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Is your dog an American Pit-Bull Terrier, Staffordshire Bull Terrier, American Staffordshire Terrier, or any mixed breed of dog which contains any of the previously mentioned breeds?
Please upload the vet record or certification showing the following information: valid rabies vaccination,rabies expiration date, dog breed, dog gender, dog color, dog age
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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