Name * First Name Last Name Phone * (###) ### #### Placement * tell us where in your body would you like this piercing Are you interested on 14K gold jewelry for your piercing? Yes No Preferred Date MM DD YYYY I agree with the Deposit policy. * When the artist contacts you, you will be required to submit a deposit in order to secure the date and time of your appointment. Your deposit will only be refundable if you cancel before 24 hour. I Agree. Thank you, We will reach out within 24 hour.(Tuesday to Saturday) Fill Out The Form BelowFor your upcoming Piercing
