Fresh Bucks Application and Acknowledgment for Produce Vendors
By completing and electronically signing this application I have entered into agreement to be an approved Fresh Bucks vendor. Approved produce vendors can accept Fresh Bucks for locally grown fresh fruits, vegetables, herbs, edible plants (including seeds) at farmers’ markets and/or other participating retail locations. I have verified that the information provided is true and correct. I agree to follow all requirements for Fresh Bucks stated in the Fresh Bucks Guide. If there are any changes to this application it is my responsibility to update my Fresh Bucks application. To contact the Fresh Bucks program, email at
Freshbucks@marionhealth.org
or call 317.221.3527
* Required
Year
*
Choose
2020
2021
2022
2023
2024
2025
Application status
*
New Application
Updated Application
Renewal
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms