Tonsley room booking form

Your details
First name *
Last name *
College/Section/Organisation *
Access number *
Student/staff number *
Email *
Phone number *
BIKE DETAILS
Make and model *
Colour *
DECLARATION
I undertake not to lend my card to or allow access to any other person. I undertake to inform Security immediately if my access card is lost/stolen I will notify Security of any breaches to the bike stores that I notice.

Please note: No responsibility is accepted by Flinders University for any loss or damage.
Signature *

Clear
Date *

Month Day Year
Date
Please provide access to bike store
Authorised
Date

Month Day Year
Date
Should be Empty:

Your details