholder:(0,c.t)("canadaRequestForm.prefixPlaceholder"),required:!0})}),(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"firstName",type:"text",label:(0,c.t)("canadaRequestForm.firstName"),placeholder:(0,c.t)("canadaRequestForm.firstName"),required:!0})}),(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"lastName",type:"text",label:(0,c.t)("canadaRequestForm.lastName"),placeholder:(0,c.t)("canadaRequestForm.lastName"),required:!0})})]}),(0,D.jsxs)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:[(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"companyName",type:"text",label:(0,c.t)("canadaRequestForm.companyName"),placeholder:(0,c.t)("canadaRequestForm.companyName"),required:!0})}),(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"streetAddress",type:"text",label:(0,c.t)("canadaRequestForm.streetAddress"),placeholder:(0,c.t)("canadaRequestForm.streetAddress"),required:!0})}),(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"addressLine2",type:"text",label:(0,c.t)("canadaRequestForm.addressLine2"),placeholder:(0,c.t)("canadaRequestForm.addressLine2")})})]}),(0,D.jsxs)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:[(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"city",type:"text",label:(0,c.t)("canadaRequestForm.city"),placeholder:(0,c.t)("canadaRequestForm.city"),required:!0})}),(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"stateRegionProvince",type:"text",label:(0,c.t)("canadaRequestForm.stateRegionProvince"),placeholder:(0,c.t)("canadaRequestForm.stateRegionProvince"),required:!0})}),(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"postalZipCode",type:"text",label:(0,c.t)("canadaRequestForm.postalCode"),placeholder:(0,c.t)("canadaRequestForm.postalCode"),required:!0})})]}),(0,D.jsx)(q.Ay,{container:!0,spacing:2,columnSpacing:2,children:(0,D.jsx)(q.Ay,{item:!0,xs:12,sm:3,children:(0,D.jsx)(P.A,{name:"phoneNumber",type:"text",label:(0,c.t)("canadaRequestForm.phoneNumber"),placeholder:(0,c.t)("canadaRequestForm.phoneNumber"),required:!0})})}),(0,D.jsx)("div",{className:"seprator"})]}),K=()=>{const e=(0,u.zy)(),a=new URLSearchParams(e.search).get("formId"),t=(0,m.mN)({mode:"all",resolver:(0,s.t)(j)}),{eduMaterialRequestFormSubmit:p}=(0,d.r)();return(0,D.jsx)(m.Op,{...t,children:(0,D.jsx)("form",{onSubmit:t.handleSubmit((e=>{p(e,a,"Canada_Education")})),children:(0,D.jsxs)(r.A,{className:"request-forms-3-page",children:[(0,D.jsx)("header",{className:"mainHeader",children:(0,D.jsx)(i.A,{position:"static",className:"appBar",children:(0,D.jsx)(n.A,{className:"toolbar",children:(0,D.jsx)(l.A,{variant:"h6",component:"div",sx:{dis

1play:"flex",alignItems:"center",paddingRight:"15%"},children:(0,D.jsx)(x.N_,{to:"/",className:"logo-link",children:(0,D.jsx)("img",{src:o.gV,alt:"Logo",className:"logo"})})})})})}),(0,D.jsxs)("div",{className:"sub-heading breadcrumb",children:[(0,D.jsx)(l.A,{variant:"body2",className:"sub-heading-text breadcrumbText text-1",children:(0,c.t)("canadaRequestForm.subHeading_1")}),(0,D.jsx)(l.A,{variant:"body2",className:"sub-heading-text breadcrumbText",children:(0,c.t)("canadaRequestForm.subHeading_2")})]}),(0,D.jsxs)(r.A,{className:"request-forms-3-container",children:[(0,D.jsx)(l.A,{mb:1.5,className:"page-title",children:(0,c.t)("canadaRequestForm.pageTitle")}),(0,D.jsx)(l.A,{mb:1.5,className:"page-title",children:(0,c.t)("canadaRequestForm.pageTitle2")}),(0,D.jsx)(l.A,{mb:1.5,component:"p",children:(0,c.t)("canadaRequestForm.para")}),(0,D.jsx)(l.A,{mb:1.5,className:"page-title",children:(0,c.t)("canadaRequestForm.requesrterInfoTitle")}),(0,D.jsx)("div",{className:"seprator"}),(0,D.jsx)(H.A,{}),(0,D.jsx)(l.A,{mb:1.5,className:"page-title",children:(0,c.t)("canadaRequestForm.programDetailTitle")}),(0,D.jsx)("div",{className:"seprator"}),(0,D.jsx)(I,{}),(0,D.jsx)(Y,{methods:t}),(0,D.jsx)(z,{})]}),(0,D.jsx)(M,{})]})})})}},10249:(e,a,t)=>{t.d(a,{A:()=>c});var s=t(68903),r=t(39336),i=t(85865),n=t(91324),l=t(41669),o=t(44978),d=t(70579);const c=e=>{let{summaryData:a,formType:t}=e;const c=[{key:"shipperName",label:"requestFormSteps.review.text_22",value:`${(null===a||void 0===a?void 0:a.shipperPrefix)||""} ${(null===a||void 0===a?void 0:a.shipperFirstName)||""} ${(null===a||void 0===a?void 0:a.shipperLastName)||""}`.trim()},{key:"shipperCompany",label:"requestFormSteps.review.text_23",value:null===a||void 0===a?void 0:a.shipperCompanyName},{key:"shipperAddress",label:"requestFormSteps.review.text_24",value:[null===a||void 0===a?void 0:a.shipperStreetAddress,null===a||void 0===a?void 0:a.shipperLineAddress,null===a||void 0===a?void 0:a.shipperCity,null===a||void 0===a?void 0:a.shipperStateProvince,null===a||void 0===a?void 0:a.shipperZipCode].filter(Boolean).join(" ")},{key:"shipperPhone",label:"requestFormSteps.review.text_25",value:null===a||void 0===a?void 0:a.shipperPhone}],m=t===n.RP;return(0,d.jsxs)(s.Ay,{container:!0,spacing:2,mt:1,children:[m&&(0,d.jsx)(r.A,{sx:{marginTop:2,marginBottom:1}}),m?l.dT.filter((e=>{const t=null===a||void 0===a?void 0:a[e.key];return"requesterName"===e.key||null!=t&&""!==t&&void 0!==t&&a[e.key]})).map((e=>(0,d.jsxs)(s.Ay,{item:!0,xs:6,className:"review-grid",children:[(0,d.jsx)(i.A,{variant:"body1",component:"p",className:"title-text "+(e.required?"required-text":""),children:(0,o.t)(e.label)}),(0,d.jsx)(i.A,{variant:"body1",component:"p",className:"content-text",children:e.getValue?e.getValue(a):a[e.key]})]},e.key))):c.filter((e=>{const a=e.value;return null!=a&&""!==a&&void 0!==a})).map((e=>(0,d.jsxs)(s.Ay,{item:!0,xs:6,className:"review-grid",children:[(0,d.jsx)(i.A,{variant:"body1",component:"p",className:"title-text",children:(0,o.t)(e.label)}),(0,d.jsx)(i.A,{variant:"body1",component:"p",className:"content-text",children:e.value||"-"})]},e.key)))]})}},44699:()=>{}}]);
2//# sourceMappingURL=7760.0c1a305e.chunk.js.map