BLUE HAWK ACH Sign-up Form If you would like to receive your BLUE HAWK quarterly patronage dividends as Automated Clearing House (ACH) electronic payments instead of mailing you checks, please fill in the information below. "*" indicates required fields Payee/Company InformationCompany Name:* Address 1:* Address 2: City:* State:*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code:* First Name:* Last Name:* Email Address:* Confirm Email Address:* Phone:* Financial Institution InformationBank Name:* Bank Address:*Depositor Routing Number:* Depositor Account Number:* Account Type:* Checking Savings CAPTCHA 83682