Appointment Request

To request an appointment, please complete the form below. A member of our staff will contact you to confirm your appointment. Please do not use this form to cancel or change an existing appointment. Please put any artist request in Comment box. If your information is not in the appointment system yet, please identify yourself as new customer. Thanks. Please note we no longer offer body piercing.

Required fields are shown in bold.
First Name:    MI:   Last Name: 
     
Address Line 1:
Address Line 2:
City:   State/Province:   Zip/Postal Code: 
   
Email Address:    
Phone:     Alt Phone:   Best time to call:
   
Will this be your first appointment with us?
Preferred day for appointment:
Preferred time for appointment:
Comments:
Note: Appointment requests made through this service are not considered confidential.
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