Credit Card

Credit Card Authorization

Your credit card information will be given to the KOA Kampground for authorization and processing within 48 hours.

Please provide the following contact information:

First name

Last name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

E-mail

Please provide the following ordering information:

BILLING

Credit card

Cardholder name

Card number

Expiration date

How much would you like to have charged to your credit card?

Please list which of your family members you are paying for and who will be in each type of kabin or tent kamping spot. If you are including your food payment, please detail how much and for whom:

First name
Last name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
E-mail

	BILLING
Credit card
Cardholder name
Card number
Expiration date

Copyright information goes here. Last revised: June 09, 2001

Copyright information goes here.
Last revised: June 09, 2001