Tattoo Request Form
Thank you for your interest in booking a tattoo appointment with me! Please fill out the form with as much detail as possible. Once submitted, I will reach out via TEXT within 24-72 hours to discuss your tattoo idea, answer any questions, provide pricing information, and go over scheduling. *Must be 18 years old to get tattooed in North Carolina, No exceptions!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of service
*
Please Select
Tattoo
Brows
Lip Blushing
Please give a detailed description of what you are looking to get and approximately how big you would like the tattoo to be.
*
Please let me know where on your body you'd like the tattoo placed (for example: inner forearm, outer arm, ribcage, ankle, etc.).
*
Please list all medical and/or skin conditions (eczema, psoriasis, heart conditions, blood conditions, autoimmune, etc.) Please note: If you are currently pregnant or undergoing chemo, radiation, immunotherapy, or other treatments that suppress the immune system, you may not be eligible to receive a tattoo at this time.
*
Where did you hear about Electric Ink Tattoo?
*
Please upload reference / inspo photos here.
*
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Are you over the age of 18?
*
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