Name *

First Name

Last Name

Phone *

Country

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###

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Age check *

I confirm that I am + 18 years old. We do not perform tattoos on minors even with parental consent.

Yes, I confirm.

Type of service *

new tattoo

in person consultation

video consultation

Are you open to Flash Designs? *

Yes

No

Have you joined our Instagram broadcast channel? *

To be eligible for an appointment you must be part of our circle.

Yes

Consent *

Please confirm that you have read and agree to our terms before submitting

I agree to the Privacy Policy and consent to having this website store my submitted information so Haus Elevn can respond to my request.

I understand this form is a request only, and not confirmed appointment.