YOUR PET’S INFORMATION:

Pet Name: Color:

Age: Sex: Microchip #:

Primary Breed: Secondary Breed:

Current Rabies Expiration Date*: / / Tag #:

Vet Clinic**:

*Proof of rabies vaccination required **Your local vet clinic may also sell licenses

YOUR INFORMATION:

Name:

Address:

City: State: ZIP:

Phone:

1 YEAR LICENSES

Spayed/Neutered Animals $15.00

Unaltered Animals $30.00

Spayed/Neutered Animals Senior (Owner 65+) $8.00

Unaltered Animals Senior (Owner 65+) $18.50

3 YEAR LICENSES

Spayed/Neutered Animals $35.00

Unaltered Animals $70.00

Spayed/Neutered Animals Senior (Owner 65+) $22.00

Unaltered Animals Senior (Owner 65+) $52.50

ANIMAL LICENSE FEES:

PAYMENT INFORMATION:

*Make checks payable to: “HUMANE SOCIETY OF THE PIKES PEAK REGION”

I would like to make my payment with my Visa or Mastercard:

Card #: CVV: Exp Date*: / /

License Amount: Donation: Total $ Enclosed:

PLEASE SUBMIT THIS ENTIRE FORM & PAYMENT TO:HUMANE SOCIETY OF THE PIKES PEAK REGION LICENSING

P.O. Box 8808 Pueblo, CO 81008-8808

OR RENEW ONLINE: licenseapet.org

License Your Pet | El Paso County

Why License

Your Pet?

MAIL IN THIS FORM TODAY OR RENEW ONLINE AT LICENSEAPET.ORG

1 YEAR LICENSES

Spayed/Neutered Animals $15.00

Unaltered Animals $30.00

Spayed/Neutered Animals Senior (Owner 65+) $8.00

Unaltered Animals Senior (Owner 65+) $18.50

It will help return your lost pet to you.

To control/prevent the spread of rabies.

It’s the law. Avoid a fi ne up to $100 for an unlicensed pet.

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