Download request form grayed out so cannot be filled

For my site, e.g.:
http://www.ilanhorn.photography/2017/...

If I press the "download" button, I get the FotoMoto form to fill the details to send to the artist (me), but they're almost all grayed out and can't be filled. The list selections show white text on white background, so aren't very useful either. What am I doing wrong?
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