Lafayette Community Bank

Community Rewards Program

Add your Organization

If your local community organization is a registered non-profit or school, and you would like to add your organization's name to our Community Rewards database, please fill out and print the form below. You may mail or bring the completed form to one of Lafayette Community Bank's Offices. There is absolutely no cost to be added to the Community Rewards Program, and it's extremely easy.

Organization Name:

Address:

City:

State:

Zip Code:

Federal Employer ID (EIN): -

Tax Exempt Status: 501(c)(3)
Public School
Other

Phone Number:

Email Address:

Contact Name:

Contact's Title:

*Adding your organization's name to our database does not constitute any obligation on the part of Lafayette Community Bank or its agents, employees or assigns.

Organization Name:
Address:

City:
State:
Zip Code:
Federal Employer ID (EIN):	-
Tax Exempt Status:	501(c)(3) Public School Other
Phone Number:
Email Address:
Contact Name:
Contact's Title: