Clone of Produce Pals Form

Cluck Bucks Market Vendor Agreement

Two $5 tokens per adult per day for the purchase of local protein options including meat,
eggs, nuts and unsweetened nut butters.

Eligible Vendors

● All vendors who sell eligible products can participate in the Cluck Bucks Market program.

Eligible Products:

Rules:

Participants must self attest to income level less than or equal to 80% of Area Medium Income
Two $5 tokens are provided to eligible participants
Tokens are to be used the same day as issued
Each participant will be recorded on the market manager sign-up sheet
No change can be given for tokens.

Reimbursement

● Vendors turn in the tokens that they collect at the end of the Market day along with SNAP tokens, DUFBs, and other currencies.

Reimbursements will be processed using the same methods that are in place for SNAP and DUFB reimbursements.

Vendor Name

First NameLast Name

Farm Name

Signature

Date