Pet Licence Registration Form

Pet Tag # ____________________ (for office use only)
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*
Breed*
Colour*
Year Pet Was Born*
Owner's Name*
Owner's Street Address*
PO Box Number
Daytime Contact Number*
Evening Contact Number
Email Address*
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
Picture of Pet
*
- I agree to pay for my pet licence within 3 days of filling out this form
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