Name*

Phone number*

Email address

Preferred style?*

Preferred day(s) for booking: (if you'd like to be booked within the same week please select the last box)*

Preferred month for booking: *

Price range? (Tiana has a $150 minimum; the size , intricacy of the design, and placement all play a role in pricing) *

Are you allergic to any inks, pigments, or ointments?*

Are you taking any medications or supplements that may alter or affect your tattoo application or healing process?*

How did you hear about Tiana?*

Any questions or requests? *