Club Storage

This form is intended to be used by SA Club E-Board members to request access to SA Club offices inside the Student Union.

Requests must be submitted by current club e-board members. Any requests made by others will be ignored.

Requests may take several weeks to apply.

You (requester) name:

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Your UB Email

What position do you hold within your club(*)

President

Vice President

Treasurer

Secretary

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Please choose your club(*)

Please choose your club from the list!

What is the club office's room number?

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Last Name of person receiving access

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First Name of person receiving access

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Please enter the person number for the individual receiving access:(*)

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Card Number
(The number on the card that starts with "5081 2803 XXXX XXXX")(*)

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Has this individual had access in the past?(*)

Yes

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350 Student Union, Buffalo, NY 14260
E ubsa@buffalo.edu
P (716) 645-2950
F (716) 645-2112