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Get CA Pasadena Humane Society & SPCA Monrovia Dog License Application

115 or email licensing@phsspca.org Dog’s Name: Mixed Breed Pure Breed Breed: Markings: Color: Microchip #: Age: years Size: Small months (must be 4 months of age to be licensed) Medium Large Female (not spayed) Please check one: Female Spayed Male (not neutered) Male Neutered DOG OWNER INFORMATION (Please use address where dog will be kept) Owner’s First Name Last Name Address City: Monrovia State: CA Zip Code: Telephone Number: This is for a: • • • • Renewal.

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