Chuck's Appointment Request Form
• Please be as specific as possible when filling out this form.

• Please allow me 1-3 days to get back to you. (I usually try to get back to you the same day.) At this point, we’ll discuss your design and I’ll give you a cost estimate.

• Once I know how much time I need for your tattoo, I’ll send you a link to my calendar to book the actual appointment for your tattoo. That appointment requires a non-refundable booking fee of $80 (or more depending on length of appointment), which you will pay online at the time of booking. This booking fee is applied to the cost of your tattoo. Cash is accepted if booking in person at the shop.

• I accept Cash, Credit/Debit cards, Venmo, or CashApp for tattoo payment.

• If you wish to pay with a credit card, you will be responsible for a 3% processing fee.

I look forward to working with you!
First and Last Name*
Phone #*
Email
Instagram @
Date of birth*
How did you hear about us? If someone referred you, please tell us their name so we can give them credit!*
What design would you like to get tattooed?*
Specific body part (Be as specific as possible. Such as: "Left inner forearm" or "Right outer calf - knee to ankle)*
Size of tattoo*
Palm size or smaller
Hand size (wrist to fingertips)
Larger than hand size
Color or Black & Grey*
Color
Black & Grey
Unsure
Do you have a budget you're hoping to stay within?*
Any additional info?
Image reference
Image reference 2
Image reference 3