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This request form is for the Merchants & Farmers Banks in MISSOURI.

The Merchants & Farmers Bank can provide you with brochures or applications upon your request. Provide us with your name and address below, and we'll mail the requested forms and/or brochures to you.

Please note: The information you send using this form is not encrypted. While it is highly unlikely the information would be intercepted, we recommend you avoid sending confidential information.

You're privacy is important to us. The information you submit on this form is for the purpose of providing you with the information you have requested only. Your information will not be sold or distributed by The Merchants & Farmers Bank to any other agency.

Please provide your name and mailing address.
Name: *
Daytime phone:
Email: *
Check this box for a bank representative to contact you by phone.

Please check each form/application you would like to receive.
New Account Application
Residential Home Loan Application
Consumer Loan Application
Brochure: IRA: Discover the Benefits of a Roth IRA
Brochure: FDIC: Your Insured Deposit

Please click the "SUBMIT" button to send your request.