SITE NAME

Request to Participate in Dog Licensing Service

Note: Form to be filled out by Municipalities only. Please contact your Municipality about participating in this service.

General Information

Municipality

Population

Street Address

ZIP Code

Average number of dogs licensed annually

Do you receive inquiries from your citizens about online registration?

How often?

Would you also like to receive the data in ASCII format?

Municipal Contact Information

Municipal Contact Person

Contact Title

Contact Phone

Contact Email

Municipal Official Information

Name of municipal official with contracting authority

Title

Your Information

Your name

Title