«Back About UsCaring For Our Community Donation Request Donation Request Marine Bank is currently accepting requests for both in-kind and monetary donations to nonprofit organizations and registered charities within Central Illinois. Specifically, we support local causes that provide financial education and literacy as well as causes that teach members of our communities the skills they need for financial independence. Once your form has been fully completed and submitted, we will consider your request based on the fit with our mission, timing and the other commitments we have made in that time frame. Because we receive so many inquiries, the best way to apply for a donation from Marine Bank is by completing and submitting our online donation request form. If you have additional information about your organization and/or event such as a flyer or brochure, please be sure to include it. Please remember: confidentiality cannot be guaranteed, you should never use regular e-mail to send sensitive information, including account numbers, passwords, or your Social Security Number. Please do not include sensitive information in this request for us to contact you. To send an email that contains confidential information, please visit the Secure Email Message Center where there are additional instructions about whether to use Secure Email or Online Banking messaging. Please remember: confidentiality cannot be guaranteed, you should never use regular e-mail to send sensitive information, including account numbers, passwords, or your Social Security Number. Please do not include sensitive information in this request for us to contact you. To send an email that contains confidential information, please visit the Secure Email Message Center where there are additional instructions about whether to use Secure Email or Online Banking messaging. Default Page Donation Request Information Organization Name Address City State Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Maryland Massachusetts Michigan Minnesota Mississippi Missouri Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Phone Number Website URL Social Media URL's Please enter your nine-digit tax exempt number Requester Full Name Email Address What kind of donation are you requesting? MonetaryItemOther (describe) If other kind of donation: If monetary, how much are you requesting? Have we made a donation to your organization in the last 12 months? YesNo Please tell us what geographical area your organization serves: Please tell us your organization’s purpose and/or Mission Statement: Is your request at least 90 days prior to date needed? YesNo Are you a Marine Bank customer? YesNo Is the requesting organization a Marine Bank customer? YesNo Is this donation a request for an event? YesNo If you answered yes to the previous question, please tell us about your event, including the event name, when, where and how many are expected to attend: If you answered no to the previous question, please tell us how you plan to use our contribution: Most importantly to us, tell us in detail how our contribution to your organization will help benefit the entire community: Completed Form (if applicable)