Town and Country receives numerous requests from community organizations for donations, sponsorships or participation in special events. We give careful consideration to whether requests support Town and Country’s mission to empower the financial well-being of our communities, one person at a time. We strive to meet the financial needs in all segments of our communities, including low-and-moderate-income neighborhoods. Support preference will be given to organizations focused on:

  • Providing affordable housing for low and moderate income individuals. 
  • Provide community service activities directly benefiting those low-and moderate-income members of our communities.
  • Revitalizing or stimulating low-and-moderate income areas.
  • Teaching financial literacy.

Completion of this request form does not guarantee your request will be funded. If you have a question about the form, please contact Support@TownandCountryBank.com or call 1-866-770-3100.

Thank you for contacting Town and Country. We will contact you within two weeks of receiving your request. A confirmation email will be sent to the email address supplied.

Request Form

  • Date

    OKDate is required
  • OKEvent Name is required

Contact Information

  • OKName of Organization is required
  • OKContact Person is required
  • Phone (work)

    --
    OKPhone (work) is required
  • Phone (mobile)

    --
    OKPhone (mobile) is required
  • OKEmail is required
  • OKAddress is required
  • OKCity is required
  • OKState is required
  • OKZip Code is required

Organization Information

  • Is your organization a 501c(3) nonprofit or other tax-exempt organization?

    OKIs your organization a 501c(3) nonprofit or other tax-exempt organization? is required
  • OKOranization website is required
  • OKOrganization mission is required
  • OKOrganization Cities/Counties Served is required

Request Information

  • Type of Support Requested

    OKType of Support Requested is required
  • OptionalOKAmount Requested is required

Community Support Information

  • OKBrief description of how your request supports one or more of these initiatives: 1) Providing affordable housing for low and moderate income individuals; 2) Provide community service activities directly benefitting those low-and moderate-income members of our communities; 3) Revitalizing or stimulating low and moderate income areas; 4)Teaches financial literacy. is required

Town and Country Information

  • Is anyone at Town and Country Financial Corporation (Town and Country Bank or Peoples Prosperity Bank) on your organization's board or involved with this initiative?

    OKIs anyone at Town and Country Financial Corporation (Town and Country Bank or Peoples Prosperity Bank) on your organization's board or involved with this initiative? is required
  • Will Town and Country receive any publicity or recognition for this donation?

    OKWill Town and Country receive any publicity or recognition for this donation? is required
  • Has Town and Country provided support for your organization in the past?

    OKHas Town and Country provided support for your organization in the past? is required
  • If a Town and Country sponsorship/contribution is provided, the use of those dollars is to be restricted to the prupose stated in this online sponsorship and funding request application. Do you accept this restirction of funding?

    OKIf a Town and Country sponsorship/contribution is provided, the use of those dollars is to be restricted to the prupose stated in this online sponsorship and funding request application. Do you accept this restirction of funding? is required
  • To submit electronic documents, please click here.

  • OK is required