Indiana University

Business Affairs

Locker Form

All fields are required. If you need a tuba or double bass locker, please contact the Instrument Rental Office.

First Name:

Last Name:

IU Student Id Number (Peoplesoft ID):

E-Mail:

Major Instrument:

Case Measurement:

Locker Renewal?     Yes              No

Requested Semester
  Fall
  Spring
  Fall/Spring
  Summer Sessions 1-2

Building Preference (1 most preferred-5 least preferred)
Merrill Hall
Music Addition
Simon Building
MAC
East Studio Building (limited)