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4. Name*
5. Email Address*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Home Phone
14. Work Phone

18. Pet Information

20. Pet Name*
21. Breed*
23. Sex*

    1. Male
    2. Female
24. Hair Type*

    1. Long Hair
    2. Short Hair
    3. No Hair
25. Age*
26. Color

30. Payment Information

    
    

    Please select the type of license you would like below.   Altered refers to a pet being spayed or neutered.

32. Dog
    -- Select One --1 Year License - Altered ($16.20)1 Year License - Unaltered ($19.20)3 Year License - Altered ($38.60)3 Year License - Unaltered ($47.60)
33. Cat
    -- Select One --1 Year License - Altered ($12.00)1 Year License - Unaltered ($15.00)3 Year License - Altered ($24.00)3 Year License - Unaltered ($30.00)
35. Attach Rabies Certificate

    Rabies Certificates may be submitted electronically or mailed in with payment.

39. • Please Complete one application for each pet.
    • 1 year applications require a rabies certificate valid through November of the current year.
    • 3 year applications require a rabies certificate valid through November of the current year plus 2.
    • Renewal License not paid prior to March 1st will incur a late fee.
    • Checks and Money Orders should be made payable to:

    Please mail rabies Certificate(s) and check or money order to:

    SPARTA TOWNSHIP

    65 MAIN STREET

    SPARTA, NJ  07871

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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field