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Ink & Impact Tattoos' Request Form

I am thrilled to assist you in bringing your tattoo ideas to life. Please fill out the form below with your contact information and details about your desired tattoo. Rest assured, your information will be kept confidential. Thank you for choosing Ink & Impact Tattoos, I can't wait to create something amazing with you!

What is your name? (LEGAL first and last)

Please fill in your birthdate. (Must be 18+)

What is your phone number?

What is your email?

Is this your first tattoo?

Is this your first tattoo?

Select your tattoo placement.

List placements for multiple tattoos.

Tattoo Design Description (Please include size and colors)

Tattoo Reference Image(s)

Are you bringing a guest (ONE person) with you?

Are you bringing a guest (ONE person) with you?

Text Message Confirmation

Please note that your tattoo design and final pricing for your session will be confirmed via text message. It is essential that you approve the design no later than 48 hours before your appointment. Failure to do so may result in the rescheduling of your appointment. This process ensures that we can make any necessary adjustments and provide the best service possible without last-minute changes. I accept the following payment methods: Cash, Zelle, CashApp, Apple Pay, and Square (tap to pay).

I acknowledge that I have read and agreed to the terms and conditions, including the text message confirmation and final payment process.

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