The headline and subheader tells us what you're offering, and the form header closes the deal. Over here you can explain why your offer is so great it's worth filling out a form for.
Remember:
Call the National Suicide Prevention Lifeline, a free, 24-hour hotline, at 1.800.273.8255. Your call will be routed to the crisis center near you.
If your issue is an emergency, call 911 or go to your nearest emergency room.