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License Purchase

Online License Purchase 2023

1Owner

2Pet 1 Information

3Pet 2 Information*

4Pet 3 Information*

5Pet 4 Information*

6Order Summary

Owner's Name*
First Last
Street Address of Pet Residence*
Street Address Address Line 2 City State ZIP Code
Mailing Address
Same As Pet Residence Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*

How many animals to license?*
- One
- Two
- Three
- Four
Pet 1 Name*
Pet 1 Age*
Pet 1 Primary Color*
Pet 1 Secondary Color
Pet 1 Alteration Status*
- Altered Pet ($10.00)
- Non Altered Pet ($33.00)
Pet 1 Gender*
- Male
- Female
Pet 1 Breed*
Pet 1 Veterinary Clinic*
Pet 1 Rabies Vaccination Expiration Date (mm/dd/yyyy)*

Pet 2 Name*
Pet 2 Age*
Pet 2 Primary Color*
Pet 2 Secondary Color
Pet 2 Alteration Status*
- Altered Pet ($10.00)
- Non Altered Pet ($33.00)
Pet 2 Gender*
- Male
- Female
Pet 2 Breed*
Pet 2 Veterinary Clinic*
Pet 1 Rabies Vaccination Expiration Date (mm/dd/yyyy)*

Pet 3 Name*
Pet 3 Age*
Pet 3 Primary Color*
Pet 3 Secondary Color
Pet 3 Alteration Status*
- Altered Pet ($10.00)
- Non Altered Pet ($33.00)
Pet 3 Gender*
- Male
- Female
Pet 3 Breed*
Pet 3 Veterinary Clinic*
Pet 1 Rabies Vaccination Expiration Date (mm/dd/yyyy)*

Pet 4 Name*
Pet 4 Age*
Pet 4 Primary Color*
Pet 4 Secondary Color
Pet 4 Alteration Status*
- Altered Pet ($10.00)
- Non Altered Pet ($33.00)
Pet 4 Gender*
- Male
- Female
Pet 4 Breed*
Pet 4 Veterinary Clinic*
Pet 1 Rabies Vaccination Expiration Date (mm/dd/yyyy)*

Additional Donation Amount
- $0 Donation
- $5.00 Donation
- $10.00 Donation
- $25.00 Donation
- $50.00 Donation
- $100.00 Donation
- Other Donation Amount
Additional Donation Amount
Handling Fee
Price:
Total
$0.00
Credit Card*
Card Details
Cardholder Name

Please type in cardholder name as it exactly appears on the credit card.

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About WAIF

Whidbey Animals' Improvement Foundation (WAIF) is a private 501(c)(3) nonprofit animal shelter organization serving the homeless pet population and families of Whidbey Island.