Fillable Dog Registration Form (Town of Milliken)

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Dog Registration Form (Town of Milliken)

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The Dog Registration Form (Town of Milliken) form is 1 page long and contains:

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  • 0 check-boxes
  • 37 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Milliken

BROWSE TOWN OF MILLIKEN (CO) FORMS

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_______ Town of Milliken_________
1101 Broad St., PO Box 290, Milliken, CO 80543
970-587-4331 Fax 970-587-2678
DOG REGISTRATION
Date: __________________
Owner’s Name: _______________________________________________
(Please print)
Street Address: _______________________________________________
Home Phone: _____________________ Cell: _______________________
BREED: _________________________
COL
OR: _________________________
NAME: __________________________
AGE: _______
SEX: Male _________ Neutered? Yes or No
Female _______ Spayed? Yes or No
RABIES:
Date _____________ Tag No. ____________Expiration ______________
For Office Use Only
Amount received: $ ______________
Town Tag Number: ______________
Renewal Date: ___ ____________
______________________________ ______________
Signature Date
Yearly License Fee:
Spayed or Neutered $ 6
Not Spayed or Neutered $10
_______ Town of Milliken_________
1101 Broad St., PO Box 290, Milliken, CO 80543
970-587-4331 Fax 970-587-2678
DOG REGISTRATION
Date: ___
_______________
Owner’s Name: ________________________________________________
(Please print)
Street Address: ________________________________________________
Home Phone: _______________________ Cell: ______________________
BREED: ____________________________
COL
OR: ____________________________
NAME: _____________________________
AGE: _______
SEX: Male _________ Neutered? Yes or
No
Female _______ Spayed? Yes or No
RABIES:
Date ______________ Tag No. ____________Expiration ______________
For Office Use Only
Amount received: $ ______________
Town Tag Number: ______________
Renewal Date:
___ ___________
____________________________ ___________
Signature Date
Yearly License Fee:
Spayed or Neutered $ 6
Not Spay
ed or Neutered $10
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Dog Registration Form (Town of Milliken)

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Completed 4 August 2020

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