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<div class="main-wapper-inner">
<div class="top-menus">
<div class="container-fluid">
<div class="row">
<div class="col-lg-12">
<h3><i class="fa fa-info-circle" aria-hidden="true"></i> Need Help</h3>
</div><!-- /input-group -->
</div>
</div><!-- /.col-lg-6 -->
</div>
<div class="home-inners">
<div class="container-fluid">
<div id="users">
<!-- add edit users -->
<form action="" method="POST" enctype="multipart/form-data">
<div class="modal-body">
<input type="hidden" name="edit" value="<?= isset($_POST['id']) ? @$_POST['id'] : '0' ?>">
<div class="form-group">
<label for="assign_role">Title<span class="error_msg">*</span></label>
<input type="text" name="title" placeholder ='Need Help' class="form-control" value="<?= isset($_POST['title']) ? $_POST['title'] : '' ?>" id="title" maxlength="150" required>
</div>
<div class="form-group">
<label for="assign_role">Email Id <span class="error_msg">*</span></label>
<input type="text" name="email_id" placeholder = 'Email Id' class="form-control" value="<?= isset($_POST['email_id']) ? $_POST['email_id'] : '' ?>" id="key_value" maxlength="120" required>
</div>
<div class="form-group">
<label for="assign_role">Conatct Number <span class="error_msg">*</span></label>
<input type="text" name="contact_number" placeholder = 'Conatct Number' class="form-control" value="<?= isset($_POST['contact_number']) ? $_POST['contact_number'] : '' ?>" id="key_value" maxlength="20">
</div>
<div class="form-group">
<label for="assign_role">Custom Message</label>
<input type="text" name="custom_message" placeholder = 'Custom Message' class="form-control" value="<?= isset($_POST['custom_message']) ? $_POST['custom_message'] : '' ?>" id="key_value" maxlength="200">
</div>
<div class="form-group">
<label for="assign_role">Status<span class="error_msg">*</span></label>
<select class="form-control" name="status" id="status">
<option value=""> -- Select Status -- </option>
<option value="1" <?php if(@$_POST['status']=='1') { echo 'selected = "selected"'; }?>>Active</option>
<option value="0" <?php if(@$_POST['status']=='0') { echo 'selected = "selected"'; }?>>Inactive</option>
</select>
</div>
</div>
<div class="modal-footer">
<input type="submit" class="btn btn-primary" name="submit" id="submit" value="Save">
</div>
</form>
</div>
</div>
</div>
</div>