Animal License Application Form Step 1 of 7 14% Owner's DetailsOwner Name Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Postal Route Postal Site Home PhoneCell PhoneBus. PhoneFax PhoneEmail Number of petsHow many pets would you like to license? 1 2 3 4 Details for Pet #1Name SpeciesDogCatHensBreed Color Markings Sex Male Female Spayed/Neutered? Yes Vet records are required for proof of spay/neuter Drop files here or Select files Max. file size: 50 MB. Year Born Fee Paid:Spayed/Neutered Housepet ($15)Not Spayed/Neutered Housepet ($30)Urban Hen License ($50) Details for Pet #2Name SpeciesDogCatHensBreed Color Markings Sex Male Female Spayed/Neutered? Yes Vet records are required for proof of spay/neuter Drop files here or Select files Max. file size: 50 MB. Year Born Fee Paid:Spayed/Neutered Housepet ($15)Not Spayed/Neutered Housepet ($30)Urban Hen License ($50) Details for Pet #3Name SpeciesDogCatHensBreed Color Markings Sex Male Female Spayed/Neutered? Yes Vet records are required for proof of spay/neuter Drop files here or Select files Max. file size: 50 MB. Year Born Fee Paid:Spayed/Neutered Housepet ($15)Not Spayed/Neutered Housepet ($30)Urban Hen License ($50) Details for Pet #4Name SpeciesDogCatHensBreed Color Markings Sex Male Female Spayed/Neutered? Yes Vet records are required for proof of spay/neuter Drop files here or Select files Max. file size: 50 MB. Year Born Fee Paid:Spayed/Neutered Housepet ($15)Not Spayed/Neutered Housepet ($30)Urban Hen License ($50) PaymentLicensing Fees:(Required) License for each neutered male or spayed female License for each male not neutered or each female not spayed Urban hens license (Maximum of 10 per year) License for each neutered male or spayed female Quantity(Required) Price: $ 15.00 CAD Quantity License for each male not neutered or each female not spayed Quantity(Required) Price: $ 30.00 CAD Quantity Urban hens license (Maximum of 10 per year) Quantity(Required) Price: $ 50.00 CAD Quantity If the said Dog/Cat is brought into Town after the 31st day of August in any year, the said fee shall be $10.00 for item one (1) above and $20.00 for item two (2) above.Processing Fee: Price: $ 0.00 CAD Total Credit Card(Required)Card Details Cardholder Name 52438
