Online Forms

2. Bicycle Locker Reservation Form

   This form is for those traveling by bicycle to the Eugene Airport and wish to leave the bicycle in one of our secured lockers

4. First Name*
5. Last Name*
7. Address Contact*
9. City*
10. State Name*
11. ZIP*
13. Email*
14. Phone*
15. Extension
17. Day and Time you plan on arriving at the Airport?*
    Day and Time you plan on arriving at the Airport?

    Day and Time you plan on arriving at the Airport?
18. Date and Time of Return*
    Date and Time of Return

    Date and Time of Return

20. 
    

    *Pictures of the bicycle will be taken at the time of possession.  

    *The City of Eugene will not insure or assume responsibility for the storage or security of this property.

    
    

    Please contact our Ground Transportation Officer Duty phone at 541-632-2131 once you arrive at the airport

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field