Tattoo Request Form

Tattoo Appointment Request
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Full Name*

First NameLast Name
Pronouns
Phone*
E-mail*
Please double check email; this is the only way I can get back to you through the system!
Location In The US (for consultation time zone)

CityState / Province

Postal / Zip Code
What days work best for you?*

WednesdayThursdayFridaySaturday
Price Range / Budget*
Placement*
Placement Area Image*

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Aproximate Size
This can change as well after we consult!
Tattoo Idea*
Image References

Please make sure to upload the best resolution image you can find!
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With submitting this form you understand that the booking/drawing fee of $150 is nonrefundable, nontransferable, and does not credit to your tattoo.*

I understand
With submitting this form you understand that my hourly rate is $250 and hour.*

I understand
With submitting this form, you acknowledge that my response times can vary. In some cases, it might take up to a week or two to get back to you.*

I understand
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Tattoo Appointment Request