Purchase Form

When you have completed your credit card form, Please fax it, mail it or email it over.

Call the kennel if you have any problems or questions.

Fax to 610-933-1676
Email us at kimbertalkls@aol.com
Phone us at 610-933-3600


(Please include a clear photocopy of your credit card and a clear photocopy of your driver’s license. Thank you)






Credit Card






Driver’s License


I, ___________________, do hereby authorize Kimbertal Kennels to charge the $500 non-refundable deposit for a Doberman/Rottweiler puppy.

Please fill criteria you are looking for in a puppy. Size, color, breed, Sex, etc.

 My credit card # is _________________________________ Exp Date___/___

Verification code on back of card_____

My First and Last name is________________________________


City/Town:_______________________  State:_________Zip Code:_________

Phone Number:________________________

Email Address:_______________________________________

My signature:____________________Date:______________

Surcharge fee of 3.5% for using a debit/credit card starting 7/1/2022

Please initial verifying you understand deposits are non-refundable:___________________