<div class="request_callback">
   <p style="color:#000;text-align:center; font-size:25px; font-weight:600; margin-top:-20px; margin-bottom:20px">Take Our Help</p>
    <div class="row">
       <p style="color:#000;text-align:center;">Upload Your Screenshot :</p>
        <div class="col-sm-12">
            <div class="input-group">
               [file* upload id:file-37]
            </div>
        </div>
        <div class="col-sm-12">
            <div class="input-group">
              [textarea* Comment placeholder "Comment*"]
            </div>
        </div>
        <div class="col-sm-12">
            <div class="input-group" style="text-align:center;">
                <button type="submit" class="button size-lg icon_center">Submit <i class="fa fa-chevron-center"></i></button>
            </div>
        </div>
    </div>
</div>