| Owner’s Name ___________________________________ | ||
Bristol Harbour Village Address
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_____Owner
_____ Renter from __________ to ________ |
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| Perment Address ______________________________________ City ____________________ State___________ Zip__________ |
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| Pet's Name ___________________________________________ | ||
_____Dog Breed___________ _____Cat _____Other Please Specify______________ |
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Pet's Age _____ Weight______ Sex______ |
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| Identifying Markings ______________________________________ | ||
| Date___________________________________ | ||
Return this form and submit your payment of $5.00 to: |
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| Bristol Harbour Village Association 30 Golfside Circle Canandaigua, NY 14424 |
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Tag#________________________ |
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