Piercing Booking Inquiries Form

Your Name (Mandatory)

Your Email (Mandatory)

Your Phone Number (Mandatory)

Your Age (Mandatory)

1 of 6 Which piercing(s)/service(s) are you interested in getting pierced?

(check all that apply)

EarsFacialBodyOther

2 of 6 If you selected "Ears" which part of your ears are you interesting in getting pierced?

(check all that apply)

Lobe (single) $40Lobe x 2 (pair) $75Helix/Cartilage $50Fwd. Helix $55Dbl. Helix $100Triple Fwd. Helix $135Snug $55Conch $55Tragus $55Rook $55Daith $55Industrial $70Flat $55Anti-Tragus $55Surface Tragus $55Transverse Lobe $80

3 of 6 If you selected "Facial" which part of your face are you interesting in getting pierced?

(check all that apply)

Eyebrow $60Nostril $60Lip (Monroe/Medusa/Labret) $60Vertical Labret $60Septum $60Tongue $70

4 of 6 If you selected "Body" which part of your body are you interesting in getting pierced?

(check all that apply)

Navel $60Nipple $65Nipple (pair) $120Dermal $80

5 of 6 If you selected "Other" What other piercing service(s) are you looking for?

(check all that apply)

Jewellery Changes/Removals $10Dermal Removal $30Jewellery anodizing $10

6 of 6 When are you looking to have the piercing done?

(choose one)
As soon as possibleWithin the next weekWithin the next monthWithin the next 3 monthsOther

If you selected "Other" for question 6 - When do you want to have your piercing done if not within the next week to 3 months?

Also sign me up for the newsletter!

Extra comments or details or message for the artist: