First Name*
Last Name*
Email*
Phone Number*
Yes
No
To your best ability, describe what you want tattooed:
Desired Body Placement
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Thirteenth Realm
Convention/Guest Spot
One Hour - $200
Three Hours - $600
Six Hours - $1200
Please attach any reference photo
Please attach any additional reference photo
If there is anything else I should know please include it below:
By checking this box, I agree to send a booking fee of $100 via Venmo (theotherdale) and to the hourly rate of $200/hour. If I do not show up for the appointment, I forfeit my booking fee and will be required to leave a new one upon rescheduling.