PMU Appointment Request | MAGIC MOON TATTOO

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COSMETIC / PARAMEDICAL TATTOO CONSULTATION REQUEST

Must be age 18 or over

TO REQUEST A FREE NO OBLIGATION CONSULTATION FOR

COSMETIC / PARAMEDICAL TATTOO, SMP, MICRONEEDLING SERVICES OR

TATTOO LIGHTENING SERVICES PLEASE FILL OUT THE FORM BELOW.

ONCE YOUR APPOINTMENT REQUEST FROM IS SUBMITED A STAFF MEMBER WILL

CONTACT YOU TO SCHEDULE YOUR TATTOO APPOINTMENT!

*PLEASE NOTE OUR ARTISTS ARE IN VERY HIGH DEMAND AND IT MAY TAKE TIME TO RESPOND,

HOWEVER WE WILL GET BACK TO YOU WITHIN 24 TO 48 HOURS.

WE THANK YOU FOR CHOOSING US FOR YOUR TATTOO NEEDS

AND WE APPRECIATE YOUR PATIENCE!

Cosmetic/Paramedical Tattoo

Consultation Request

Legal First Name * As it appears on your ID

Legal Last Name * As it appears on your ID

(Optional) Preferred Name and/or Pronouns

Date of Birth *MUST BE 18

Phone

Do you accept text messages at this number

I attest that I am not currently PREGNANT or NURSING? *Due to the risk of infection to both mother and child, tattoos can NOT be performed on Pregnant or Nursing women.

I attest that I am 18 or older and I have a valid Government or State issued Photo ID or PASSPORT, which I will bring it to my appointment.

What Days & Times Are You Available? Please choose all that apply. We are closed on Tuesdays & Wednesdays

THURSDAY AFTERNOONS 12pm - 4pm

THURSDAY EVENINGS 4pm - 8pm

FRIDAY AFTERNOONS 12pm - 4pm

FRIDAY EVENINGS 4pm - 9pm

SATURDAY AFTERNOONS 12pm - 4pm

SATURDAY EVENINGS 4pm - 9pm

SUNDAYS 12pm - 5pm

Services Desired *ALL REQUESTS FOR SALINE COSMETIC TATTOO LIGHTENING FOR BODY TATTOOS WILL BE DENIED

Describe what you hope this service can do for you

Have you ever received other services, procedures or tattoos on or near the area of the body you are requesting this service for?

If you answered YES to the question above please describe.

If you answered YES above how long ago?

If you answred YES above please uplaod a clear photo of any previous work you had done in the area for which you are requesting services.

Upload File

Upload supported file (Max 15MB)

Do you have any MEDICAL CONDITIONS, CHRONIC ILLNESS, or DISEASES?

Do you take any MEDICATIONS or SUPPLEMENTS? *Prescribed or Over the Counter

If you answered YES to the question above please list them here.

Do you have any allergies? *Oral or Topical

I agree to reschedule my appointment if I or any other member of my household end up having an elevated temperature or any cold, flu or allergy symptoms before my scheduled appointment?

THANK YOU YOUR REQUEST WAS RECEIVED. YOU WILL RECEIVE A TEXT MESSAGE FROM 603-233-6544 (within 48 hours) TO BOOK YOUR CONSULTATION APPOINTMENT. Forms received after 7pm, on Holidays or on days we are Closed (Tuesdays & Wednesdays) Might Not Be Processed until the Following Day.

MAGIC MOON TATTOO &
THE PIERCING SMITHS

MAGIC MOON TATTOO SERVICES:

Body, Ear Piercing & Jewelry Services by The Piercing Smiths
Tattooing
Scalp Micropigmentation
Cosmetic / Paramedical Tattooing
Non-Laser Cosmetic Tattoo Lightening
Micro-Needling: Skin Rejuvenation & Scar Treatment

THE PIERCING SMITHS SERVICES:

Body Piercing
Ear Piercing
Dermal Anchoring
Corset / Play Piercing
Exotic / Adult Piercings
Ear Stretching
Jewelry Sales, Changes & Removal

Tel: 603-320-9616

Email: magicmoontattoonh@gmail.com

MAGIC MOON TATTOO & THE PIERCING SMITHS

MAGIC MOON TATTOO &
THE PIERCING SMITHS