It looks okay, what type of error message are you getting? If no error message do you have access to turn on debugging for your IP? you should be able to look at the debug code to see exactly what is being inserted.
One more thing that comes to mid is the database field size. I don't see any max limitations in your input tags. The address that is being put in may be too big causing it to error out.
Use cfqueryparam in your sql statement, its good coding practice to do so. :)