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Try making a change to the field value for at least one record on both Lead and Contact objects. Creating the fields is part one, but the sync cycle needs to know that the field exists in order to pull it down to Marketo, so part two is generating a SysModStamp on that field to get it seen and synced down.
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If all else fails here, log directly into the SFDC UI with your Marketo Sync User and see if you can see the field. If you can see it, then it should sync down in time. If you do not see it, it's a permissions issue.
Thanks Mike and Jim. I think the internal server error Marketo was experiencing earlier was affecting it. I see the field now.