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Dog Licence Form

  1. Please fill out and submit information below, if you do not plan on making your payment through the front desk at City Hall.
  2. Mailing Address:
  3. Type of Dog:
  4. 2021 Dog Licence Pricing – Select one (1) option below based on dog being spayed or neutered and based on your date of payment. There is a $5.00 discount if paid before Tuesday, February 16, 2021 at 4:00PM). Fill out a separate form if you have more than one (1) dog.
  5. Paid on or before February 16, 2021 at 4:00pm:
  6. Paid after February 16, 2021 at 4:00pm:
  7.  

  8. For new dogs licensed after July 31st, pay 50% of the fees above

  9. Sex:
  10. For the following dog:
  11. Method of Payment:
  12. (payments must be received by February 16, 2021 at 4:00PM, in order to receive the $5.00 discount. Post-marks and drop box payments received after the deadline will not be accepted for discount)
  13. If paying through online banking, please make your payment to the following account: • Payee – “Salmon Arm (City of) Property Taxes” • Account Number – 99999999 (Do NOT make your payment to your property tax account)
  14. Delivery Method
  15. Leave This Blank:

  16. This field is not part of the form submission.