Replacement Tag

If your dog's license tag has been lost, you can purchase a replacement tag online by filling out the form below. A major credit card is required.

This form is ONLY for people who need to purchase a replacement tag.

This appplication requires a computer, not a mobile device.

* required information
 
Contact Information
Title:
First Name:*
Middle Initial:
Last Name:*
Email:*
Phone:*
Alternate Phone:
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Do not email
Fees
$10.00 Replacement Tag
Donation
ATTENTION
Please use this section if you would like to add a donation to the registration fees listed above.
Amount:$
Additional Information
Dog's Name:*
Dog's Age - Month:*
Dog's Age - Year:*
Dog Breed Type:*
Spayed/Neutered:* Yes
No
Dog's Sex:* Male
Female
Dog's Color:*
Microchip #:
License #:

 

Marin Humane Society

171 Bel Marin Keys Blvd, Novato, CA 94949
Phone 415.883.4621

Copyright 2011