<?php
require_once("components/com_requestforhelp/helpers/requestforhelp.php");
$ip = RequestForHelpHelper::locateIp();
$app = JFactory::getApplication();
$rfqSession = $app->getUserState('com_requestforhelp');
		if (!empty($rfqSession)) {
			$app->setUserState('com_requestforhelp', null);
		}
?>


<div class="row">
<div class="col-md-6 play fadeInLeft" data-wow-delay="1s">
  
 <div class="emergency-form span12">
	<div class="borderWrapper">
		<h2 class="title">Get Help Now!</h2>
	</div>

	<div id="get-help-now" class="get-help">  
			<div class="request-help-box">  
				<form id="rfq-step0-form" action="/index.php" method="post">
				<div>
					<input type="hidden" name="option" value="com_requestforhelp" />
					<input type="hidden" name="task" value="step0_submit" />
<input type="hidden" name="txt_country" id="txt_country_zero" value="UNITED STATES" />
<input type="hidden" name="Itemid" value="<?php echo JRequest::getInt('Itemid'); ?>" />
<input type="hidden" name="return" value="<?php echo JURI::current(); ?>" />
					<?php echo JHtml::_( 'form.token' ); ?>						
				</div>
				<div class="request-help-inputs">
				<div class="row">
<div class="col-xs-6 first-name"><input type="text" id="txt_first_name_zero" name="txt_first_name" placeholder="First Name" data-validate-actions="required" data-error-message="First name" /></div><div class="col-xs-6 last-name"><input type="text" id="txt_last_name_zero" name="txt_last_name" placeholder="Last Name" data-validate-actions="required" data-error-message="Last name" /></div>
</div>
<div class="row">
<div class="col-xs-8 phone">
					<input type="text" id="txt_phone_zero" name="txt_phone" placeholder="Phone" value="" data-validate-actions="phonefilter,required" data-error-message="Phone number" />
</div>
<div class="col-xs-4 phone-ext">
					<input type="text" id="txt_phone_ext_zero" name="txt_phone_ext" placeholder="Ext." value="" />
</div>
</div>
					<input type="text" id="txt_email_zero" name="txt_email" placeholder="Email" value="" data-validate-actions="required,email" data-error-message="Valid email" />
					<input type="text" id="txt_zip_zero" name="txt_zip" placeholder="ZIP Code" value="" data-validate-actions="required" data-error-message="ZIP code" />
				</div>
				<div class="request-help-send">
					<a id="main_send_request" class="btn btn-primary" title="Request Help" href="" rel="nofollow">REQUEST HELP</a>
				</div>
				</form>
			</div>

	</div>
</div>

  

  </div>
<div class="col-md-6 play fadeInRight" data-wow-delay="1s">
<div class="feature-list"><span class="fa fa-paper-plane-o fa-3x"> </span>
<div class="feature-content">
<h3>40+ Offices in US & Canada</h3>
<p>With more than thirty offices throughout the United States and Canada, we are among the largest professional data recovery companies in the nation.</p>
</div>
</div>
<div class="feature-list"><span class="fa fa-wrench fa-3x"> </span>
<div class="feature-content">
<h3>License & Certified Experts</h3>
<p>All of our highly-trained engineers are GSA licensed, Intel & Mac certified and held to the highest industry standards for service performance and protocol for data recovery.</p>
</div>
</div>
<div class="feature-list"><span class="fa fa-check-square-o fa-3x"> </span>
<div class="feature-content">
<h3>We Value Our Customers</h3>
<p>Both a representative and an engineer is assigned and dedicated to every case we handle. Your representative will provide you with up-to-the-minute updates and prompt customer service.</p>
</div>
</div>
</div>
</div>