Very simple form design with quite common features

Closed - This job posting has been filled and work has been completed.

Job Description

I would like to have a form designed for my daily work routine. The form:
- gets certain inputs from the user,
- includes one drop-down list which is filled on runtime by SQL statements,
- includes some other dropdown lists which use the first dropdown list's value as the constraint (e.g. the first dropdown is the country, the second dropdown is the cities of the county selected)
- I dont need the contractor to deal with the design and graphical aspects of this form; only the asp/vbscript script and flow will be the mandate.
- I prefer to use asp instead of php.