Egoxdeathh Appointment Request Form
Please allow up to 5 business days for a response.
Preferred Name
*
First Name
Last Name
Pronouns
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Instagram Handle
*
Date of Birth
*
-
Month
-
Day
Year
You must be atleast 18 years of age to be tattooed.
Description of Tattoo
*
Please describe in as much detail as possible. If you are inquiring about a flash piece, please describe the flash piece. For customs please describe anything you would like me to include in your tattoo.
Dimensions of Tattoo
*
Ex: 2x2, 3x3, palm-sized, hand-size, full sleeve, etc.
Placement
*
Ex: Forearm, upper arm, chest, thigh, etc.
Please include any reference photos that will help me design your tattoo.
*
Browse Files
Drag and drop files here
Choose a file
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of
If you are comfortable, please submit photos of the area of body that you would like to be tattooed.
Browse Files
Drag and drop files here
Choose a file
This helps me work around other tattoos if needed, and gives me a general idea of size and placement.
Cancel
of
Do you have a latex allergy?
*
Yes
No
Unknown
Availability
*
Which days and times are you usually available?
Do you have any questions for me?
Submit
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