Corey PogueBooking Request Full Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Age * Tattoo Description * Please provide a detailed description of your tattoo concept. Please be as descriptive as possible. Placement on your Body * Ex: Left Front Thigh , Right Inside Bicep, Left Half Sleeve Elbow Down Approximate Size * 4" x 4" 6" x 8" 10" + Half Sleeve Full Sleeve Leg Sleeve Full Back Price Range * Please Select One $200-$450 $450-$800 $800-$1600 $1600+ Tattoo Style * Black & Grey Color Availability * I have a flexible schedule I have limited availability (If selected please provide a range or dates below) If you have limited availability to be tattooed please provide a range of dates or needed day of the week Unavailable Sunday / Monday How did you hear about my work? * Word of Mouth Facebook Instagram Saw a random in public and asked about their work Please Verify that you are 18 years or older * Yes, I am 18+ years or older Thank you!
