Bike Locker Form

Bicycle Cage/Locker Registration

Please call our office first at 346-5444 to check on availability of bike cages and lockers.

Personal Information

Name: *

UO ID: * #

Status: * select...FacultyStaffStudent

Department: select...AAA Dean's OfficeAcademic AdvisingAcademic Learning ServicesAdministrationAdmissionsAEIAlumni AssociationAnthropologyArchitectureArtArt HistoryArts and AdministrationAsian StudiesAthleticsBiologyBusiness AffairsCAMCORCAPSCareer Info SystemsCASCCDCChemistryCISCommunity Service CenterComputing CenterContinuation CenterCreative WritingCSWSDanceDesign & Editing ServicesDevelopment OfficeEarly Childhood Research UnitEarly Intervention ProgramEC Cares CHDEconomicsEducationEducational LeadershipEMU APASUEMU ASUOEMU ASUO Multicultural CntrEMU Club SportsEMU Co-op Family CntrEMU Cultural ForumEMU DDSEMU Greek LifeEMU Misc. DepartmentsEMU Multicultural CenterEMU Outdoor ProgramEMU Project SaferideEMU Technical ServicesEnglishEnvironmental StudiesEthnic StudiesFacilites ServicesFinancial AidGeographyGeological SciencesGermanic LanguagesGraduate SchoolHEPHistoric PreservationHistoryHonors CollegeHousingHousing CateringHuman PhysiologyHuman ResourcesIISHPInterior ArchitectureInternational AffairsInternational Education and ExchangeInternational StudiesintoCareersIPRIIVDBJournalismKnight LibraryLandscape ArchitectureLaw LibraryLaw SchoolLERCLinguisticsLundquist College of BusinessManagementMaterials Science InstituteMathematicsMilitary ScienceMolecular BiologyMulticultural AffairsMuseum of AnthropologyMuseum of ArtMuseum of Natural HistoryMusicNeuroscienceOAASSOCIASOIMBOrbis Cascade AllianceOregon Bach FestivalOrientationOSRLOtherPE & RecPhysicsPolitical SciencePPPMPrinting and Mail ServicesProduct DesignProvost OfficePsychologyPublic & Government AffairsPublic SafetyPublicationsREESCRegistrarRomance LanguagesServices for Student AthletesSocial Science Instructional LaboratoriesSociologySpecial EducationSpecialized Training ProgramStudent AffairsStudent Health CenterStudent LifeSummer SessionTAG Youth EnrichmentTelecom ServicesTheater ArtsTheoretical ScienceTSAUniversity AdvancementUO FoundationUpward BoundVice President for Finance and AdministrationVivian Olum CenterWayne Morse CenterWGSWRRCYamada Center

Phone: *

Email: *

Email (verify): *

Mailing Address

Street: *

Apt: #

City: *

State: * select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelwareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyoming

Zip: *

UO Address

Campus Phone:

Room #:

Building:

Bike Information

Permit: * #

Serial: * #

Make/Model: *

Color: *

Frame Size: *

Frame Style: *

Men's

Women's

Value: * $

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