Mysql Php Ajax Query And Display Data

I need a form that displays results from MYSQL without reloading the page for people with scripting enabled and a basic html form for people without scripting enabled (noscript tag).

The form will have 2 fields/combo boxes that have static data.

[TYPE] and [State]

once Type or State is updated I need it to update the third field/combo box

[Facility]

Once the third field is updated the address should be displayed below

this should be a simple project.

thank you for your bids

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