Request to Participate in Dog Licensing Service

Note: Form to be filled out by Municipalities only. Please contact your Municipality about participating in this service.

General Information

Municipality:

Population:

Street address:

Zip Code:

Average number of dogs licensed annually:

Would you also like to receive the data in ASCII format?:

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Municipal Contact Information

Municipal Contact Person:

Contact Title:

Contact Phone:

Contact Email:

Your Information

Your name:

Title: