| Due to all the custom detail needed for these Licenses, the only way to insure proper information is to either download the order form here or print this page |
| Please be sure to fill out the entire order form. If there is something that does not apply to your pet, write in none. It is best to use your dog's call name due to the simple fact not many dogs know or respond to their registered name. |
| If you have more than one dog, fill out an order form for each dog! |
Send filled out order form/s along with check or money order (NO CASH) and photos to me at:
Cathy Patterson
P.O. Box 1386
Manchaca, Texas 78652 |
| All photos will be returned with the Licenses. However, I cannot guarantee against loss or damage by the USPS. |
| Or you may email me the filled in Word documant along with your picture/s and pay by using PayPal. |
| Delivery time is 2 - 3 weeks after receipt of order form/s, photo/s and check, money order or PayPal receipt of payment. |
| You may send photo/s via email. Please note the Doggie Driver's License will not be mailed until after payment has been received. |
| Order yours today ~ 1 for $10.00, 2 for $15.00, 3 for $20.00 for each pet. |
| Dog's Name: ___________________________________________ |
| Breed or Breed Mix:____________________________________ |
| Address: ______________________________________________ |
| Date of Birth: ________________________________________ |
| Color: ________________________________________________ |
| Eye Color: ____________________________________________ |
| Sex: __________________________________________________ |
| Spay: _________________________yes __________________no |
| Neuter: _______________________yes __________________no |
| Intact: _______________________yes __________________no |
| Owner: ________________________________________________ |
| Phone Number: _________________________________________ |
| Micro Chipped: ________________yes __________________no |
| Tattooed: _____________________yes __________________no |
| Veterinarian: _________________________________________ |
| Phone Number: _________________________________________ |
| Heartworm Preventative: _______________________________ |
| Emergency Contact: ____________________________________ |
| Phone Number: _________________________________________ |
| Medical Conditions:____________________________________ |
| Medications: __________________________________________ |
| Special Instructions:__________________________________ |