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Appointment Request Form

OUT OF SHOP 9/30-10/11!

*Average booking time: 2-5 days out*

Please only contact me through one method when booking. Submitting both a request form and messaging on social media causes confusion and may delay your response.


This form is for new service requests only. If you were redirected here to pay your booking fee, close this page and try the link again.

Let's start with your personal details

*Minors will require extra identification as per WV state law.

Time Preference

Time Preference
A
B
C

Availability

Availability

What piercing(s) or service are you looking to schedule for?

Quiet Appointment option

Some clients find it easier to relax without small talk or step-by-step narration of the piercing process. If you’d prefer a quieter appointment, you can choose that here:

Quiet Appointment option

Anything else?

Will you be booking with a friend or as part of a group?

Will you be booking with a friend or as part of a group?

Are you booking with a PBH gift certificate? If so, enter ID code below:

How’d you hear about us?

Would you like to sign up for our Loyalty Program?

Would you like to sign up for our Loyalty Program?

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*Non-refundable $25/per person book fee will be required to finalize scheduling. Payment details will be included in my response.

Hit “SUBMIT” only when you are prepared to pay the booking fee, as this helps ensure that time and communication are used efficiently: