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"
NAME/ADDRESS/PHONE:________________________________________________
DOGS NAME:____________ AGE:_____ COLOR:_________ BREED:_____________
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 EXPIRE ON MARCH 30 EACH YEAR
LICENSE RENEWALS DUE BY APRIL 1
NEW LICENSES WILL BE AVAILABLE AFTER JANUARY 1
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