ATTENTION: 2024 DOG LICENSES WILL GO ON SALE STARTING DECEMBER
Information
Please enter the necessary information in this form to continue with your payment. This information is necessary to complete your payment. All fields with
images next to them are required.
Dog License Application
- Annual
Owner Name (First Last):
Address:
City:
State:
Zip Code:
Township:
Daytime Phone:
Owner Date of Birth:
Owner over 65 or disabled:
No
Yes
Credit Card Information
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Cardholder Name:
Address:
City:
State:
Zip Code:
Email Address:
Credit Card Number:
Expiration Date (MMYY):
CVV2 Code:
Three-digit code on back of card