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2. First Name
3. Last Name
5. Address1
6. City
7. State
8. Zip
10. Email:
12. Phone:
14. Have you moved within the Village of Weston in the past year?

    If yes, please provide previous address.

16. Has your pet crossed the rainbow bridge?

    If so, please provide us with the name of the pet so we may update our records.  We are sorry to hear of your loss.

20. How many pets do you have?

    If you have more than one pet, you will need to submit multiple forms.  However, you can pay for all pets at one time.

22. Pet Name:
23. Type of Pet:

    1. Dog
    2. Cat
24. Spayed or Neutered:

    1. Yes
    2. No
26. Color:
28. Breed:
29. Sex:
31. Date Rabies Vaccination Expires:
35. Copy of Current Rabies Vaccination:
37. Rabies Vaccination:

    Please upload a copy of your pet's current rabies certificate.  A clear photo is acceptable.

39. License Fees:

    Cat:

    Unaltered - $10.00

    Altered - $5.00

    Dog:

    Unaltered - $30.00

    Altered - $20.00

    Late Fee After March 31 - $5.00

41. **Please note that online licenses include an additional $1.00 fee which covers the cost of mailing the license and tags.

45. Please Pay Here
    Payment Services Network

    Convenience Fees Apply

    **Return to this screen after payment to submit application**

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47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field