MINERS
Athletics
Miner Athletic Club - Locker Campaign

MAC Locker Campaign Form Get Acrobat Reader

Please fill in all fields.

Name

Address

City

State

Zip Code

Phone

Email Address

Please indicate how you would like your name to appear on your locker's nameplate.

Current or Former UTEP Student-Athletes Only*

Name

Jersey Number

Years Played (e.g. 1976-1980)

Primary Position

Inspiration Quote/Message (Please attach additional note if more space is needed):

Miner Fan Only*

Name

City

State

Inspiration Quote/Message (Please attach additional note if more space is needed):

UTEP Athletics