APPENDIX A: PET REGISTRATION AND LICENSE FORM
 
PET REGISTRATION AND LICENSE
 
Date: _______________________________________ Pet License # _______________________
 
Name: ____________________________________________ Fee Paid $ ___________________
 
Address: _________________________________________________________________________
 
Phone # __________________________________________________________________________
 
Name of Pet: _____________________________________________________________________
 
Description: _______________________________________________ Sex: M _____ F _____
_________________________________________________________________________________
 
Altered ____________ Unaltered ____________ Rabies Vaccinated ____________
 
 
   Marshall County Humane Society
 
(Prior Code, Ch. 71)