Application For Dog Licence

Application For Dog Licence
Applicant Information
Applicant Name

First NameLast Name
Co-Applicant Name (Not Required)

First NameLast Name
Applicant Address (Street and PO Box)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email
example@example.com

Animal Details
Name
Breed Type
Age
Sex
Colour
Spayed or Neutered?
Photo (Optional, But This Will Greatly Assist if Your Dog is At-Large!)

Cancelof

Confirmation and Fees
Please contact Municipal Enforcement at (867)777-8616 or med@inuvik.ca for any questions or inquiries.
Acknowledgment

Lifetime Dog Licence

Lifetime licence, valid for the lifespan of the named dog. (Includes free microchip)

$200.00 CAD

Annual Dog Licence

Must be renewed by January 5th each calendar year.

$40.00 CAD

Subtotal

Tax

Total

Applicant Information