Get Mauch Chunk Trust

Benefiting party/organization if different from above 6. How will our donation benefit your organization and/or the community Amount requested Date funds are needed by Check made payable to As part of our Charitable Giving Policy we request someone from your organization be present at an MCT branch to collect any donation and pose for a publicity photograph with a member of the bank staff. Please provide the name and phone number of the person who can represent your company Name Phone Date Signature of person requesting donation Mauch Chunk Trust Company 1111 North Street Jim Thorpe PA 18229 570-325-2265 mauchchunktrust. Donation Request Form The focus of MCT s charitable giving activities will be to invest in local programs organizations and initiatives that contribute to the strength and vitality of the communities we serve. MCT will consider providing support for causes involved in education youth programs emergency services health-care initiatives services for the elderly programs for homeless or low-to moderate income families and neighborhoods people with disabilities cultural arts and affordable housing* All programs/organizations must provide support within our market area* MCT will not support individuals religious entities except for support of charitable or scholarship programs beauty pageants forprofit organizations political organizations or candidates employment unions organizations that provide support predominantly outside of our market area or organizations raising funds primarily for their administrative budget. Name of organization Address Phone Fax Contact Person e-mail 1. Describe your organization mission/focus 2. Is organization non-profit Yes q No q 501 c 3 q 501 c 3 number 4. Please describe your request including any event dates and ad sizes q Cash donation q Program advertisement q Golf Foursome q Other 5. Donation Request Form The focus of MCT s charitable giving activities will be to invest in local programs organizations and initiatives that contribute to the strength and vitality of the communities we serve. MCT will consider providing support for causes involved in education youth programs emergency services health-care initiatives services for the elderly programs for homeless or low-to moderate income families and neighborhoods people with disabilities cultural arts and affordable housing* All programs/organizations must provide support within our market area* MCT will not support individuals religious entities except for support of charitable or scholarship programs beauty pageants forprofit organizations political organizations or candidates employment unions organizations that provide support predominantly outside of our market area or organizations raising funds primarily for their administrative budget. MCT will consider providing support for causes involved in education youth programs emergency services health-care initiatives services for the elderly programs for homeless or low-to moderate income families and neighborhoods people with disabilities cultural arts and affordable housing* All programs/organizations must provide support within our market area* MCT will not support individuals religious entities except for support of charitable or scholarship programs beauty pageants forprofit organizations political organizations or candidates employment unions organizations that provide support predominantly outside of our market area or organizations raising funds primarily for their administrative budget. Name of organization Address Phone Fax Contact Person e-mail 1. Describe your organization mission/focus 2.