Name *

First Name

Last Name

*

I understand that if I submit a form for dates further than 2 months out from today’s date I may need to resubmit a form closer to my desired dates.

*

I understand that I am required to put down a $100 non-refundable deposit to hold the appointment date and time, and that the appointment is not confirmed until the deposit is received.

*

The deposit will be through either Cashapp or Venmo but the remainder of the cost of the piece will be CASH ONLY. If you are planning to book at Black Sea Tattoo there is a ATM located inside the 7/11 next door.

I understand that the remainder of my tattoo will be paid in cash

Rescheduling *

If you need to reschedule I require notice 48 hours in advance, except for emergency situations. If you do not contact me at least 48 hours before your appointment, your deposit will be forfeited and you will be required to put down an additional deposit.

I understand if I do not contact you I will lose my deposit