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2. 
4. Pet Information:
6. Instructions

   Please submit information on this online form about your pet. Submitting this form does not complete the pet license process. 

   Dog owners: After you fill out and submit this form, you will be contacted with instructions on how to pay the annual fee. Once we have received your payment, your pet tag and paper license will be mailed to you.

   Cat owners: By submitting this online form, a paper license will be automatically mailed to you. If you area a new registrant, a pet tag and paper license will be mailed.

8. Pet Name*
10. Pet Gender*
    -- Select One --MaleFemale
11. Is your pet Spayed/Neutered?*
    -- Select One --YesNo
12. Color*
14. Breed*
16. Owner Information:
18. First Name
19. Last Name
21. Owner Address*
23. Owner City
24. Owner State
25. Owner Zip
27. Home Phone
28. Cell Phone*
29. Email Address
31. Veterinarian Information:
33. Rabies Tag Number*
34. Rabies Expiration Date
35. Microchip Number
37. Veterinarian Clinic Name
38. Veterinarian Name
39. Office Phone Number
41. For Office Use Below
45. Town Tag
46. Issued Date
47. Price
49. Expiration Date

    License is valid for January - December only)

Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field