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Dane Mitchell Tattoo

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Tattoo Appointment Request Form

First name*

Last name*

Email*

Phone

I would like an in person consultation before setting a Tattoo appointment

Tattoo Location*

Tattoo Size in Inches*

Shading*

Full Color

Black and Grey

Black and Grey, Some Color

Minimal Shading

Just Outlne

Is This a Cover up?*

Yes

No

Please Leave a Description of your Tattoo idea*

Reference Photos 1

Reference Photo 2

Reference Photo 3

Reference Photo 4

Photo of the Area You’d Like to be Tattooed 1

Photo of the Area You’d Like to be Tattooed 2

Best Days of the week to get Tattooed

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

My Schedule is Flexible

By Checking this box I understand that this doesn’t guarantee Me a Tattoo Appointment and may take several business days to receive a response to this inquiry.

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