Dog/Cat Name New Renew M or F Spayed Yes or No Age Breed Hair: Short Med Long Color Date of last Rabies Vaccin Exp of last Rabies Vaccin Fee
              $_____
           $_____
           $_____
           $_____
Total enclosed$______
2004 Pet License registration form
Your pet(s) license(s) expires 12/31/2003. You must renew your pet(s) license(s) no later than
January 31, 2004
A dog and a cat in the same household must be registered on separate forms and with separate forms of payment.
Multiple dogs can be submitted on one form and multiple cats can be submitted on one form. Additional forms can be obtained at Borough Hall, or you can copy this one.

Please indicate on the envelope "Dog License" or "Cat License."
1) Completed registration form
2) Payment: For cats -- $8.00 payable to the H.P. Board of Health
                    For dogs -- $11.20 if unspayed/unneutered - or - $8.20 if spayed/neutered
                                      make either amount for dogs payable to the Borough of Harrington Park
3) Proof of rabies vaccination: for new dogs/cats or if vaccination information on file will expire
prior to 12/21/04
4) Proof of spay/neuter (if done since last license was issued or if registering a new dog/cat)

Please Note: There will be a free rabies clinic at the DPW garage on Sat. 11/22, from 12:30 - 1:30 pm
Information is available at the Borough Hall for neighboring towns holding their rabies clinics.
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Owner's name___________________________________________________________ Date __________
Address __________________________________________________ Daytime Phone #______________
Check One: _____ DOG(S)          ______CAT(S)
Late  fees of $10.00/month will be assessed on registrations received after January 31, 2004. Unlicensed dogs/cats are subject to a summons.
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