Clone of Tattoo Request Form

Your name

First NameLast Name

E-mail

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth

Satori Ink has a minimum age requirement of 15 for most piercings. If you have questions about age requirements for a specific piercing, please reach out to us via phone or email.

Have you been pierced at Satori Ink before?

Select all services you wish to have done during your appointment. No payment is required until the day of your appointment only after the service is performed.

Ear Lobe (single ear)

Ages 15+. Please call studio if under 15.

$50.00 Quantity

Ear Lobes (Pair)

Ages 15+. Please call studio if under 15.

$100.00 Quantity

Basic Cartilage

Ages 15+. EXCLUDES industrial piercing.

$60.00 Quantity

Industrial

Ages 18+

$80.00 Quantity

Eyebrow

Ages 18+

$60.00 Quantity

Nostril

Ages 15+

$60.00 Quantity

Septum

Ages 18+

$60.00 Quantity

Lower Lip

Ages 18+

$60.00 Quantity

Upper Lip

Ages 18+

Includes philtrum/medusa piercing

$80.00 Quantity

Tongue

Ages 18+

Standard tongue only. We do not perform "snake eyes" or other alternative tongue piercings.

$60.00 Quantity

Navel / Belly Button

Ages 15+

$60.00 Quantity

Nipples (Pair)

Ages 18+

$100.00 Quantity

Nipple (single)

Ages 18+

$50.00 Quantity

Genital

Ages 18+

$100.00 Quantity

Jewelry Change

All ages. Applies to standard jewelry (ball or gem). Jewelry upgrades are available at an additional cost.

$20.00 Quantity

Total

In addition to service selection, please name the exact piercing desired or jewelry change location.

What days of the week and times are you available for an appointment?

Satori Ink is closed Thursdays and Sundays.

Additional questions / information:

PLEASE READ: Not every piercing is for every body! Our piercing professional will evaluate your physical anatomy upon arrival for your appointment to determine if the piercing you desire will be a good fit for you. This is important because performing a piercing on a body part that has insufficient anatomy compatibility can lead to negative effects such as permanent scarring, tissue damage, migration / rejection, pain and discomfort, poor healing overall, and unsatisfactory appearance. We understand it's disappointing to hear that a piercing won't work for you so our piercer may recommend an alternative piercing if the one you request is not suitable for your anatomy. Your health, safety, and long-term results are our top priority always!

Please verify that you are human (Robots don't get piercings)

Piercing Request Form

Service Selection

Select all services you wish to have done during your appointment. No payment is required until the day of your appointment only after the service is performed.

Piercing Request Form

Service Selection

Select all services you wish to have done during your appointment. No payment is required until the day of your appointment only after the service is performed.*

Select all services you wish to have done during your appointment. No payment is required until the day of your appointment only after the service is performed.