Eugene, Oregon Not your city or county?

Licensing Supply Order

Please complete the form below to order supplies free of charge. Most supply orders are delivered within 5 business days. If you require a rush, please check "Rush Delivery" below.

Your Name:
Email Address:
Agency Name:
Contact Phone:
Agency Address:
Agency City, State, Zip:

Please send the following supplies:
      URGENT! - Please Rush Delivery
Licensing Supplies
License Sales Certificates  
Use the triplicate license sales certificate to record license sales.
License Applications  
(single copy)
Offer the license application to pet owners who decline a license tag at your clinic.
Small License Tags  
Standard License Tags  
Large License Tags  
Reporting Supplies
Monthly Reporting Envelopes  
PDF  Download Monthly Sales Report (PDF format)

Questions or Comments:
  * = Required

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