CMU/UNIVERSITY CENTER COMMUTER LOCKER RENTAL FALL 2013 – SPRING 2014 – SUMMER 2014 LOCKER AGREEMENT I request to be assigned a locker in the UC lower level. I understand that I am subject to the following conditions: _____ I agree to pay the fee of $50 for the school year (Fall 2013 & Spring 2014). _____ I agree to pay the fee of $25 for one semester only. _____ I agree to pay the fee of $25 for the summer semester only (May 19 – July 31, 2014). _____ I agree to leave the lock assigned to me on my rented locker at all times and not substitute it for one of my own. _____ I agree that I am responsible for the condition of my locker and I will be held responsible for any damage that I do and any fees necessary for the repair of my locker. _____ I agree that Carnegie Mellon University, the University Center, nor any staff, faculty or employee is responsible or liable for any loss or damage of property. _____ I understand UC staff has the right to inspect my locker at any time without notice. _____ I agree to clean out my locker by the last day of final exams. Today’s Date: _________________________ Renter’s Information Locker Number: __________ Combination: ______________________________________ Name: _______________________________________________________________________ E-mail address: ________________________________________________________________ Cell phone: ___________________________________________________________________ Signature: ____________________________________________________________________