Jerry Inkorporated: Booking Request
If you are unfamiliar with my work or have questions regarding accessibility, policies, pricing, etc. Send me a DM or contact the shop directly. I'll be happy to answer! Crimson Lotus Tattoo and Art Gallery. 120 West 4th Street. Wilton, IA 52778
Name
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First Name
Last Name
Pronouns
Date of Birth
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I am 18 years old
*
Yes
Please Upload ID
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Email
*
example@example.com
Instagram Profile Name
@example
Facebook Name
Cell Phone Number - optional if you would like to receive appointment reminders!
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Area Code
Phone Number
How would you like me to contact you?
Email
Instagram
Phone Call
Text
Messenger
Type of Appointment
*
Flash (Predrawn)
Custom Design (I'm uploading references)
Group Tatts!! (I'm uploading references)
Cover Up
Consultation (In Person)
What day are you hoping to book for? Please note: I only have certain days and times available. Check INSTAGRAM for availability
*
If this is a custom piece request, please tell me about your idea below.
Placement and size (in inches please)
*
Do you have any questions?
Please upload any reference photos you have. Photos of other tattoos will only be used for reference. This will allow me to catch the vibe you are looking to acheive. If this is for a flash piece, please upload a screenshot of the piece you are interested in.
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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, or Instagram and will be required to send a deposit via cash or paypal within 24 hours of agreeing to an appointment time with the artist. 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, or I may need to reschedule.
*
Submit
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