Service Dog ID Tag Order Form
Please provide your photo in a jpeg format. We reserve the right to crop the photo to fit tag.
Slots on tags are provided at
no charge.
When uploading photo: Click on
Browse
to select photo from your computer. Select a photo and Click
Open
to load into form. Then Click
UPLOAD
to complete.
Payment will be processed through PayPal.
Service Dog ID Card
Photo of Dog (Preferably Head & Shoulder jpeg):
*
Dog Name:
*
Owner/Handler Name:
*
Street Address (will not appear on card):
*
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
*
Zip Code
*
Email Address (Onlly used in case we need to contact you. Will not appear on card.)
MicroChip Number:
Registry Number (AKC, Service Dog Registry, etc.)
*
What Type of Dog Do you Have?
Service Dog
Service Dog in Training
Autism Service Dog
Emotional Support Animal
Medical Alert Dog
Seizure Dog
Guide Dog
Therapy Dog
Hearing Dog
Mobility Dog
Working Dog
*
Slot Punched?
On One Card
On Two Cards
On Three Cards
None
*
Please indicate how many cards are being ordered. Cards must be of same dog and information. Contact us via email if you have a special request.
One ID Card..$7.95
Two ID Cards..$12.95 for 2
Three ID Cards..$15.95 for 3
*
Indicates Response Required