Site 3 Monthly Payment - Site 3 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. !! Click Here to SEE COMPLETED FORM !! Save and Continue link used is expired or invalid. Miller’s Kampark will not share or sell any of our site rental customers information.Name* First Last Email* Phone*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* MM slash DD slash YYYY (Completed, Make No Changes)Date Out* MM slash DD slash YYYY (Completed, Make No Changes)RV Site Rental Cost (Completed, Make No Changes)Manager Initials* Starting Reading*(Completed, Make No Changes)Ending Reading*(Completed, Make No Changes)Electric Amount* Price: $0.00 1.5% Convenience Fee* Price: $0.00 Total Charge Payment (Customer Complete)* DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name If you need assistance, please call 816-781-7724 Thank you, Miller’s Kampark Management
