Non-profit organizations may request monetary donations from Mifflinburg Bank & Trust by 
completing a donation request form and W-9 form.

DONATION REQUEST FORM

W-9 FORM

Forward the completed forms to your community office, email to: Taylor Sprenkle or mail to: 
Mifflinburg Bank & Trust, Attention: Taylor Sprenkle, 250 E. Chestnut St., Mifflinburg, PA 17844.