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Pet Tag Submission Form

Please complete this form to obtain a tag for your dog or cat. Call 705-634-2145 to arrange payment.

Name:

Pet Name:

Age of Pet:

Sex:

Neutered:

Special Markings

Colour:

Dog Breed:

Breed Other:

Phone No:

Email:

For Office Use Only:

License fee of $____________dollars received this ________day of _________________ 20______.

Tag No: _______________ Year: _______________.

Fee Collector: _______________________________.

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