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Radiant Energy Tattoo - Tattoo Request Form
www.myradiantenergy.net
Name
*
First
Last
Email
*
Phone
*
Age (18+ only; gov't/official ID required at session)
*
Method of Contact (choose any options):
*
Text Me (If above number is mobile number)
Email Me
Call Me
Artist
*
Please select
Caroline Evans
Koryn Donnelly
Casey Ritacco
Bobby Castanon
No Preference
Location To Be Tattooed:
Please select
Shop (Brick, NJ)
Convention (specify event in tattoo description box)
Type of Tattoo:
Select Type
Color
Black & Grey
On which part of your body do you want the tattoo?
Upload your imagery below, one file per box
Upload your imagery here
Upload your imagery here
Upload your imagery here
Upload your imagery here
Upload your imagery here
Upload your imagery here
Upload your imagery here
Sizing: Please provide measurements for this tattoo (length & width, in inches or centimeters)
Describe your desired tattoo
Do you have any medical conditions? Enter them here if none, type None
*
Type Of Tattoo
*
New Piece
Cover-Up
Continuation Of Piece
If you were referred by someone, enter their name here.
If you have a max budget, enter it here. This is your budget BEFORE sales tax is added.
Requested Appointment Date/Time
(This is not a confirmation of your appt, that will be confirmed with you directly)
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Shop Appt Hours:
Wednesday-Saturday: 12:00PM-8:00PM
Sunday-Monday: Closed
Tuesday: Available by text/email only (12:00-8:00PM)
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