Name * First Name Last Name Pronouns (she/her, he/him, they/them, etc.) Phone * (###) ### #### Email * Where will you be traveling from? Do you live out of town or out of state? Let us know where you'll be traveling from, or if you are a Charlotte local! Description of Tattoo * Try to be as detailed as possible, or if you are okay with more artistic freedoms for your design list this too. Location on body * IE: Inner forearm, full chest, full back, side of calf, etc. Sizing * IE: half sleeve, quarter sleeve, hand or palm sized, 6x6 inches, etc. Other information Please add any additional information that you'd like. Is this piece in memoriam? Have you been tattooed by Luke before? etc. You may list any of this here if so, and if not, tell us your favorite video game, movie, or tv show! DISCLAIMER As listed on our home page, Luke operates off of a flat day rate. This means you are the only appointment for the entire day and pricing is the same each day. If your idea is smaller, please feel free to submit multiple ideas in the same request. Luke can typically tattoo one large design or 2-3 palm sized designs in a day and if your idea is accepted, we will always let you know if your piece will require multiple sessions. Luke's current flat day rate is $1200, with a $200 deposit that is taken off the final price of your tattoo and due when you select your appointment date. THERE IS ABSOLUTELY NO COST TO SUBMIT THIS FORM. Thank you for your submission! Your request has been received and will be reviewed promptly. Please allow Luke up to a week to respond to your request, and keep an eye on socials for any updates or delays on responses. For any other questions, please reach out to Luke at lukekellytattoos@gmail.com or us directly at glitchtattooco@gmail.com. Otherwise, you’ll hear from us shortly!
