Appointment Request Form Please fill out the form below for any tattoo or consultation requests Name * First Name Last Name Subject * please type your full name as the subject for gmail sorting Email * Phone * (###) ### #### Where are you located? * Instagram @ Tattoo Idea * Please be as detailed as possible Location On Body * Please be specific! ex: Left or Right?, Upper or Lower? Inner or Outer? Arm, Leg, Shoulder, Back, Ribs etc Approximate Size * Inches, or close estimate (palm or hand sized, half or full sleeve etc) Budget If you have one Which Shop * Magic Eye Philadelphia Mikiri Gallery NYC (waitlist) Other (guest spot) Is this your first tattoo? * Yes No Have I tattooed you before? * Yes No Availability * I have open availability Weekends Only I have a specific date range I am available Dates Available (if specific range selected) I am at least 18 years of age or older * Yes please check your spam folder for a response if you don't get a reply within a week * got it Thank you for your submission! Please allow up to a week for a response, and please check your spam folder if you don’t hear back within that time!
