ST. CROIX COUNTY DOG LICENSE APPLICATION			PAYMENT DUE BY JANUARY 31 $5.00 late fee per dog after April 1
Owner’s Name:			Make checks payable to: Town of Troy 654 Glover Rd Hudson, WI 54016 (715)425-2665
Address:
	Dog #1	Dog #2	Dog #3	Dog #4
DOG NAME
COLOR
BREED
MALE $20.00
NEUTERED MALE $10.00
FEMALE $20.00
SPAYED FEMALE $10.00
VET NAME
DATE RABIES VACCINE GIVEN:
DATE EXP:
Office use: Tag # Assigned

Before a dog license may be issued, evidence that each dog is currently immunized against rabies is required

(Wis. Stat. 174.07). Vaccination certificates may be obtained from your veterinarian. Please include a copy

of the certificate with you dog license application.