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
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  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
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  • New York
  • North Carolina
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  • Ohio
  • Oklahoma
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  • 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?

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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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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.
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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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Where are you traveling from?

Example: Columbus, OH or Long Island, NY
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Have you viewed my Booking Info and FAQ pages?

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How did you hear about me?

  • - Select -
  • Instagram
  • Facebook
  • Skin & Ink Magazine
  • Search Engine
  • Friend or Family
  • Convention or Event
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