Confidential Customer Application
Your cooperation in providing this confidential information will help us to establish your
new account or update your existing account and better serve your future business needs.
Credit Card Terms Billing Information
Legal Company Name*
Trade Name / DBA*
Federal Tax ID #*
Sales tax status for this address
Please check one:
Accounts Payable Contact*
Do you require purchase order numbers on your invoices?
Yes No How would you like to receive your invoices?
Email Fax US Mail to your billing address SHIPPING INFORMATION
Check here if your shipping address is the same as your billing address
How do you want to pay us?
All invoices are due 30 days from the date of shipment. Restrictions may be placed on past due accounts.
800 Nicollet Mall
Minneapolis, MN 55402
Account Name: Hawkins, Inc.
Account Number: 180120759469
ABA/Routing Number: 091000022
Swift Code: USBKUS44IMT
Type of Account: Corporate Checking
- CTX (Corporate Trade Exchange) is our preferred method. Please remember to include in the addendum the document numbers pertaining to the payment.
- For other than CTX, the remit to information may be emailed to
Remit to Address:
PO Box 860263
Minneapolis, MN. 55489-0263
1. Bank Name*
Depository Account #*
Loan Account #*
Line of Credit #*
*Please provide signed bank authorization form.
The preceding information is for the purpose of obtaining credit and is warranted to be true. I/we hereby authorize Hawkins, Inc. and its affiliated companies to investigate all trade references and banking information. I/we authorize all trade references and listed banks to provide all requested information to Hawkins, Inc. and its affiliated companies. I/we further authorize Hawkins, Inc. and its affiliated companies to file UCC Financing Statements in such jurisdictions and covering such collateral.
All amounts due for purchases from Hawkins, Inc. are payable at PO Box 860263, Minneapolis, MN 55486-0263. It is further agreed that this agreement is entered into the state of Minnesota and is governed by the laws of the state of Minnesota. In the event of default and if this account is turned over to an agency for collect ion, the undersigned agrees to pay all reasonable attorney fees and/or costs of collect ion whether or not suit is filed. I/we understand that I/we must notify Hawkins, Inc. and its affiliated companies in writing of any change in ownership, the name of the business or structure of the business under which credit is established. Applicant’s signature certifies that all information provided by Applicant is true and correct, attests financial responsibility, and willingness and ability to pay in accordance with the above terms and Standard Terms and Conditions of Sale, which can be found at https://dev.hawkinsinc.com/terms-and-conditions/. Sign off
Person Completing Application
Authorized Electronic Signature*
INCOMPLETE APPLICATION MAY DELAY PROCESSING
The Federal Equal Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (providing the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with law concerning this credit is the Federal Trade Commission, Division of Credit Practices, 6th and Pennsylvania Avenue NW, Washington DC 20580.
Upon submission, please call your sales representative with your payment/credit card information to complete your application
By clicking "SUBMIT" below, I confirm that I am at least 16 years of age.