Bajek - Consultation Request
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Phone Number
*
Please enter a valid phone number.
Email Address (Please provide the best email address as we will be using this to confirm your appointment)
*
example@example.com
Instagram Handle
Time Slots that you are Available (Check all that apply)
*
Tuesdays 12pm-3pm
Tuesdays 3pm-6pm
Wednesdays 12pm-3pm
Wednesdays 3pm-6pm
Thursdays 12pm-3pm
Thursdays 3pm-6pm
Fridays 12pm-3pm
Fridays 3pm-6pm
Saturdays 12pm-3pm
Saturdays 3pm-6pm
Tattoo Description (Please describe the tattoo you would like)
*
Where on your body would you be putting this tattoo?
*
Example: neck, shoulder, back, left forearm, calf, etc.
How did you find Copper State Tattoo?
*
Hashtags on Instagram
Discover Page on Instagram
Copper State Tattoo Website
Facebook
Google Search
Referral (Please include who referred you below)
Other
If referred by a friend, please include their name so we know who to thank!
Thank you for your tattoo request. Consultation appointments with Bajek are always free of charge. However, after we confirm your tattoo and time slot, you will be asked to pay a $100 deposit if you would like to set up your tattoo appointment(s). This deposit holds your appointment times and comes off the final session of your tattoo, but is otherwise non-refundable. Bajek's current hourly tattooing rate is $180/hour, with a tattoo minimum of $100. We understand that things may come up, so if you need to reschedule an appointment, please email tattoobajek@gmail.com as soon as possible. Or you can text (602)834-6691 on Tuesdays through Saturdays from 12:00pm to 6:00pm, and we will do our best to accommodate you. Rescheduling of tattoo appointments may be subject to a $25 reschedule fee subtracted from the appointment deposit total. By signing this form, I consent to receiving periodic email and text communication from Bajek and Copper State Tattoo, and I consent to the deposit policy.
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