Piercing and Tooth Gem Appointment Request
*One Submission Per Person* *Serious Inquiries Only*
Name
*
First Name
Last Name
Preferred Name
Pronouns
(example: they, them, theirs, she, her, hers, he, him, his, etc)
Phone Number
*
*Please enter a valid phone number*
Format: (000) 000-0000.
Email
*
example@example.com
Are you booking for piercing services or tooth gem services?
*
Please be specific on what you’re looking for (new piercing, name of piercing, jewelry change, downsizing, specific tooth gems, etc)
*
Appointment Times
*
After your request is submitted, I will reach out to you with my deposit information. deposits are non-refundable and go towards the total cost of your piercings. Deposits must be paid prior to appointments. (no day of deposits) please be deposit ready.
*
I understand a deposit is required and agree to pay the deposit. I understand the deposit is non-refundable and will apply to the total cost of my piercings during my appointment.
If for any reason you need to cancel or reschedule your appointment, please reach out to me at least 24 hours before your appointment time. if you cancel/reschedule less than 24 hours before your appointment, your deposit will be considered void and a new deposit will be required to book a new appointment.
*
I agree & understand
If you have any questions or concerns please write them here and i will reach out to you directly before your appointment!
How did you hear about me! (social media, word of mouth, google, etc)
Submit
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