Use this page to process payments for Canadian Health Systems' services. Please include your organization name in the comments and select the service being purchased from the list provided.

IMPORTANT NOTICE

By submitting a payment on this form, you agree, understand and accept that there is no refund or cancellation to services purchased from CHS Inc through the online payment form. All transactions are final. By submitting your payment you agree to these terms. For any questions related to this policy, please contact your account manager prior to submitting your payment.


Please select the service you are purchasing:
How many locations are you renewing/upgrading:
Please enter additional comments or instructions:
(List locations if applicable)


Billing Address
  Name:
Phone Number:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
Email Address:
Payment Information
 
Sub Total:
Tax (13%):
Total Amount Due: (Max. $5000/transaction)
Name on Card:
Credit Card Type:
Credit Card Number:
Expiration Date: /
Credit Card CVD:    What's this?