Lockers from Indy Club 1T6/1T7
The intention of this form is to get your contact information and your preference in locker location.

In order to pay for your locker, you may pay $20 through Tilt ( ) OR by cash at the MIE Club office (located opposite the MIE Common Room)

You may also purchase locks for $5.

First Name
Your answer
Last Name
Your answer
Email Address
One that you check and we can reach you
Your answer
Discipline + Year
Example: Indy 1T8
Your answer
Location of Locker
Left to Right: MB 2nd Floor, MB Basement, RS Basement
If we do not have the locker location you would like, will you be willing to select another location?
Are you purchasing a lock too? ($5)
What payment method would you prefer to use?
Any specific requests you would like us to be aware of?
Using bullet points would be greatly appreciated! Let's try and keep this as short and sweet as possible.
Your answer
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