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First Name

Last Name

Phone Number

Tattoo Description

Approximate Size (in inches)

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Tattoo Color

Black & Grey

Color

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Placement on your Body

Please Select Preferred Artist(s) Required

If you have only specific availability for an appointment, please provide your particular range of available dates here:

Preferred Location (please check the work location of your deisred tattoo artist) Required

Orange

Torrance

Any

Availability

I have pretty flexiable availability.

I have limited availability (If selected, please provide date below.)

I hereby declare that I am age of 18 or above and could prove valid prove of age and identification in person.