"Accept and Submit" button disabled

I am trying to applying for Adobe Runtimes / Reader Distribution License Agreement but the "Accept and Submit" button is disabled on https://www.adobe.com/cfusion/mmform/index.cfm?name=distribution_form. I have tried everthing I could but unable to proceed. Please help. Thanks.

One more thing: Since I did not have Safari installed on my office computer on which I was facing the problem, I tried at home on my home computer using Safari which worked. So, I do not know if the problem was with web browser only. It is also possible that on my home computer, I might have had another version of Java and/or different settings.

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