Locker Application Locker Application 1 Mar 17 - 28 Feb 18 1 Mar 17 - 28 Feb 18 Name: Name: I would like to request a locker for the following 12 month period / I would like to request a locker for the following 12 month period / already have a locker and would like to keep it. already have a locker and would like to keep it. Locker Number: Locker Number: In line with the AGM which took place on 13 Jun 13, locker prices are In line with the AGM which took place on 13 Jun 13, locker prices are as follows: as follows: Metal Lockers (incl. Small Wooden) Metal Lockers (incl. Small Wooden) €25 €25 Wooden Locker (Large) Wooden Locker €30 €30 Cheques should be made payable to: Cheques should be made payable to: BANK JSSU (CYP)” BANK JSSU (CYP)” “CENTRAL “CENTRAL Signed: Signed: Date: Date: Please return the completed form to the House Member. Please return the completed form to the House Member.
Locker Application 1 Mar 17 - 28 Feb 18 Name: I would like to request a locker for the following 12 month period / already have a locker and would like to keep it. Locker Number: In line with the AGM which took place on 13 Jun 13, locker prices are as follows: Metal Lockers (incl. Small Wooden) €25 Wooden Locker (Large) €30 Cheques should be made payable to: “CENTRAL BANK JSSU (CYP)” Signed: Date: Please return the completed form to the House Member. Locker Application 1 Mar 17 - 28 Feb 18 Name: I would like to request a locker for the following 12 month period / already have a locker and would like to keep it. Locker Number: In line with the AGM which took place on 13 Jun 13, locker prices are as follows: Metal Lockers (incl. Small Wooden) €25 Wooden Locker €30 Cheques should be made payable to: “CENTRAL BANK JSSU (CYP)” Signed: Date: Please return the completed form to the House Member.
20170210-Locker-Application-Form.docx