ERI Cost of Living Report Request Form

Relocation Services

ERI Cost of Living Report Request Form

Please complete the following form - the more items you complete, the more accurate and helpful the report will be.

Name for Report:

Combined annual earnings estimate: $

Own or Rent:

Square Footage of current home
OR new home estimate:

Total Family Size:

Number of vehicles owned:

Total value of vehicles: $

Miles driven annually:

Moving From:

City Name:
Suburb Name:

Moving To:

City Name:
Suburb Name:

(ERI has information on thousands of cities and suburbs. Please be as specific as possible for best results.)

How would you like to receive this report (select and complete one)?

Mail To:

Street:

Street (cont'd):

City:

State: Zip:

E-Mail:

Fax: