ARVTS REGISTRATION FORM

Print out this page, fill it out, and send with appropriate deposit to:

Assisted Recreation & Vacation Travel Services
40 Woodbridge Avenue
Sewaren, New Jersey 07077

For further information, call (732) 636-6711 or e-mail ARVTS at ddanj@aol.com.

You may register for more than one package at a time by printing and filling out multiple forms. Be sure to send all required deposits.

Name of Vacation Package:

 ______________________________________________________________

 Date of Vacation Package: _________________________________________

 Name of Travel Guest: _____________________________________________

 Phone #_(______)____________________________________

Emergency Tel #_(______)_____________________________

Address: ______________________________________________________________

 Email: ____________________________________

 Does our guest require a wheelchair?    Yes _______ No _______

Is a lift van required?    Yes______ No______

If so, call for possible additional charges.

 Contact Person & Agency, if applicable:

 X)____________________________________________________________

X______________________________________________________________

Please Note:
Vacation guest must be in possession of a Photo ID from a government source (e.g., Dept. of Motor Vehicle Non Drivers License ID) or a USA Passport.

Registration & Deposit Deadlines:
Day Trips:
Payment in full upon registration one (1) month prior to date of excursion.

Packages Via Rail, Airplane, Cruise Ship or Van:
50% deposit required with registration two (2) months prior to departure.    Payment in full one (1) month prior to departure.