Home
About
Fine Art
Booking Info
Appointment Request
Home
About
Fine Art
Booking Info
Appointment Request
First Name
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Last Name
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Phone Number
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E-mail Address
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Address
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City
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- Select State -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
- Select State -
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Zip Code
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New or Returning Client?
New Client
Previous Client
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Tattoo Placement
Please choose a combination that best describes the desired location of your tattoo.
- Tattoo Placement -
Arm (Entire Sleeve)
Arm (Outside Bicep)
Arm (Inside Bicep)
Arm (Inside Forearm)
Arm (Outside Forearm)
Thigh (Front)
Thigh (Back)
Thigh (Outside)
Thigh (Inside)
Calf (Outside)
Calf (Inside)
Calf (Back)
Shin
Foot
Neck (Throat)
Neck (Side)
Neck (Back)
Back (Entire Back)
Back (Upper)
Back (Lower)
Back (Center)
Back (Shoulder Blade)
Back (Shoulder Cap)
Chest (Center)
Chest (Pectoral)
Torso (Ribs)
Torso (Stomach)
Hip
Hand
Head (Top)
Head (Side)
Head (Back)
- Tattoo Placement -
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Field is required!
Left Side
Right Side
Center
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Description of Tattoo Concept
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Image Upload (Optional)...
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Availability
Please note that Fridays and Saturdays book out the fastest and you will most likely need to work with a weekday. Please choose at least two days that you're available.
Tuesday
Wednesday
Thursday
Friday
Saturday
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Field is required!
Availability Restrictions
(Vacations, Moving out of town, general time restrictions etc.) *Example: Weekdays after 12pm or Vacation 4/5 - 4/15
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Field is required!
Where are you traveling from?
Example: Columbus, OH or Long Island, NY
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Field is required!
Have you viewed my Booking Info and FAQ pages?
Yes
No - If NO, please read my Booking Info and FAQ pages before proceeding. By submitting this form you agree to all information & polices.
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Field is required!
How did you hear about me?
- Select -
Instagram
Facebook
Skin & Ink Magazine
Search Engine
Friend or Family
Convention or Event
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