hdh.org

Guest Payments

One-Time Payment by Credit or Debit Card

Customer IP
Date
Account Number*

  Enter a upper-case 'H' before the account number (acct # is referenced on your billing statement top right).

Confirm Account Number*

   Incorrect or partial account number may cause delay or denial of payment.

Payment Amount*
Card Processing Fee
Total Payment
Name as on Card*
Card Billing Address*
Card Billing Zip*
Card Number*
Card Expiration Date*
CVV2/CID*
Phone Number*
First Name*
Last Name*
Address*
Address 2
City*
State*
Zip*

Receive a Confirmation (yes/no)*

   If you select 'Yes' be sure to enter a valid email address below in order to receive a confirmation.

Enter Confermation Email Address

   If you do not receive a confirmation, contact the billing department before making another payment.

Payment Authorization*

Payment Authorization: You must be authorized to use the payment card. By selecting 'I Agree' and submitting payment information through this Service I agree to the terms and conditions of this Agreement and any documents incorporated by reference. I further agree that this User Agreement forms a legally binding contract between me and AR Billing Services and that this Agreement constitutes "a writing signed by you" under any applicable law or regulation. Any rights not expressly granted herein are reserved by AR Billing Services. I understand today's payment has been subject to a $5.00 card processing fee. I understand where card processing fees are prohibited by State law or statute the fee will be waived and the 'Total Charge' reflected on this form will be applied towards my balance. I understand there are no fees to pay by check. Please save or print this authorization for your records.

Please verify your account and payment information before submitting a guest payment. Incorrect information can cause denial or delay of payment. Refunds will be submitted on over-payments by mailing a paper check and once those funds have been received. Electronic Banking can take up to, but not limited to, 7 business days to fully process (funds are received by our bank). If you are not sure the guest payment completed, please contact the billing department before submitting another payment. If you make a double payment, each payment will be applied to your account/balance due.