Booking / Quotation Request Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastInstagram Handle *Remember to check your IG inbox/message requests every now and then because this is where I’ll reach out to you re: your quote/booking request. No IG accountOnly check this box if you don’t have an Instagram account.(I personally prefer messaging over Instagram for ease and convenience, but…oh well.)Email *Remember to check your email inbox/spam folder every now and then because this is where I’ll reach out to you re: your quote/booking request. Status *Quote RequestedMessaging OngoingPayment PendingConfirmedPassArchivedFinishedQuoteDate / TimeDateTimeDate of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920You must be at least 18 years old to book an appointmentType of Appointment *Flash Piece (from Patsung’s flash sheets)Custom PieceCover UpTouch-up(Minor)Touch-up(Extensive)Client’s own readymade design****Please note I don’t copy other artists’ designs without their consent or approval.What date do you have in mind? *If in case the first date you selected isn't workable with my existing schedule, when's the next best date for you? *If this is a custom piece request, please tell me about your idea below.Placement *(arm, inner arm, forearm, wrist, thigh, leg, knee, shoulder, back, etc.)Size (in inches) **If sleeve, just type ‘sleeve’ in stead of dimensions.Reference Photos Click or drag files to this area to upload. You can upload up to 5 files. Upload any reference photos you have. If this is for a flash piece, please upload a screenshot of the piece you are interested in.How did you hear about my work? *Vimana Tattoo Studio Instagrampatsung.art Instagram (formerly White Lady Tattoo Instagram) or WL Facebook pageFrom another clientOtherName of other client *How did you hear about my work? *I understand that this booking request form does not guarantee me an appointment. I understand that I will be contacted for follow-up via Instagram (or email) within 72 hours, and will be required to send a deposit via transfer within 24 hours of agreeing to an appointment time with the artist. I acknowledge that until the deposit has been received my appointment has not been confirmed. I understand that this is a non-refundable deposit. If I need to reschedule the appointment I will do this no later than 72 hours before my appointment to avoid losing my deposit. I understand that if I make changes to my design after submitting this request and booking the appointment, the cost may vary from the quote I was given. *I have read and agree to the above statement.Submit