If it don't work okay -- try the one I posted here earlier. Or if it doesn't, fill in both fields, cross one off, and send it in. Or leave those two fields blank, print it out, and fill one in by hand.
Yaknow -- we used to have to fill it all in by hand -- deal with it.
If I can't figure it out -- I'll call you.
(Certain foreign counties don't apply.)