Appointment Request

Thank you for your interest in getting tattooed by me. Please fill out the form below and I will be in touch as soon as possible!

Date of Birth

YYYY

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

Description

Please provide a brief description of what you are looking to have tattooed .

Location on Body

Where do you want to put this tattoo? Upper arm, ribs, calf? Not sure?

Preferred Appointment Day

Wednesday

Thursday

Friday

Saturday

Sunday

Any

-Budget

I do my best to price my work accurately and fairly, but please let me know If you are working with a budget. (e.g. I would like to keep this between 400-500$)

Is this a cover up?

YES

-comments-

Please let me know if you there is anything else i should know.

Thank you so much! I can't wait to tattoo you!

Appointment Request

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