Piercing Appointment Request Form
Please allow 24-48 hours for a response. If you are booking same-day, please dm me on instagram as well.
Full Name
*
First Name
Last 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’
*
Please Select
4/27 @2:00
5/6 @11:00
5/7 @11:00
5/7 @1:00
5/9 @1:00
5/9 @12:00
5/11 @11:00
5/13 @3:00
5/13 @5:00
5/15 @12:30
5/15 @1:30
5/16 @11:00
5/17 @11:00
5/17 @3:30
5/31 @11:30
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
Nostril
Septum
Bridge
Eyebrow
Medusa
Monroe
Madonna
Vertical labret
Side labret
Standard helix
Forward helix
Ear Styling (3 or more ear piercings)
lobe
flat
daith
rook
conch
snug
tragus
industrial
Nipples
Bellybutton
What color jewelry would you like?
*
Please Select
Silver
Gold
Rose gold
Special Request (specify below)
Are there any medical conditions or required accommodations I should know about? (allergies, scarring, wheelchair, etc.)
Questions & comments below
My Products
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Deposit
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Piercing Pillow
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
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