More Options

Secure Email/Contact Us Form

Use this form to securely email us information, ask account questions, or send us requests.

Apply for a Consumer Loan

Apply for a consumer loan. We welcome all residents of the United States to apply.

Bill Pay Activation Form

Use this form to request access, via online banking, to enroll in Bill Pay.

Bill Pay Account Additions

Use this form to add a Mid Penn Bank checking account to your current Bill Pay profile. If you need any other assistance with Bill Pay, please call us at 717-896-5399.

Change of Address Form

Use this form to securely communicate a change of address. Please be sure to submit a change of address for all members residing in your household that will require the change of address update.

Consumer Visa® Debit Card Application

Use this form to request a Consumer Check Card application. Please use this form to order a card if you do not already have a card. If you need to order a replacement card for any reason, please do not submit an application, but rather call us at 717-896-5398.

eStatement Enrollment Form

Use this form to enroll accounts in eStatements that you are not able to enroll online. You must be an owner of the account to enroll the account for eStatements. Once enrolled, you will no longer receive paper statements. You will receive an email message alerting you when statements are available to view/download via your online banking login.

External Transfer Enrollment Form

Use this form to request to have External Transfer activated in your online banking profile. External Transfer service allows you to easily move funds between personal accounts at Mid Penn Bank and other financial institutions where you are an account owner of other non-Mid Penn Bank personal accounts. You MUST be an account owner on all accounts linked for External Transfer.