Your tags will be sent to address submitted.

Please provide the following contact information

Owner Name
Address
City
State/Province
Zip/Postal code
Home Phone
Work Phone
Cell Phone
E-mail
Physical Address if different then mailing

Please provide the following animal information:

Current Rabies Certificate or Rabies Titer
not required for License, but highly recomend.

License must be attached to collar at all times unless microchiped

* Information required for Licensing

Please select applicable information

*Animal name
*Age, Breed, and color
*Sex, Male (unaltered)
*(Neutered Male)
*Sex, Female (unaltered)
*(Spayed Female)
Rabies Tag#
Rabies Tag Expiration Date and Clinic
Microchip# and brand or tattoo# and location

	BILLING/PAYMENT INFORMATION
Check being sent
Creidt card on line

Please check applicable boxes below
and enter total

Dogs:

Neutered/Spayed Dog $10.00

Non-Neutered/Non-Spayed Dog $55.00

Lifetime $50.00 "The animal must be micro chipped and spayed and neutered in order to get a lifetime license"

Cerified Assist Dog for Disabled (with free renewal every 3 years with proof of rabies vaccination $15.00

AKC Good Citizen Certificate , less 10%

Impound Dog (Double licensing Fee)

Cats:

Neutered/Spayed Cat $10.00

Non-Neutered/Non-Spayed Cat $55.00

Lifetime $50.00

 

Other:

Replacement Tags (All licenses) $5.00

Total Fee Charged

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