2024 Band Trip - Student Account Payment Authorization
Please use (and reuse) this form to authorize the Varsity Band Boosters Organization to make trip payments from your student's account.  **It is your responsibility to regularly check your account balance with the Student Accounts Chairperson.** Payments cannot be made from delinquent accounts, or those that are carrying a debt for outstanding fees, etc.
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Διεύθυνση ηλεκτρονικού ταχυδρομείου *
Student Accounts Chairperson (2023-2024):
Shannon Valenti-Baker
(412) 266-2566
svalentibaker@gmail.com
Student First Name: *
Student Last Name: *
Parent/Guardian Phone: (xxx)-xxx-xxxx *
Please select the scheduled payment Due Date you wish to Authorize (ex. Deposit due 11/7/23).
PLEASE submit this form at least 10 days before an upcoming payment due date in order for your request to be processed in time.
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Please state the amount you wish to have deducted from your student's account ($___.__). 
Partial payments or a combination of payments (by check, bank draft, credit card, student account, etc.) are acceptable, per the terms of the online GroupCollect payment portal.
Remember, accounts MUST be in good standing to authorize a payment by the Boosters.
 *
Ένα αντίγραφο των απαντήσεών σας θα σταλεί μέσω ηλεκτρονικού ταχυδρομείου στη διεύθυνση που παρείχατε.
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