Booking form Melody Ink
Form can only be filled in English or Dutch
Name
*
First name / Voornaam
Last name / Achternaam
Birthdate
*
.
Dag
.
Maand
Jaar
Geboortedatum
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E-mail
*
Confirmation Email
Phone number
*
-
Netnummer
Telefoonnummer
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What is your question?
*
Wat is je vraag?
Descripe what you want
Omschrijf wat je ongeveer wilt hebben.
Where do you want the tattoo?
*
Waar mag de tatoeage komen?
How big do you want the tattoo? (cm)
*
Hoe groot mag de tatoeage worden? (cm)
How do you want the tattoo?
*
Color
Black & grey
Only lines
I'm not sure
Photo of location
Door Bestanden Bladeren
Sleep bestanden hierheen
Kies een bestand
Foto van de locatie
Cancel
of
Examples of what you would like
*
Door Bestanden Bladeren
Sleep bestanden hierheen
Kies een bestand
Voorbeelden van wat je zou willen.
Cancel
of
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Do you have any scars, irritation or a skin condition on the placement of the tattoo?
*
No
Yes
Do you have any allergies?
*
No
Yes
Do you take blood-thinning medication?
*
No
Yes
Are you pregnant?
*
No
Yes
Do not swim, sun bathe or go the sauna within 6 weeks after getting your tattoo
*
I understand
Don't drink alcohol 24 hours before your appointment.
*
I understand
In which language do you want to receive a reply?
English
Nederlands
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