ATTENTION: 2019 DOG LICENSES WILL GO ON SALE STARTING DECEMBER

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Dog License Application  - Annual


Required Owner Name (First Last):

Required Address:

Required City:

Required State:

Required Zip Code:

Required Township:

Required Daytime Phone:

Required Owner Date of Birth:

Required Owner over 65 or disabled:
Credit Card Information
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Required Cardholder Name:
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Required City:
Required State:
Required Zip Code:
Email Address:
Required Credit Card Number:
Required Expiration Date (MMYY):
Required CVV2 Code:  Three-digit code on back of card