ONLINE PAYMENT | JUVENTUS ACADEMY SAINT LOUIS & OLYMPIA

Welcome to the online payment platform for Olympia and Juventus Academy Saint Louis. Please follow the steps below to enter payment for one of our upcoming events. All payments will be processed online through our secured virtual terminal.

If you have any questions, please contact:

CHRIS TIGER | League & Tournament Director
Phone: (636) 429-1908

E-Mail: tournaments@juventusacademystl.com

THANK YOU for your support of our event!

TEAM PAYMENT

Name of Event *

Coppa Europa 3v3 (June 2021)

Coppa America (July/Aug 2021)

Futsal Feast (November 2021)

Winter Indoor League (2021-2022)

Age Group *

Tournament/League Team Name *

Team Gender *

Female

Male

AMOUNT TO PAY *

Head Coach Name *

Coach Cell *

Coach E-Mail *

Team Contact Name *

Contact Cell *

Team Contact E-Mail *

ADDITIONAL TEAMS

If you are paying for additional teams, from the team listed above, please include their information here. During the payment portion of this form, please add up the total for all teams listed and place that information on the "Amount to Bill" section.

Additional Team Name

Age Group

Team Gender

Female

Male

Amount to Pay

Additional Team Name

Age Group

Team Gender

Female

Male

Amount to Pay

Additional Team Name

Age Group

Team Gender

Female

Male

Amount to Pay

COMMENTS/NOTES

PAYMENT OPTIONS

DEBIT/CREDIT CARD PAYMENT OPTION

Name on Card

Credit Card Type

Credit Card Number

Exp Date (mm/yy)

Security Code

Billing Zip Code

TOTAL AMOUNT ($)

<<<< A 5% card processing fee will be added to your total

eCheck PAYMENT OPTION

Name on Bank Account

Name of Bank

Routing #

Account #

Billing zip code

AMOUNT TO BILL

<<<< NO additional fees will be added to your total

PAYMENT AUTHORIZATION

Payment Authorization *

I understand and authorize KARIDIS GROUP INTERNATIONAL (parent company of Olympia and Juventus Academy Saint Louis) to process my payment online using the information listed above.

Payment Authorization *

I understand that the payment will show on my statement as KARIDIS GROUP INTERNATIONAL (parent company of Olympia and Juventus Academy Saint Louis).

First & Last Name *

Date (MM/DD/YYYY) * +

Signature *

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