MAIL IN DOG REGISTRATION FORM
Send this form along with a current RABIES VACCINATION RECORD and SPAYING/NEUTERING CERTIFICATE
Please include a STAMPED SELF-ADDRESSED ENVELOPE with a check payable to "TOWN OF WELLESLEY"
OWNER NAME__________________________________________________________
ADDRESS_______________________________________________________
PHONE:____________________________
EMAIL ____________________________(optional - will only be used to contact you if we have questions about this application)
DOGS NAME:____________ AGE:_____ COLOR:_________ BREED:_____________
Vetrinarian______________________________ Phone__________________________
Check One:
_________ MALE $20
_________ NEUTERED MALE $12
_________ FEMALE $20
_________ SPAYED FEMALE $12
RABIES CERT. EXPIRES___________
MAIL TO: TOWN CLERK
525 WASHINGTON ST.
WELLESLEY, MA 02482
ALL DOGS MUST BE LICENSED BY THE AGE OF SIX MONTHS
LICENSES ARE ANNUAL AND MUST BE RENEWED BY MARCH 30 EACH CALENDAR YEAR
NEW LICENSES WILL BE AVAILABLE AFTER JANUARY 1
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