COPY OF CURRENT RABIES VACCINATION & SPAYING/NEUTERING CERTIFICATE , SELF-ADDRESSED STAMPED ENVELOPE (if mail-in) and FEE (Payable to “TOWN OF ORLEANS”)
MUST ACCOMPANY THIS DOG REGISTRATION FORM FOR EACH DOG.
NAME: PHONE:
STREET ADDRESS:
1st DOG’S NAME: AGE: COLOR: BREED:
CIRCLE ONE: Male $12 Neutered Male $6 Female $12 Spayed Female $6 2nd DOG’S NAME: AGE: COLOR: BREED:
CIRCLE ONE: Male $12 Neutered Male $6 Female $12 Spayed Female $6
3rd DOG’S NAME: AGE: COLOR: BREED:
CIRCLE ONE: Male $12 Neutered Male $6 Female $12 Spayed Female $6
LICENSES ARE DUE ANNUALLY BEFORE MARCH 1st. Late fee $5 after March 1st Late Fine $25 after June 1st
MAIL TO: Town Clerk, 19 School Road, Orleans, MA 02653
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