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Full Name *
Title/Position
Email *
Municipality
Mailing Address
City / State / Zip
Phone
 
Do you presently license animals?
Yes
No

Which animals are licensed?
Dogs
Cats
Other:
Other:

How many animals are licensed annually?

Do you offer multi-year licenses?
Yes
No

How many 1-year, 2-year, and 3-year licenses are issued annually?
1-Year: 
2-Year: 
3-Year: 

How many licensable animals are vaccinated annually?

What are your licensing fees?
Unaltered Animal: 
Spayed/Neutered Animal: 
Late Fee: 
Other: (describe) 
(Include multi-year, senior discount, etc)

Does your department currently use a software package to license pets?
Yes, we use:
No

Do you receive vaccination data from veterinarians?
Yes
No

Do you currently use this information to send license billings?
Yes
No

Do you currently send renewal notices?
Yes
No

What type of tags do you use (aluminium, steel, etc...)

Would the contract involve a Request for Proposal or would you expect it to be sole sourced?
Not Sure
RFP / Bid Process
Sole Source

Who in your organization will make the final decision regarding this proposal?

How did you hear about PetData?
  Conference or Trade Show
Advertisement
Word of Mouth
Internet
Other (please describe below)
 
Comments or Questions:
 
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