Mike Dietrich - Tattoo appointment request

Tattoo appointment request

Hello there, please take your time and go through and fill out this form to the best of your abilities. I will be using most of this to get us through a lot of the initial questions and such to be able to help you best with your design.
**Important notice**

I am no longer offering piercings services. And have no formal recommendations. Sorry for any inconvenience.
I am currently located at 245 market street Kittanning. With no other places of operation. Deposits are required to schedule.
This is not booking your appointment and it’s just an application to get scheduled, do you understand?
I am currently located at 245 market street Kittanning. With no other places of operation. Deposits are required to schedule.
Are you 18+
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Have you been tattooed here before?
How did you hear about us?
I.e. Word of mouth, Facebook, Instagram, walk-in, etc.
Where on your body are you looking to place your design? ( i.e. right or left, forearm, shoulder etc.)
Please do your best to describe your tattoo idea here
Please include a photo of where this is going on your body, try to take a picture in a well lit area about 2 to 3 feet away from the body part. If you feel this is an uncomfortable place for sending pictures, feel free to reach out directly to come in for an in person consultation

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Do you prefer to get a tattoo done in a single session if possible or over multiple sessions?
How big roughly with the tattoo be in inches by inches
I.e. 4x4
Is there a specific style of tattoo work you’re hoping to achieve with your design, if not put N/A
Would you prefer to have this is color, black and gray, or a bit of both
Is this a cover-up?
If you answered yes to the above Cover-up question, please use this file upload to include an image of the tattoo you would be covering up. Please take the photo in a while let area and as straight on as possible.

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Budget for design
Your preferred day of the week for an appointment
Preferred time to start your appointment
If you have any specific dates or times you’re requesting, please post them here

MonthDayYear
Date
If you have any specific dates or times you’re requesting, please post them here
If you have any reference photos feel free to upload them below here
File Upload

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File Upload

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File Upload

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If there’s anything else to note that you think would be relevant to your design, feel free to share it here
Please note, this form does not book an appointment. We will be contacting you back through email and if it's a design I can do for you, we will go ahead with our deposit and scheduling for an appointment.
Thank you
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Tattoo appointment request

**Important notice**

I am currently located at 245 market street Kittanning. With no other places of operation. Deposits are required to schedule.

Important notice