Pay Your Invoice

If you are paying a 2025 HIN Renewal Invoice, please use the payment form on myHIN.org. To access the new form, click here.

"*" indicates required fields

Organization Name*

Contact Name*

First Last

Email*

Phone*

Multiple invoices can be paid at once.

Invoice Number(s)*

Invoice Item/Description*

Invoice Total*

Total

Credit Card Details*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Credit Card Billing Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Signature*

Do not click the “Submit” button more than once. Doing so could result in duplicate charges to your credit card.

Phone

This field is for validation purposes and should be left unchanged.

The Health Industry Business Communications Council