Submission Form
T H E T A T G A L
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Placement
*
(be specific example: back upper right arm)
Sizing
*
(specify inches or cm)
Detailed description.
*
Please be as detailed as possible. If you are submitting multiple please list them by 1, 2, 3.. !
Please select 3 dates and times that will work for you 1/3. (Selecting 3 different dates you I will be able to schedule you in easier, if you select one date only I may not be able to take you.)
*
2/3
*
3/3
*
Inquiries and additional comments:
Are you from Vancouver (BC area)? If not please provide where you are travelling from!
*
Are you a previous client?
*
Yes
No
Do you have any other tattoos?
*
Yes
No
Upload placement reference:
*
Browse Files
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of
Reference photos
*
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Submit
Should be Empty: