Alex Empty - Consultation Request
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address (Please provide the best email address as we will be using this to confirm your appointment)
*
example@example.com
Instagram Handle
Time Slots that you are Available (Check all that apply)
*
Wednesday at 12:30pm
Thursday at 12:30pm
Friday at 12:30pm
Saturday at 12:30pm
Tattoo Description (Please describe the tattoo you would like)
*
Where on your body would you be putting this tattoo?
*
Example: neck, shoulder, back, left forearm, calf, etc.
How did you find Copper State Tattoo?
*
Hashtags on Instagram
Discover Page on Instagram
Copper State Tattoo Website
Facebook
Google Search
Referral (Please include who referred you below)
Other
If referred by a friend, please include their name so we know who to thank!
There is no charge for the consultation. However, Alex Empty's hourly rate is $220/hour. Once we confirm your tattoo and your time slot, you will be required to pay a $220 deposit in order to lock in your appointment. This deposit comes off the last session of your tattoo. If you have to cancel and you do not give at least 24 hours notice or if you no show for your appointment, you will forfeit your deposit. We understand that things come up, so if you need to reschedule, please email copperstatetattoo@gmail.com and we will do our best to accommodate you. By signing this form, I consent to receiving periodic email communication from Copper State Tattoo and I consent to the deposit policy.
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