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DOG LICENSE
Dog License
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Payment will be done in office once form is submitted.
Printable Version
Dog License
OWNER INFO
*
Name
*
Phone Number
*
Mailing Address
*
City, State, Zip Code
PET INFO
*
Name
*
Sex
*
Date of Birth
*
Breed
*
Color
*
Markings
*
Weight
Spayed or Neutered
Please Choose One
Yes
No
*
Veterinarian
Is Your Animal Microchipped?
Please Choose One
Yes
No
Microchip #
Rabies #
*
Effective Start Date
Effective End Date
PLEASE PROVIDE A COPY OF THE SHOT RECORD FOR FILES
-
-
LICENSE FEE $10.00
MUST HAVE PROOF FROM THE VET
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