MAD MABS TATTOO
Let’s Get All This GatDang Info Together
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Appointment Date and Time
Please Select One:
Linework
Full Color
Opaque Greys
Please Describe Placement and Size (inches x inches):
Ex: Left inner forearm, approx 3”x5”.
Please Describe Potential Tattoo Design:
Ex: I’m interested in a skull with stars and care bears cascading from his head. I’d like a healthy dose of pinks and purples.
Will You Be Nice to Me? (Very Important)
Yes
Please Include Photos of the Area Including Any Surrounding Tattoos:
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Nonrefundable Tattoo Deposit
This deposit will be applied toward the final cost of tattoo. Forms without deposit will be ignored.
$
100.00
Quantity
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