ANNUAL DOG LICENSE BY MAIL

Date: _____________

Owner’s Name(s):_____________________________________________

Address: _____________________________________________________

Home Phone: _________________ Work Phone: ___________________

Dog Information

Dog’s Name: _________________________________

Breed: _______________________________________

Color: ________________________________________

Date of Birth: __________________________________

Enclose a copy of updated Rabies information.

To renew dog licenses by mail return this form with a the copy of Rabies information, self addressed stamped envelope, and a check made payable to the TOWN OF DUDLEY:

License valid January – December of each calendar year

TOWN OF DUDLEY

Office of the Town Clerk

Dudley Municipal Complex

71 West Main Street • Room 207

Dudley, MA 01571

*All dogs must be licensed and vaccinated against rabies the beginning of each year. Violators are subject to fines and penalties as described in M.G.L. Chapter 140.

FEES

$12.00 For an individual dog

$30.00 Kennel 1 –4 dogs,

$40.00 Kennel 5-10 dogs

$50.00 Kennel in excess of 10 dogs

OBEY THE LEASH LAW