PR 3030-1 MVP & Campground Registration Fee Envelope Smaple 5-21.pdf
PDF 263 KB Posted
- Attached to
- PR 3030-1
- Solicitation number
- RFQ 171 210000000317 1
- Issued by
- Arenac County, Michigan
About this file
This document is a self-registration envelope sample for the Michigan Department of Natural Resources Parks and Recreation Division, designed to facilitate vehicle entrance passport and campground permit/tag registration at state parks and forest campgrounds. The envelope serves as both a registration form and payment collection mechanism for visitors seeking access to Michigan's recreational facilities. The form requires customers to provide comprehensive information including name, address, telephone number, license plate number and expiration date, arrival and departure dates, campsite number, number of occupants, and number of nights for campground stays. The self-registration system eliminates the need for on-site staff interaction, allowing visitors to complete registration independently and deposit payments directly into designated drop pipes or at office locations.
The envelope structure accommodates multiple fee categories including Michigan registered vehicle plates, Michigan registered motorcycle plates, out-of-state daily vehicle plates, and out-of-state annual vehicle plates, with itemized cost calculations for both recreation passport fees and camping registration fees. Payment is accepted only in cash or check form, with checks made payable to the State of Michigan. All enclosed amounts are deposited in full, and customers may request confirmation, refund, or adjustment within 45 days by contacting the local office. Recreation passports are mailed to the address provided by the customer, camping is permitted only in designated areas, checkout time is 1:00 p.m., and the revenue collected supports the operation and development of the Michigan State Parks and Recreation System. The envelope is issued under authority of Act 451, 1994 PA 451, as amended, with a designated contact number of (517) 284-7275 and website reference to www.michigan.gov/dnr.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| State of Michigan Print Mail Management Terms Conditions.docx | DOCX document | |
| PR 3030-1 Env sample.pdf | ||
| 2021 PR 3030-1 MVP & Campground Registration Fee Envelope DISTRIBUTION LIST MAY 2021.xls | XLS spreadsheet | |
| PR-3030-1 MVP & Campground Registration Fee Envelope 5-21.docx | DOCX document |
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Text version
3.25”x7.5” Remit
GRIPPER
GU
ID
E
3.25”x7.5” Remit Sheet: 10”x11”
Die Cut
Folds Michigan Department of Natural Resources
Parks and Recreation Division
SELF-REGISTRATION
NAME AND ADDRESS REQUIRED – Please Print Clearly Today’s Date Telephone
Customer Name
Address
City, State, ZIP
Plate expiration monthLicense Plate No.
Michigan Department of Natural Resources Parks and Recreation Division
SELF-REGISTRATION
VEHICLE ENTRANCE PASSPORT AND/OR
CAMPGROUND PERMIT/TAG
Issued by authority of Act 451, 1994 PA 451, as amended.
Failure to comply may result in prosecution.
Telephone: (517) 284-7275 www.michigan.gov/dnr Please Print Clearly Today’s Date
Customer Name
Campsite No.
Departure Date
DETACH AND PLACE
AS DIRECTED BELOW
Michigan Department of Natural Resources Parks and Recreation Division
SELF-REGISTRATION
EHICLE ENTRANCE PASSPORT AND/OR
CAMPGROUND PERMIT/TAG
Failure to comply may result in prosecution.
from posted fee schedule.
place on site post at State Forest Campground place on dashboard if visiting any other location.
pipe or at office. Credit cards not accepted through Self-Registration.
address provided.
Request for confirmation, refund, or adjustment to this envelope can be made within 45 days by contacting the local office.
Your user fees provide for the operation and development of the
Thank you.
ENCLOSE FEE IN ENVELOPE
3030-1 (Rev. 10-15/2015)
DNR USE ONLY
Amount Enclosed
DNR Initials DNR Initials
Discrepancy Over/Short Amount
Camp Registration/Receipt Number(s)
Recreation Passport Number(s)
Date Mailed/Processed
Refund to Customer Customer Initials
C O
M P
L E
T E
B O
T H
S
ID
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O F
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V E
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IT
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IC
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PGROUND R
EGISTRATION
Please Print Clearly
Park/Cam pground Nam e
Arrival Date Departure Date
Type of Cam p Unit
Cam psite No.
No. of People
No. of Nights Cost Per Night
(x) Total
ECREATION P
ASSPORT
EQUIRED ON ALL VEHICLES FOR ENTRY
License Plate No.
M onth of Plate Expiration
ICHIGAN
ICHIGAN R
EGISTERED VEHICLE
LATE
Q ty
(x)
ICHIGAN R
EGISTERED M
OTORCYCLE
LATE
O
UT OF S
TATE
UT OF S
TATE R
EGISTERED VEHICLE
LATE -DAILY
UT OF STATE R
EGISTEREDVEHICLE
PLATE -ANNUAL
AYM
ENT E
NCLOSED
ake check payable to: “State of M ichigan”
AM
PING R
EGISTRATION FEE
ECREATION P
ASSPORT FEE
TOTAL FEES
COM
PLETE BOTH SIDES OF ENVELOPE
E N
C
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C A
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IT IN
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ichigan D epartm ent of N atural R esources
Parks and R ecreation D ivision
S
ELF-R
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ISTR
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EH
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IT/T
A
G Issued by authority of Act 451, 1994 PA 451, as am ended.
Failure to com ply m ay result in prosecution.
Telephone: (517) 284-7275 w w w .m ichigan.gov/dnr
Please Print C learly
Today’s D ate ustom er Nam e am psite No.
eparture Date
ETA
C H
A N
D
PLA
C E
A S D
IR
EC
TED
B
ELO
W ichigan D epartm ent of N atural R esources
Parks and R ecreation D ivision
S
ELF-R
EG
ISTR
A
TIO
N V
EH
IC
LE
E
N
TR
A N
C E P
ASSPO
R
T AN
D/O
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AM
PG
R O
U N
D P
ER
M
IT/T
A
G Issued by authority of Act 451, 1994 PA 451, as am ended.
Failure to com ply m ay result in prosecution.
1. C alculate vehicle passport and/or cam ping fees from posted fee schedule.
2. C om plete ALL inform ation, detach perm it/tag place on site post at State Forest C am pground place on dashboard if visiting any other location.
3. Enclose fee in envelope and deposit in drop pipe or at office. C redit cards not accepted through Self-R egistration.
4. R ecreation Passport(s) w ill be m ailed to address provided.
5. C am ping perm itted in designated areas only.
6. C heck out tim e 1:00 p.m
7. Entire am ount enclosed w ill be deposited.
R equest for confirm ation, refund, or adjustm ent to this envelope can be m ade w ithin 45 days by contacting the local office.
8. R etain this receipt.
Your user fees provide for the operation and developm ent of the
M ichigan State Parks and R ecreation S ystem
Thank you.
000000
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