King County pet license application
INFORMATION ABOUT YOUR ANIMAL :
Is your animal a [ ] Dog or a [ ] Cat? Is your animal [ ] Male or [ ] Female?
Breed: ____________________________ Color: _____________________
Name: _______________________________________________________
Is your pet altered: [ ] Yes [ ] No Microchip number (if any): _________________________________
Type of License Applying for: (Check one) [ ] Juvenile (under 6 months--6 month expiration) $5.00 [ ] Altered (proof required) $20.00 [ ] Unaltered $60.00 (Coupon for $25 savings on a spay/neuter included w/ purchase) [ ] Sr. Citizen (proof altered--proof 65/older) Dog $20.00/Cat $12.00 [ ] Service Animal - No fee [ ] Buddy License $5.00 - See below for more information. To be eligible, this must be accompanied by another application for a full price pet license.
INFORMATION ABOUT YOU:
Your name: ______________________________________________________
Physical Address: ________________________________Unit #:_________
City: ____________________________ State:_________Zip:_______________
P.O. Address (if different):
P.O. Box:_________________________________________________________
City: ____________________________ State:_________Zip:_______________
Home Phone: (____)_____- ________ Alternate Phone: (____)_____- ________
SPECIAL OFFERS:
You may choose a special offer with the purchase of a new pet license. NEW license includes the following: $20 altered, $60 unaltered and $20 or $12 senior dog or cat licenses. Promotional offers do not apply to $5 juvenile licenses, renewals, reissues and transfers. You may check ONE special offer:
[ ] Free microchip implant with purchase of a new pet license. (We will mail you a voucher, upon request, with your new pet license that you can redeem for the microchip.)
[ ] $5.00 Buddy License. With the purchase of one full price license, you may obtain a second pet license of equal or lesser value for only $5.00. Be sure to send us two of these application forms, one for each pet you are licensing.
MAILING INSTRUCTIONS:
Complete a separate form for each pet and mail along with check payable to King County Pet License to: King County Pet License King County Administration Building 500 4th Avenue, Room 403 Seattle, WA 98104-3277.
If you have any questions, please contact us at (206) 296-2712. |