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2. Please fill in the information below if you would like to schedule an appointment to microchip your pet at the Bellaire Police Department.  

   You will be contacted by the Animal Control Officer to confirm your request and schedule an appointment.

   Limit 4 - $20 per pet

4. Name
6. Address
8. Telephone
10. E-Mail
12. Type of animal
13. Size of animal
15. Type of animal
16. Size of animal
18. Type of animal
19. Size of animal
21. Type of animal
22. Size of animal
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field