Site 19

Monthly Payment - Site 19

FORM is COMPLETED for you. You ONLY NEED to SELECT YOUR PAYMENT METHOD AND FOLLOW INSTRUCTIONS.

CLICK THE BUTTON BELOW TO SEE YOUR COMPLETED PAYMENT FORM.

"*" indicates required fields

Miller’s Kampark will not share or sell any of our site rental customers information. Site-19

Name*

First Last

Email*

Phone*

Please review Terms of Service Page.

Payment Method

Cash

Check

Credit/Debit Card

REVIEW FORM & PROCESS YOUR PAYMENT
Complete form with your credit card information and submit form.
You will receive an email with all your payment details for your records.

REVIEW & SUBMIT FORM, PROCESS YOUR PAYMENT AT THE PARK KIOSK.
You will receive an email with all your payment details for your records.

Site Number*

Date In*

(Completed, Make No Changes)

Date Out*

(Completed, Make No Changes)

RV Site Rental Cost

(Completed, Make No Changes)

Manager Initials*

Manager Payment Option

YES

Starting Reading*

(Completed, Make No Changes)

Ending Reading*

(Completed, Make No Changes)

Electric Amount*

Price: $0.00

1.5% Convenience Fee*

Price: $0.00

3% Mangers Facilitation Convenience Fee*

Price: $0.00

Total Charge

Payment (Customer Complete)*

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

If you need assistance, please call 816-781-7724

Thank you, Miller’s Kampark Management

Your are Required to Join our Text List.

Text “KAMPARK” to 844-650-1597*

This is used to communicate Important Information with all of our rental site campers.