Pet Licence Registration Form

Unsterilized Animals * Female Dog $40
Male Dog $40
Female Cat $40
Male Cat $40

Sterilized Animals * Spayed Female Dog $20
Neutered Male Dog $20
Spayed Female Cat $20
Neutered Male Cat $20

Pet's Name

Pet's Breed

Colour

Year Pet Was Born

Owner's Name *

Owner's Street Address *

PO Box Number

Daytime Contact Number

Evening Contact Number

Email Address

Picture of Pet *

File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

Payment * I agree to pay for my pet licence within 3 days of filling out this form

Payment can be made in person, dropped off in the Mail Slot, mailed to Town Office or sent via E-transfer to pbetransfer@sasktel.net (include your name and what the payment is for in the message) Mailing Address: Town of Pilot Butte PO Box 253 Pilot Butte S0G 3Z0

* - denotes required field