Locker Rental AgreementSpring 2013 – Winter 2014

Name:Student #:

StreetAddress:City:

Postal Code:Telephone #:() -

Brock E-mail:

Locker Rental Terms:

  1. The term of the locker rental will beMay 1st2013–April30th2014.
  2. The occupant must only occupy the locker stated on this rental form.
  3. The lock provided is property of Brock University Students’ Union Inc. and is to be returned by the expiration date.

a)The rental fee includes a $10 deposit for the combination lock. This deposit will be refunded provided the occupant returns the lock to the BUSU reception desk prior to 4:30 p.m. on the expiration date. After this date, no deposit refund will be given.

b)The refund will be given at the time of the lock return.

  1. The locker rental is fully refundable within five (5) business days of the original sale. Between the periods of six (6) to fifteen (15) business days of the original sale, the locker rental will be refunded 50%. After fifteen (15)businessdays, the locker rental will not be refunded in whole or in part.

a)Refunds are given exclusive of the $10 deposit. The $10 lock deposit is subject to refund according to the terms outlined in section 3 of this agreement.

  1. BUSU reserves the right to repossess the locker at any point during the rental term. At such a time, an equal value locker will be bestowed upon the occupant. If a locker of equal value is not available at the time of repossession, a lesser value locker will be given and the difference will be refunded. If no other locker is available, a full refund of the original purchase price will be provided.
  2. In any such occurrence that a locker is repossessed, BUSU will endeavour to provide the occupant two (2) weeks’ notice to empty the contents of the locker, barring circumstances beyond BUSU’s control to provide such notice. At the close of the notice period, BUSU reserves the right to empty the locker of all contents without further notice to the occupant.
  3. If a locker is emptied by BUSU, the contents will be held for ten (10) business days at the BUSU office. Perishable and/or unsanitary items will be disposed of immediately. During theten (10) business daysthe occupant may pick up the contents during regular office hours for a fee of $5 (five) dollars. Contents will be disposed of if not collected within ten (10) business days.
  4. BUSU is not responsible for any lost or stolen items.
  5. The signing occupant below is the only individual allowed to occupy this locker and shall be solely responsible for its contents and condition during the rental period.
  6. Renewal requests to extend the Locker Rental Agreement for an additional term should be sent to two weeks prior to the expiration date of this agreement.

Date: Signature of occupant:

Locker #: ST TH WH ______Locker Combination: ______-______-______

(circle)

AUTHORIZATION

RENEWAL Fee Paid(circle): ST $45 WH $40 TH $35

Signature:

(BUSU Receptionist or designate – if designate, print name beside signature)

REFUNDS

Date of Deposit Refund:Signature of Occupant:

(if lock is returned by occupant prior to expiration)

Date of Rental Refund:Signature of Occupant:

(if locker is returned within the first 15 days)

RELEASE OF CONTENTS

Date of Pick-up:Signature of Occupant:

(if locker is emptied by BUSU)