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Welcome to the City of Roxboro, NC, Action Line

Today is Saturday, November 21, 2009.
Dog Registration Annual Application

Please complete this Annual Application for the Registration of a Dog. Rest of desctiptive info goes here.

* Information is required.

Contact Information

* First Name:
* Last Name:
Daytime Phone: ()  –
* Address:
* City:
* State:
* ZIP:

Account Number
 
Comments
 
Select shape of license tag
Dog Bone (Standard)
Oblong (used to rivet tag to collar)
 
* Dog's name
 
* Age YR/MO
 
* Sex
Male
Female
 
* Breed code
 
* Hair Length
Short
Medium
Long
 
* Hair Color
 
* Fee
 
Penalty
 
License #
 

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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