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Contact Us to Schedule the Mobile Science Laboratory

If you would like to receive more information about Science on the Go please contact Dave Urbanski at 708 720-7502, or durbansk@uiuc.edu. To request the Mobile Science Laboratory at your school, please fill out the form below. Please note that we are currently scheduling for January-May 2008.

Fields marked with an asterisk (*) are required.

Primary Contact
Name:	*
Phone number:	*
Email:
School Information
Name:	*
Street (line 1):	*
Street (line 2):
City:	*
County:	Cook *
Phone number:	*
Fax number:
Request dates
1st choice:
2nd choice:
3rd choice:
After you complete the form our coordinator will get in touch with you to discuss times and create a schedule.