Dare County Dog License Form
This form is for residents of Dare County, NC. License fees are non-refundable.
Your Contact Information
The Outer Banks SPCA will never share or sell your personal information.
Name
*
First Name
Last Name
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Animal Sex
Neutered Male
Non-neutered Male
Spayed Female
Non-Spayed Female
Dog's Name
Animal Age (in years)
Breed, Colors, and Markings
Does your dog have a current rabies inoculation?
Yes
No
What veterinary office gave your dog's most recent rabies inoculation?
Rabies Tag Number
Proof of vaccination:
See Attached
Please contact my veterinarian
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Spayed / Neutered License
Please choose this selection if your dog has been spayed or neutered.
$
15.00
Non-Spayed / Non-Neutered License
Please choose this option if your dog as not been spayed or neutered.
$
30.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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