Appointment Request Form

Appointment Request

Thanks so much for your interest & I look forward to chatting more!
Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Pronouns
E.g. She/Her He/Him They/Them
Preferred contact method
Are you 18 years or older?
Are you looking to book a flash piece or a custom design?
If custom - please tell me what you have in mind! The more detail the better :) If flash - please tell me which design you are interested in.
Reference Photos

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Where is your preferred placement for this piece?
About how big would you like the piece to be? (Inches)
Are you interested in black & grey or color this design?
Do you have a budget in mind for this piece? If so, what is your budget?
What days & times are best for you?
Is this your first tattoo?
Are you traveling for this tattoo appointment? If so, from where?
How did you hear about me?

Other
Do you have any questions for me?
I understand that this booking request form does not guarantee me an appointment. I understand that I will be contacted for follow up via email and will be required to send a deposit within 24 hours of agreeing to an appointment time. I acknowledge that until the deposit has been received my appointment has not been confirmed. I understand that this is a non refundable deposit. If I need to cancel or reschedule the appointment I will do this no later than 48 hours before my appointment to avoid losing my deposit. I understand that if I make changes to my design after submitting this request and booking the appointment the cost may vary from the quote I was given.
I acknowledge that I have thoroughly read through all of the Policies & FAQ's for Jessica Liz Tattoo, which can be found here.
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