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Touch Up Form
7
Questions
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1
Name
*
This field is required.
First Name
Last Name
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2
Email
*
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example@example.com
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3
Phone Number
*
This field is required.
Please enter a valid phone number.
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4
When did you get the tattoo done?
*
This field is required.
Please note that the tattoo needs to be fully healed before we can go back and touch it up. This prevents scaring and unnecessary trauma to the skin.
-
Date
Year
Month
Day
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5
Please upload a current photo of the tattoo you need touched up!
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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6
Are you under the age of 18?
*
This field is required.
YES
NO
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7
Identification Terms
*
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