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First and last name

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Mobile number

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Email address

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Street address

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Apt, suite, etc. (optional)

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City

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State

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ZIP code

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Age

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Race

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Pronouns

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In State or from Out of State?

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Who/What are you interested in getting done

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Which body part

Torso

Hand

Calf

Thigh

Forearm

Bicep

Tricep

Chest

Back

Other

Are you open to letting her have creative control?

Yes

Maybe

Any extra details we may need to know about your tattoo

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What day of the week or weekend works for your schedule ? Shop closed on Mondays

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How did you hear about Jug?

Instagram

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Friends or Family

Tik Tok

Black and Grey or Color ?

Color

Black and Grey

Black and Grey with Pops of color

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