2020 Dog License – Herbster, Wisconsin

Name *

First

Last

Email Address

Address Field

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Phone

#1 DOG'S NAME *

Township or Village where Dog #1 is Kept *

Breed of Dog #1 *

Color of Dog #1 *

Rabies Vaccination Number of Dog #1 *

Check One: *

Unaltered Male $12.00 Unaltered Female $12.00 Neutered Male $5.00 Spayed Female $5.00

Upload Proof of Rabies Vaccination for Dog#1 *

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#2 DOG'S NAME *

Township or Village where Dog #2 is Kept *

Breed of Dog #2 *

Color of Dog #2 *

Rabies Vaccination Number of Dog #2 *

Check One: *

Unaltered Male $12.00 Unaltered Female $12.00 Neutered Male $5.00 Spayed Female $5.00

Upload Proof of Rabies Vaccination for Dog#2 *

Select Image

#3 DOG'S NAME *

Township or Village where Dog #3 is Kept *

Breed of Dog #3 *

Color of Dog #3 *

Rabies Vaccination Number of Dog #3 *

Check One: *

Unaltered Male $12.00 Unaltered Female $12.00 Neutered Male $5.00 Spayed Female $5.00

Upload Proof of Rabies Vaccination for Dog#3 *

Select Image

ADDITIONAL INFORMATION

CHECK IF: You Previously Registered a Dog You No Longer Have:

My dog is deceased I no longer have this dog

Name and Breed of Dog You no Longer Have