Piercing Form - Wilmington

Full Name

First NameLast Name

Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Pick a date you can commit to. If none work, please mention your preferred date in the comment section and choose ‘none of the above’

Dates with a star (*) next to them are referring to certain flash events where certain deals may be offered. You can find these events and their details through my instagram or through www.linktr.ee/royalartware

Select each piercing you’re requesting

What color jewelry would you like?

Are there any medical conditions or required accommodations I should know about? (allergies, scarring, wheelchair, etc.)

Questions & comments below

My Products

Deposit

$50.00 Quantity

Deluxe Aftercare Kit

includes an XL bottle of saline spray, hand sanitizer, and q tips. Giving you an abundance of product to help you heal perfectly. recommended for people getting multiple piercings at once.

$18.00 Quantity

Piercing Pillow

an anti microbial fabric layered over a donut shaped pillow, designed to fit your ear comfortably, allowing you to sleep on your side or stomach while healing piercings. recommended for people getting multiple piercings on one ear who sleep on their side normally.

$20.00 Quantity

Total

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Piercing Appointment Request Form

My Products

Payment Methods