License Purchase Form

Did you know that when you renew your

City of Red Deer dog license through the Central Alberta Humane Society
proceeds from your renewal fees go to helping our animals in our shelter?

Dog License Guidelines:

This process is for renewal licenses only.
New Licenses: Please come and see us in person at 4505 - 77th Street, Red Deer. You can also purchase a replacement license tag at any time at the Central Alberta Humane Society facility for $13.90.
Applicants must be at least 18 years old to purchase or renew a dog license.
Licenses are to be renewed on or before December 31 of each year.
If you have a licensed service dog, please come see us in person at 4505 - 77th Street, Red Deer. There is no charge for a service dog license, however they must be registered through the Government of Alberta, and you must produce a copy of your Alberta Service Dog License. For more information on Alberta Government Service Dog registration please follow this link: https://www.alberta.ca/service-dogs.aspx

License Type (Renewals Only available online)

Amount

License Renewal Information

Owner First Name

Owner Last Name

Home Address

Mailing Address (if different from above)

City

Province

Postal Code

Phone Number

Dog's Name

Current CORD Tag # (New dog license? Please come visit our facility in person to obtain your tag)

Dog's Microchip #

Dog's Tattoo #

Dog's Primary Breed

Dog's Secondary Breed

Dog's Primary Color

Dog's Secondary Color

My Dog Is

My Dog Is Spayed/Nuetered

Terms and Conditions of License

I am aware my dog license needs to be renewed on or before December 31st of each year

I am at least 18 years old

I am aware the tag issued to me is a permanent tag, to be kept from year to year, and will obtain a replacement tag if the original is lost or distroyed

Payment Information

Payment Options

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

Province

Postal Code

Privacy Policy
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Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.