Can I build this form?

samones 28 Nov, 2010
Hi,
tell me please, can I use "chronoforms" to construct form of the two fields? First field will <select> - a list of streets, second <text field> - to enter the house number. And the "Check" button.
Depending on the combination of the data entered, the page will be displayed a certain result immediately.
Thank you.
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