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INQUIRY FORM

Please text your full name to (601) 714-9069 upon completion.

Are You 18 Years of Age or Older?
Yes
No
Will Be 18 On The Date of Appointment
Date and Time Preferred
Year
Month
Day
Time
HoursMinutes

Date/Time is not guaranteed and will not be scheduled until your retainer invoice is paid.

Are you aware of my current pricing and session rates?
Yes, I understand the pricing
No, I would like more information before booking

Pricing and session information can be found on the 'Home' screen under "Tattoo Pricing"

Are you ready to pay the retainer fee today to secure your tattoo session?
Yes
No

Please upload a clear photo of the area where you want the tattoo and circle the size you would like the tattoo to be.

Make sure the entire area is visible and free of clothing.

Mirror photos are acceptable.

Black & Gray or Color?
Black & Gray
Color
Combination of Both
Will This Be A Coverup?
Yes
No
Am I Granted Artistic Freedom?
Absolutely!
I'd Like The Exact Design I Sent
To An Extent

Please text your full name to (601) 714-9069 upon completion.

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