Tattoo Appointment Request Form
BOMBAY PAIN CO.
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
What days of the week work best for you?
*
Wednesday
Thursday
Friday
Saturday
What specific days work best for you?
Any other specific date and time, if the above selection is not suitable.
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Is this a cover up?
Yes
No
Are you booking for Ottawa or Montreal?
Ottawa
Montreal
Please leave a detailed description of the tattoo you'd like to get done, along with body placement, size in inches and any other specific details.
File Upload
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File Upload
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File Upload
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File Upload
Browse Files
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Choose a file
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of
Submit
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