Credit Card Payment Form
One Time Payment
Payer Full Name
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Paying on Behalf of:
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Myself
A Student-Athlete
A Team
A Coach/Staff Member
Other
Name of Student-Athlete, Team, Coach/Staff Member, or Other you are paying on behalf of:
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Event
*
Foreign Tour
Paradise Jam
UniUSA - 2026 FISU Americas - Lima
UniUSA - 2026 World University Championships
UniUSA - 2027 Winter World University Games
UniUSA - 2027 Summer World University Games
Other
Sport
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Additional Details of Payment:
This one time payment is for the above named person, university, or organization.
Payment Amount
*
Amount + 3% credit card fee
Amount Paying
Name
First Name
Last Name
Amount + 3% credit card fee
*
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USD
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
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February
March
April
May
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September
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Expiration Month
Expiration Year
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2027
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2033
2034
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2044
2045
Expiration Year
Email
*
example@example.com
Billing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
By signing below I hereby authorize BTI Events to charge my credit card for the amount shown for a one time payment.
Authorization Signature
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