Booking FormBefore requesting an appointment, read the F.A.Q. page. Be as detailed as possible below. All questions and requests will be responded to within 72 business hours. Name * First Name Last Name Email Address * Phone Number * (###) ### #### Does this phone number receive text messages? * Yes No Artwork Color * Black & Gray Partial Color Full Color Location of Desired Art * Arm Back Chest Head/Face Foot Leg Neck Other Tattoo Budget $ Description of Desired Art Please include any details that would be helpful for Chuck to determine the proper amount of time that the artwork might take. Including but not limited to your ideas, estimated size of the piece and whether the artwork is already completed. Have you been tattooed by Chuck before? Yes No Thank you!