Bicycle Locker Application

Print Application & Agreement (PDF)

All Fields are Required

Applicant Information









Emergency Contact Information



Locker Requested - Station & Platform



Registration Fee Information
Refundable Security Deposit: $20 (cost of lock and two (2) keys)



$15 charge for a replacement key and lock change / $30 charge for Non-Sufficient Funds Check
User Agreement
Bicycle Locker Agreement

I HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS OF THIS AGREEMENT AND AGREE TO ABIDE BY EACH AND EVERY ONE OF ITS PROVISIONS.