Dog Tag Application

If you wish to pay by:

Cash, Cheque or Debit Card please download and print the following form Dog Tag Application Form. Once completed please vist the Township of Wellesley Administration Office at:

4639 Lobsinger Line R.R. #1, St.Clements, Ontario, N0B 2M0

Credit Card please proceed with the following form (when your purchase has been completed, the tag(s) will be mailed to the address you provided).

On or before March 31st.

Male or Female Dog Tag

Neutered/Spayed (proof required) - $30.00
Non-Neutered/Spayed - $45.00

Neutered/Spayed (proof required) - $15.00
Non-Neutered/Spayed - $22.50

On Line Payment Convenience Fee - $2.00

Male or Female Dog Tag

Neutered/Spayed (proof required) - $45.00
Non-Neutered/Spayed - $60.00

Neutered/Spayed (proof required) - $30.00
Non-Neutered/Spayed - $37.50

On Line Payment Convenience Fee - $2.00

Owners Name

Date

Address

Telephone Number

Are you a senior citizen? Are you a senior citizen?

Yes

Name of dog

Gender Gender

Male

Female

Spayed/Neutered Spayed/Neutered

Yes

Breed

Age

Colour

3) Do you have a second dog (max. 3)

Yes

3) Do you have a third dog? (Max. 3)

Yes