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Dog Registration

  1. CITY OF LE MARS, IOWA - DOG REGISTRATION

  2. FEE/DOG: $10.00 One (1) Year License OR $16.00 Two (2) Year License (Second Year Tag Issued)

  3. PET SEX*

  4. SPAYED / NEUTERED*

  5. RABIES VACCINATION:*

  6. ** Please make sure to check with your Vet on keeping shots updated.

  7. SIGN & SUBMIT APPLICATION TO ADVANCE TO PAYMENT WINDOW

    NOTE: PAYMENT BY DEBIT/CREDIT CARD (Add $1.50 Swipe Charge + 2.35%)

  8. **TAG(S) WILL BE MAILED TO THE ABOVE ADDRESS

    NOTE! Tags will only be issued if payment is received in full! Receipt of a confirmation email (only) is not proof of payment!

  9. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  10. Leave This Blank:

  11. This field is not part of the form submission.