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Portfolio
Travel
Aftercare
Shop
Booking
CUSTOM TATTOO
REQUEST FORM
Please be sure to read through my booking info before submitting a request!
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Preferred name (optional)
If different from your legal name.
Legal name
*
As it appears on your current ID.
First Name
Last Name
Pronouns (optional)
Email
*
Phone
*
(###)
###
####
Occupation
*
Availability
*
I tattoo Mon – Fri only; custom appointments start at 12 pm. Please check all that apply!
MON
TUE
WED
THU
FRI
Brief description of your idea
*
Approximate size
*
Placement
*
Please be specific and include which side of your body (if applicable).
Approximate budget
*
My rate is $200/hr with a 1-hr minimum (+ sales tax). I will do my best to design to your budget but I can’t guarantee!
1–2 hours ($200 – $400)
2–3 hours ($400 – $600)
3–4 hours ($600 – $800)
4–5 hours ($800 – $1000)
Flexible, whatever it takes!
Allergies, relevant health conditions, accessibility needs (optional)
Anything else I should know? (optional)
Traveling from out of state, other relevant links, backstory, vacation dates, etc.
Deposit Agreement
*
I understand that I will be required to put down a $200 deposit to book an appointment and that deposits are 100% non-refundable / non-transferable.
Terms of Service
*
I have read through your booking info carefully and by booking an appointment, I understand that I am agreeing to your terms of service.
Thanks so much! Your submission has been received 🥰
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