STARLAB - Reservation Request Form:
Name of School District:
District Contact Person:
District Contact Person Email:
District Contact Person Phone:
District Purchase Order Number:
Usage of the STARLAB will be billed based on the number of weeks reserved and the following fee schedule: $160 for 1 week $210 for 2 weeks $260 for 3 weeks $310 for 4 - 8 weeks
How many weeks is your district requesting the STARLAB?
BELOW, please list the preferred date ranges when you would like to reserve the STARLAB:
First Choice (Date Range):
Second Choice (Date Range):
Do you have staff that needs Starlab training? (Starlab can only be operated by trained personnel).
If you need trained personnel, about how many would you like to train?
Which cylinders would you like sent with the STARLAB? (Maximum of 4) In case of duplicates, requests will be granted in the order they are received.
* Enter Your Email Address:
CESA 9 304 Kaphaem Road PO Box 449 Tomahawk, WI 54487 Phone: 715 453-2141 Fax: 715 453-7519 info@cesa9.k12.wi.us