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PLC:

4818

Agency:

town of holland

For:

dog licenses

Phone:

608-526-3354

Address:

w7937 county road m h
holmen, wisconsin 54636

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*Last:

*Phone #:

(### - ### - ####)

Comments:

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*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

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