Customer Credit Application

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.

Please Select Term:CODOpen Terms

Billing Information

Legal Company Name*

Trade Name / DBA*

Parent Company*

Federal Tax ID #*

Duns #

Phone #*

Fax #

Billing Addr1*

Billing Addr2

Billing City*

Billing State*

Billing Zip*

Sales tax status for this address

Please check one:

TaxableExempt

Accounts Payable Contact*

Phone #*

Fax #

Email Address*

Do you require purchase order numbers on your invoices?

YesNo

How would you like to receive your invoices?

EmailFaxUS Mail to your billing address

Email or Fax #

SHIPPING INFORMATION

Check here if your shipping address is the same as your billing address Same

Shipping Name

Shipping Addr1*

Shipping Addr2

Shipping City*

Shipping State*

Shipping Zip*

Sales tax status for this address

Please check one:

TaxableExempt

Purchasing Contact*

Phone #*

Fax #

Email Address*

How would you like to receive our MSDS?

EmailFaxUS Mail to your billing address

Email or Fax #

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/.

How would you like to receive our SDS (Safety Data Sheet)?

EmailFaxUS Mail to your billing address

Email or Fax #

PAYMENT TERMS

Net 30 Days (all invoices are due 30 days from the date of shipment. Restrictions may be placed on past due accounts).

How would you like to pay us?

ACHCheck

All invoices are due 30 days from the date of shipment. Restrictions may be placed on past due accounts.

Financial Institution:

US Bank
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

ACH Payments:

- 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 Credit.Dept@Hawkinsinc.com

Remit to Address:
Hawkins Inc
PO Box 860263
Minneapolis, MN. 55486-0263

Banking Reference(s):

1. Bank Name*

Contact Name*

Depository Account #*

Phone #*

Loan Account #*

Fax #

Line of Credit #*

Email Address*

Additional Reference

2. Bank Name

Contact Name

Depository Account #

Phone #

Loan Account #

Fax #

Line of Credit #

Email Address

*Please provide signed bank authorization form.

Trade Reference(s):

Company Name

Phone #

Account #

Fax #

Additional Reference

Company Name

Phone #

Account #

Fax #

Additional Reference

Company Name

Phone #

Account #

Fax #

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

Title

Authorized Electronic Signature*

Title*

Additional Attachments

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 18 years of age.

Our Mission

Our mission is to supply high quality products and innovative solutions with an exceptional level of customer service. We will adapt quickly to the changing needs of our customers with a keen focus on technical expertise, teamwork, safety, and responsible care of the environment and of our community while striving to maximize long-term shareholder value.

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