Click this button to go back to the previous step in this process.
* indicates the field is mandatory
Surname *
Given name/s *
Phone number
Dog’s name *
Dog’s tag number
Find this on the yellow tag on your dog’s collar
Dog address currently registered with council
Full address including suburb and postcode
*
Cancel dog registration?
Reason for cancellation
Update address where the dog is kept? *
New address
Full address including suburb and postcode
How would you like the notices sent? *
What is your preferred email address? *
What is your preferred postal address *
What is your preferred phone number?
Microchip number