TATTOO SUBMISSION FORM

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Leani Fallon• Tattoo Artist • Los Angeles, CA

HOME • FAQ
Thank you for your interest in getting tattooed by me! Begin the booking process by filling out the form below. I'll then get back to you with an estimated price quote and deposit information. A $100 deposit is required to book which goes towards the final cost of the tattoo. Deposits are non-refundable. Once the deposit is received, then your appointment's with be set and locked in. If you have any further questions, please go to my FAQ. I'm looking forward to creating your tattoo!

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Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Please verify that you are 18 years old or older
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Tattoo Description
Please provide a detailed description of your tattoo concept. If it is script, include what word(s) or name(s)
Budget
Reference

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Reference

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Reference

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Approximate Size
In Inches
Placement on Body
Placement on Body Reference

Please provide a clear straight on photo
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Which days are you available?
Preferred time
First Desired Date

MonthDayYear
Date
Second Desired Date

MonthDayYear
Date
Should be Empty:

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