Help with filling out form (application)

Hello,
I am trying to fill out an application and when I am entering addresses, whenever I go to the next line it will automatically fill in the previous line and when I delete and change it, it will change the first line to the second line and it will not let me enter the information. Can someone please help me
Windows Vista
Adobe Reader 8

Also, This forum is for FULL Acrobat - Reader forum is
http://www.adobeforums.com/webx?13@@.3bbf42f7

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<h1>Checkout</h1>
<p class="required-h1-tip"><span>*</span> Required field</p>
<p>Please fill out the required fields, delivery address and payment fields.</p>
<hr />
<section class="checkout form-container">
<form name="catwebformform42059" class="form-generic-a checkout-a" id="catwebformform42059" onsubmit="return checkWholeForm42059(this)" action="/FormProcessv2.aspx?WebFormID=10850&OID={module_oid}&OTYPE={module_otype} &EID={module_eid}&CID={module_cid}" enctype="multipart/form-data" method="post">
    <fieldset>
    <h2 class="a">1. Account Information</h2>
    
    <div class="row">
    <p class="field field-a">
    <label for="first-name">First Name <em>*</em></label>
    <input type="text" name="FirstName" class="text" id="f-first-name" value="{module_firstname}" />
    </p>
    <p class="field field-a">
    <label for="last-name">Last Name <em>*</em></label>
    <input type="text" name="LastName" class="text" id="LastName" value="{module_lastname}" />
    </p>
    </div>
    <div class="row">
    <p class="field field-a">
    <label for="email">Email Address <em>*</em></label>
    <input type="text" name="EmailAddress" class="text" id="f-email" value="{module_emailaddress}" />
    </p>
    <p class="field field-a">
    <label for="phone">Phone Number <em>*</em></label>
    <input type="text" name="HomePhone" class="text" id="f-phone" value="{module_homephone}" />
    </p>
    </div>
    <div class="row checkbox"><span class="tick">
    <input type="checkbox" name="CampaignList_20945" class="tick" id="f-updates" />
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    <label for="newsletter-a">Keep me up to date on product information, sales, and special offerings.</label>
    </div>
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    <hr />
    <fieldset>
    <h2 class="a">2. Shipping Address</h2>
    <div class="row">
    <p class="field field-a">
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    <input type="text" class="text" id="ShippingAttention" name="ShippingAttention" />
    </p>
    </div>
    <div class="row">
    <p class="field field-a">
    <label for="shipping-addr-1">Address Line 1 <em>*</em></label>
    <input type="text" class="text" id="ShippingAddress" name="ShippingAddress" />
    </p>
    <p class="field field-a">
    <label for="shipping-addr-2">Address Line 2</label>
    <input type="text" class="text" id="ShippingAddress2" name="ShippingAddress2" />
    </p>
    </div>
    <div class="row">
    <p class="field field-a">
    <label for="shipping-city">City <em>*</em></label>
    <input type="text" class="text" id="ShippingCity" name="ShippingCity" />
    </p>
    <p class="field field-a">
    <label for="shipping-state">State <em>*</em></label>
    <input type="text" class="text" id="ShippingState" name="ShippingState" />
    </p>
    </div>
    <div class="row">
    <div class="field field-a">
    <p class="field-b">
    <label for="ShippingZip">Zip / Postal Code <em>*</em></label>
    <input type="text" class="text" id="ShippingZip" name="ShippingZip" />
    </p>
    </div>
    
    </div>
    </fieldset>
    <hr />
    <fieldset>
    <h2 class="a">3. Billing Address</h2>
    <div class="row checkbox"><span class="tick">
    <input type="checkbox" class="tick" value="1" id="f-shipping-same" name="same_shipping" />
    </span>
    <label for="billing-same-as-shipping">Check this box if billing address is the same as shipping address.</label>
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    <label for="billing-addr-1">Address Line 1 <em>*</em></label>
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    <div class="row">
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    <label for="billing-city">City <em>*</em></label>
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    <input type="text" value="{module_homestate}" id="BillingState" class="text" name="BillingState" />
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    </div>
    <div class="row">
    <p class="field field-b">
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    <fieldset id="credit-card-information">
    <h2 class="a">4. Payment Options</h2>
    <div class="row">
    <h4>Approved 30 DayAccount Customer</h4>
    <p class="field">Please select
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    <p class="row row-accepted-cards">
    We accept the following credit cards: <img alt="" src="temp/cards.png" />            </p>
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    <option selected="selected" value="1">Visa</option>
    <option value="2">Master Card</option>
    <option value="4">American Express</option>
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    </div>
    <div class="row">
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    <label for="name-on-card">Name on Card <em>*</em></label>
    <input type="text" name="CardName" class="text" id="f-cc-name" />
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    <p class="field field-a">
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    <input type="text" name="CardNumber" class="text" id="f-cc-number" />
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    <label for="card-exp-month">Card Expiration <span class="offset">Month</span> <em>*</em></label>
    <span class="select one">
    <select name="CardExpiryMonth" class="s" id="f-cc-exp-month">
    <option selected="selected" value="1">January</option>
    <option value="2">February</option>
    <option value="3">Mar</option>
    <option value="4">Apr</option>
    <option value="5">May</option>
    <option value="6">Jun</option>
    <option value="7">Jul</option>
    <option value="8">Aug</option>
    <option value="9">Sep</option>
    <option value="10">Oct</option>
    <option value="11">Nov</option>
    <option value="12">Dec</option>
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    <span class="select">
    <select name="CardExpiryYear" class="xs" id="f-cc-exp-year">
    <option value="2015">2015</option>
    <option value="2016">2016</option>
    <option value="2017">2017</option>
    <option value="2018">2018</option>
    <option value="2019">2019</option>
    <option value="2020">2020</option>
    <option value="2021">2021</option>
    <option value="2022">2022</option>
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    </span></p>
    </div>
    <div class="row">
    <div style="display: none;">
    <input type="radio" name="PaymentMethodType" class="tick" id="f-payment-method-cc" value="1" />
    <input type="radio" name="PaymentMethodType" id="PaymentMethodType_9" value="10" />
    </div>
    </div>
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    <p class="field ccvn">
    <label for="ccv-number">CCV Number <em>*</em></label>
    <span class="ccv">
    <input type="text" name="CardCCV" class="text" id="f-cc-cvv" />
    </span></p>
    </div>
    </fieldset>
    <div class="wrap total">
    <p class="sum">Total: <strong><span class="amountSpan"></span></strong></p>
    <p class="action"><button class="button-a" type="submit">Checkout</button></p>
    </div>
    <input type="hidden" name="Amount" class="cat_textbox" id="Amount" readonly="readonly" />
    <script type="text/javascript" src="/CatalystScripts/ValidationFunctions.js"></script>
    <script language="javascript" type="text/javascript">
            //<![CDATA[
            var submitcount42059 = 0;function checkWholeForm42059(theForm){var why = "";if (theForm.Username) why += isEmpty(theForm.Username.value, "Username"); if (theForm.Password && theForm.PasswordConfirm) { why += isEmpty(theForm.Password.value, "Password"); why += isEmpty(theForm.PasswordConfirm.value, "Confirm Password"); if (theForm.Password.value != theForm.PasswordConfirm.value) why += appendBreak("- Password and its confirmation do not match."); if (theForm.Password.value.length < 6) why += appendBreak("- Password must be 6 characters or longer."); }if (theForm.FirstName) why += isEmpty(theForm.FirstName.value, "First Name"); if (theForm.LastName) why += isEmpty(theForm.LastName.value, "Last Name"); if (theForm.HomePhone) why += isEmpty(theForm.HomePhone.value, "Phone Number"); if (theForm.EmailAddress) why += checkEmail(theForm.EmailAddress.value);if (theForm.ShippingAttention) why += isEmpty(theForm.ShippingAttention.value, "Shipping Name");if (theForm.ShippingAddress) why += isEmpty(theForm.ShippingAddress.value, "Shipping Address"); if (theForm.HomePhone) why += isEmpty(theForm.HomePhone.value, "Phone Number"); if (theForm.ShippingState) why += isEmpty(theForm.ShippingState.value, "Shipping State"); if (theForm.ShippingCity) why += isEmpty(theForm.ShippingCity.value, "Shipping City"); if (theForm.ShippingZip) why += isEmpty(theForm.ShippingZip.value, "Shipping Zipcode");
            if (theForm.BillingAddress) why += isEmpty(theForm.BillingAddress.value, "Billing Address"); if (theForm.BillingState) why += isEmpty(theForm.BillingState.value, "Billing State"); if (theForm.BillingCity) why += isEmpty(theForm.BillingCity.value, "Billing City"); if (theForm.BillingZip) why += isEmpty(theForm.BillingZip.value, "Billing Zipcode");
             if (!theForm.PaymentMethodType || getRadioSelected(theForm.PaymentMethodType) == 1) { if (theForm.CardName) why += isEmpty(theForm.CardName.value, "Name on Card"); if (theForm.CardNumber) why += isNumeric(theForm.CardNumber.value, "Card Number"); if (theForm.Amount) why += isCurrency(theForm.Amount.value, "Amount"); } if (theForm.PaymentMethodType) why += checkSelected(theForm.PaymentMethodType, "Payment Method");if(why != ""){alert(why);return false;}if(submitcount42059 == 0){submitcount42059++;theForm.submit();return false;}else{alert("Form submission is in progress.");return false;}}
            // Credit Card info is not required if paying by PayPal, Hosted Credit Card, COD etc
            function ShowCCFields(val) {
                if (!document.getElementById('paymentdiv'))
                    return;
                if (val != 1)
                    document.getElementById('paymentdiv').style.display = 'none';
                else
                    document.getElementById('paymentdiv').style.display = 'inline';
            //]]>
        </script>
</form>
</section>

Locking this thread.
You only need one post on something

Problem with filling out forms

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Help with the event of closing of fill-out form

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shegolf wrote:
I checked the security of the document. It states that filling out forms is allowed.
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Help with complex Acrobat forms

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Background: I worked with another developer and completed a form for one of our clients but I need to know if the below change requests are even possible and if so if anyone would like to help with finishing the form. I am definitely willing to pay for an experts services as long as this can be done in a timely manner.
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What is completed so far
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- Metric unit conversion boxes
- Header text fields (read only) are used on several of the pages and are a combination of choices made in the drop down boxes and text fields.
- Page footer info including page number
- The over all layout of the pages is set
Requested changes/additions
Major must have:
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Minor:
There are several minor change requests that I know are doable or that if not possible we can disregard. One that I am not sure about is if the color of the arrows in Acrobat can be changed from the default red?
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Any help or suggestions would be greatly appreciated and again id like to commission this out to anyone who is up for the challenge.
Thanks in advance
Jason

Perhaps a better question is does anyone know a good developer?

Acrobat Pro 7, Adobe Reader 8, and Filled out forms

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I'll do a search for a particular question. Get an answer of Yes, Acrobat can do that. Only to find out (through trial and error and usually not the article I'm reading) that I can't do what I what I want in the version I have.
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There is a New feature in Acrobat 8, that allows usage rights (you have to choose in tools menu, to allow it.
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Acrobat Pro 9 Mac**Making a pdf fill-out form non-editable when it is completed.

HELP!!
If anyone out there can help me I would greatly appreciate it.
I see the forums are with LifeCycle but I need direction for the mac version of acrobat pro.
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Maybe this will do the trick...
http://forums.adobe.com/message/3813078#3813078#3813078

Help with filling out form (application)

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