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*

MonthDayYear
Date
Please provide access to bike store
Authorised
Date

MonthDayYear
Date
Should be Empty:

Your details