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13
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1
Name
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First Name
Last Name
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2
Pronouns
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3
Date of Birth
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Month
Day
Year
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4
Email (always remember to check your folders if you haven't heard back from me!)
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example@example.com
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5
Cell Phone Number - Used to send appointment reminders!
Area Code
Phone Number
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6
Type of Appointment
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Custom Design - Black and Gray
Custom Design - Color
Predesigned piece from my Facebook or Instagram
Coverup
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7
What day are you hoping to book for? Please include a couple back up dates, just in case! Please note I am currently only working on Tuesdays-Friday 12-8p, and Saturdays 11-8p (EST time).
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8
What time of day works best for you?
Anytime
Afternoon/Early Evening
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9
If this is a custom piece/coverup request, please tell me about your idea below.
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10
Placement and size (in inches please)
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11
Do you have any questions?
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12
Please upload any reference photos you have. Please try to find reference photos that are not another artists tattoo if possible. If this is for a predesigned piece from one of my pages, please upload a screenshot of the piece you are interested in.
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13
I understand that this booking request form does not guarantee an appointment. I understand that I will be contacted for follow up via email, and will be required to place a $50 or $100 deposit to book an appointment date & 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.
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