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Dog Licensing Application
TOWN OF MONSON

Dog License Application
(Please print out this page and submit it with (1) payment,
(2) proof of current rabies vaccination, and (3) a stamped, self-addressed envelope to:

Town Clerk
110 Main Street, Suite 4
Monson, MA  01057
Check to be made payable to “Town of Monson”

Fee: $15.00 Male/Female (unneutered/unspayed)
       $ 5.00 Neutered/Spayed (CERTIFICATE FROM VET. MUST BE PROVIDED)
Kennel Fees (Renewals Only - To Apply For a First Time Kennel License You Must Come To The Town Clerk’s Office. A special permit may be required):
        $10.00 - 4 dogs or fewer                $25.00 - 5 – 10 dogs                       $50.00 - 11 or more dogs      

Owner: _____________________________________________
Address: _____________________________________________
Telephone No: _____________________________________________

Dog #1
                                Male Dog ______   Female Dog ______   Neutered Male ______   Spayed Female ______

Name of Dog: ______________________________
Breed: __________________________________
Color: __________________________________
Age: __________________________________

Dog #2
Male Dog ______   Female Dog ______   Neutered Male ______   Spayed Female ______

Name of Dog: __________________________________
Breed: __________________________________
Color: __________________________________
Age: __________________________________
-------------------------------------------------------------------------------------------------------------------------
Kennel License Renewals

                            Number of Dogs: __________________

  $10.00______(4 or fewer)     $25.00 ______(5 – 10 dogs)      $50.00 ______(11 or more dogs)
  


 
 
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