Pre-Authorized Credit Card Form

By clicking Submit, I authorize Southwest Soccer Academy to automatically charge this credit card on the first day of each month starting from July 1, 2021 for the amount due shown on my monthly invoice/statement.  A receipt for each payment will be sent upon successful processing. I may revoke my authorization at any time in writing or by phone, subject to providing notice of at least ten (10) business days. Revocations should be sent to
By clicking Submit, I agree with the Terms of Use.