Lo Belmont Tattoo Submission Form Name * First Name Last Name Email * Phone * (###) ### #### Pronouns (OPTIONAL Tattoo Description * Approximate size for Tattoo * Placement on the body * (ex, arm, leg, back etc.) Color Or Black and Grey * Black and Grey Color Mostly Black and grey with pop of color Is this a coverup or re work? Yes No PLEASE READ BEFORE SUBMITTING * PRICING My hourly rate is $80 Minimum is $80 Flash will be done at a flat rate Smaller work will also be done at flat rate DEPOSIT POLICY I work by appointment only All appointments require a Deposit Deposits are NONREFUNDABLE The deposit secures the date/time we have discussed to do your project. Deposit goes toward final cost of the tattoo You are allowed ONE reschedule with existing deposit if given at least a 48 hour notice. Failure to give me 48 hour notice will forfeit your deposit. I have read the terms and conditions for booking with Lo Thank you!