Animal License Application - Department Of Animal Control Services printable pdf download

Animal Friends of

Animal Friends of the Valleys

the Valleys

Department of Animal Control Services

33751 Mission Trail

Wildomar, CA 92595

afvinfo@animalfriendsofthevalleys.co

m m m

afvinfo@animalfriendsofthevalleys.co

951- - - - 674

951

674- - - - 0618 or 951

0618 or 951- - - - 471

471- - - - 8344

8344

Fax: 951- - - - 471

Fax: 951

471- - - - 8285

8285

951

674

0618 or 951

471

8344

Fax: 951

471

8285

Animal License Application

Please Print: (You may photocopy this form if you wish to purchase licenses for more than one animal).

Owner Information:

Owner’s Name: ____________________________________________________________________________

Mailing Address:___________________________________________________________________________

Physical Address: __________________________________________________________________________

City: ______________________Zip:________________ Phone: ____________________________________

Would you like to receive our Newsletter and E-mail updates? Y / N

E-mail: ______________________

Animal Information:

Pet’s Name:_________________________ Breed: _____________________Color: ______________

Sex: Male / Female Spayed/Neutered: Y / N

Pet’s Age: Years________ Months __________

Previous License#: ______________City: ______________Expiration Date:____________________

Instructions:

Licensing is required by State Law and Local City/County ordinances for rabies prevention. AFV is the local appointed

authority on rabies. Report ALL dog/cat bites immediately.

Rabies Certificate MUST be attached to this form. A license may be purchased for one, two, or three years based on

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the rabies expiration date. (License expiration may not exceed the expiration date of the rabies vaccination.)

Spay/Neuter Certification MUST be attached to this form if applying for spay/neuter license fee.

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Senior Citizen (Pet Owner) Discount (see back for senior age guidelines) with altered pet only. Send a COPY of your

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identification showing proof of your age.

Late Fees will be assessed for all dogs (and Lake Elsinore City cats) over four months old and residing in the city/county

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over thirty days.

Enclose the required certificates (Rabies, Spay /Neuter and copy of ID)

Make Check or Money Order payable to AFV (Animal Friends of the Valleys). Enclose correct fees.

To assist us in reducing our operating cost, please include a self-addressed stamped envelope.

Additional Tax-Deductible donation to help homeless animals at the shelter $ _______________.

AFV Vaccination Clinics and Licensing:

Saturday of every month

Date:

Time:

1:30 P.M. – 3:30 P.M.

Lake Elsinore City Park on the corner of Main Street and Limited Avenue (near the gazebo)

Location:

Please bring cats in carriers and dogs on leashes

Dog and cat licensing will be available (Bring spay/neuter certificate if applicable)

Contact Animal Friends of the Valleys for further information at (951) 674-0618

DOG VACCINATIONS:

CAT VACCINATIONS:

RABIES

$ 6

RABIES

$ 6

BORDETELLA

$ 8

RCP (3 in 1)

$ 8

RATTLE SNAKE

$12

FELINE LEUKEMIA

$12

LYME

$15

DA2PP+C (5 in 1)

$17

CANINE FLU

$ 9

Revised MM 6.20.14

Animal License Application - Department Of Animal Control Services

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