artists@theblackhearttattoogallery.com
(484) 280-7790
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Full Name
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What are your preferred pronouns?
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Email Address
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Phone
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on Skin Type
Age
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Where on your body would you like your tattoo to be located?
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Skin Type
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Select
Light
Fair
Medium
Tan
Brown
Dark
Very Dark
Tattoo Color Choice
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Style Preference
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Is this a cover-up
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Select
Yes
No
Preferred Days of Week
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Schedule Exceptions
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Please Upload Reference Pictures
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Please confirm the following
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By checking the box below you confirm that you are over the age of 18
I understand that if my request is approved I will be asked to leave a non-refundable and non-transferrable deposit in order to book my appointment and until it has been received and confirmed, the appointment(s) and design are not reserved.
I understand I will forfeit my original deposit and require a new deposit to reschedule my appt if I reschedule less than 7 days prior to my appt or if I reschedule more than once.
I have read and understood all of the additional policies as outlined in the FAQ Page.
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