Appointment Request Form

Corra Carmine - Appointment Request
Thank you for considering me for your next tattoo!

~ Please fill out each box below for your inquiry ~
Full Name*

First NameLast Name
Nickname/Preferred Name
Ex: Sam (instead of Samantha)
DOB *
mm/dd/yyyy
Gender

MaleFemaleOther
Phone*

Area CodePhone Number
Location (Where you are coming from)*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
E-mail*
Color or Black & Grey Tattoo (Pick one, or specify if other)*

ColorBlack & GreyOther
Placement & Size Estimate in inches (please be as specific as possible for your placement description)*
Description of tattoo and/or other details (let me know if we are working around any existing tattoos and send images of that area )*
*Upload any reference images you may have below*

(Feel free to add images of your desired area/placement for the design to help give me a better idea of fit)
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Please specify if you have any skin complications, sensitivities, or other concerns that I should know
***Deposit Policies***

A non-refundable deposit is required to set and hold an appointment date & time in my schedule.
Additionally, it goes towards drawing time as well as final cost unless any of the following occurs: canceling the appt, no-call/no-show day of the appt or a last minute reschedule - less than 24hr notice.
I understand
Please allow several business days and occasionally up to a week or more for an email reply.

Thank You!
If you haven't already,

check out my work on Instagram and give my page a follow!

@corracarmine
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Corra Carmine - Appointment Request