Pay Your Annual Dues

Membership Dues are payable at the start of each calendar year. You may pay your dues by mail, or make your payment online.

To make your payment by mail, please download and complete the Membership Dues Invoice Form and send it to:

HIPSS
380-H Knollwood St., Suite 108
Winston-Salem, NC 27103

Pay Your Dues Online

Organization/Company Information
Company Name*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Office Phone*
Fax Phone
Primary Contact Name*
First Last
Primary Contact Email*
Choose Your Membership Plan
- Brown Bag Membership — $55.00/per year: includes an individual membership to HIPSS for one calendar year and no meal will be provided.
- Hot Lunch Membership — $140.00/per year: includes an individual membership to HIPSS for one calendar year and one prepaid meal at each monthly membership meetings (11 per year, no meeting in December).
- ½ Year Hot Lunch Membership (after June 30th) — $95/per year: includes an individual membership to HIPSS for July to December and one prepaid meal for each meeting (5 meals).
Membership Plan*
- Brown Bag Membership - $55/yr
Quantity*
You may register up to 4 members. If you would like to register more than 4 members, please use the mail-in form.
Please enter a number from 1 to 4.
Company Representative(s) That Will Attend Meetings*
First Last
Additional Member
First Last
Additional Member
First Last
Additional Member
First Last
Payment Details
Total
$0.00
Credit Card
Card Details
Cardholder Name