Town of Dewey Beach Delaware

Purchase a Dog License

*Owner Name:

*Owner Phone Number:

*Billing Address:

Shipping Address (For LIFETIME licenses, ID Tag will be mailed to this address):

Dewey Beach Address:

*Name of the Dog:

*Breed:

*Month/Year of Last Rabies Vaccination:

Date range you'll be visiting Dewey Beach:

*Email Address

Qty:

Each: $5.00

3-Day Temporary License

Qty:

Each: $10.00

8-Day Temporary License

Qty:

Each: $52.00

Souvenir Tag & Lifetime License ($2 Shipping & Handling Fee)

Qty:

Each: $37.00

Lifetime License ($2 Shipping & Handling Fee)

Total Due:

Please Enter Credit Card Information:

Card Number:

CVV:

Expiration Date:

Cardholder Name:

Postal Code:

Confirm

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