BOOKING FOR OLD STATE TATTOO IN SOUTHINGTON, CT

JUNE 24-27 2025

BOOK AN APPOINTMENT:

BY SUBMITTING THIS FORM YOU ACKNOWLEDGE AND AGREE TO ALL POLICIES AS OUTLINED IN THE BOOKING AND FAQ SECTIONS.

I TRY TO RESPOND TO ALL REQUESTS WITHIN 72 HOURS. IF YOU DO NOT HEAR FROM ME WITHIN 1 WEEK PLEASE FEEL FREE TO RESEND.

I AM HAPPY TO DO SMALL OR LARGE TATTOOS. IF YOU HAVE ANY QUESTIONS REGARDING SIZE OR PRICING PLEASE LET ME KNOW IN THE NOTES.

PLEASE NOTE: THIS FORM IS FOR BOOKING OLD STATE TATTOO JUNE 24-27 2025. FOR NEW YORK INQUIRIES PLEASE FILL OUT THE MAIN NEW YORK BOOKING FORM ON MY SITE.

NAME

First Name

Last Name

PHONE CONTACT

(###)

###

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PREFERRED PRONOUNS

HAVE I TATTOOED YOU BEFORE?

TATTOO IDEA

EXPLANATION OF CONCEPT

TATTOO LOCATION

WHAT IS THE DESIRED AREA ON THE BODY FOR THE DESIGN

PREFERRED APPOINTMENT LENGTH

WHAT IS YOUR BUDGET PER SESSION? (if you are interested in a smaller tattoo please let me know in the notes and I can give you an estimate.)

2 hours- $500 cash/ $550 non cash

3 hours- $750cash/ $825 non cash

4 hours- $1000 cash/ $1100 non cash

ADDITIONAL NOTES

AGREEMENT

I HAVE READ AND AGREE TO ALL POLICIES INCLUDING BUT NOT LIMITED TO BOOKING, PRICING, PAYMENTS, DEPOSITS, AND CANCELLATIONS.

YES I AGREE