Dog License Form
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1
2DOG LICENSE FORM
ALL INFORMATION MUST BE FILLED OUT TO RECEIVE A LICENSE.
If not filled out COMPLETELY you will not receive a license for your dog (s).
($8.00 NOT SPAY OR NEUTER, $3.00 SPAYED OR NEUTERED)
DOG OWNERS NAME: __________________________ ADDRESS: _____________________________________
1. NAME OF DOG: ______________________
BREED: _____________________________
COLOR: _____________________________
SPAYED OR NEUTERED (circle one)
DATE OF RABBIES VAC.
VACCINE MFG NO.
SERIAL NUMBER
RABIES VAC. EXPIRATION DATE
___________________
_______________
_________________
____________________
2. NAME OF DOG: ______________________
BREED: _____________________________
COLOR: ____________________________
SPAYED OR NEUTERED (circle one)
DATE OF RABBIES VAC.
VACCINE MFG NO.
SERIAL NUMBER
RABIES VAC. EXPIRATION DATE
__________________
_______________
________________
_____________________
3. NAME OF DOG: ______________________
BREED: _____________________________
COLOR: _____________________________
SPAYED OR NEUTERED (circle one)
DATE OF RABBIES VAC.
VACCINE MFG NO.
SERIAL NUMBER
RABIES VAC. EXPIRATION DATE
__________________
_______________
________________
_____________________
4. NAME OF DOG: ______________________
BREED: ____________________________
COLOR: _____________________________
SPAYED OR NEUTERED (circle one)
DATE OF RABBIES VAC.
VACCINE MFG NO.
SERIAL NUMBER
RABIES VAC. EXPIRATION DATE
__________________
______________
________________
___________________________
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