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2. Complete the following form to apply for a dog license. Payments will be made through Municipay and convenience fees will apply. If you do not wish to pay a convenience fee, please stop into the Village Office and apply in person. Please allow 7-10 business days for processing and mailing of your tags.

4. Owner Information

6. First Name*
7. Last Name*
8. Phone Number*
10. Address*
12. City
13. State
14. Zip Code
16. Email Address*

20. Pet Information

22. Pet Name*
23. Pet Name
24. Pet Name
26. Breed*
27. Breed
28. Breed
30. Coloring*
31. Coloring
32. Coloring
34. Gender*

    1. Female
    2. Spayed Female
    3. Male
    4. Neutered Male
35. Gender

    1. Female
    2. Spayed Female
    3. Male
    4. Neutered Male
36. Gender

    1. Female
    2. Spayed Female
    3. Male
    4. Neutered Male
38. Rabies Tag Number*
39. Rabies Tag Number
40. Rabies Tag Number
42. Rabies Expiration Date*
43. Rabies Expiration Date
44. Rabies Expiration Date
46. Rabies Certificate*
47. Rabies Certificate
48. Rabies Certificate

52. Payment Information

54. After you click submit, you will be taken to the Municipay website. Please choose GENERAL as your payment item. For your reference number, please use dog license along with your last name.

    Gender	License Fee	Postage Fee	Total Due
    Female	$20.00	$1.00	$21.00
    Spayed Female	$15.00	$1.00	$16.00
    Male	$20.00	$1.00	$21.00
    Neutered Male	$15.00	$1.00	$16.00

    
    

    There will be a $3.00 convenience fee assessed for using a credit or debit card. If you choose to pay by e-check, the fee is $1.50. Please note that these fees are in addition to the fees in the chart above.

    **Please add a $5 late fee if you are applying after April 1st, unless you are a new resident or it is a new to you dog.**

    If you do not want to pay convenience fees, please stop by the Village Office and apply in person.

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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field