Name *

First Name

Last Name

Phone *

(###)

###

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What services do you provide? *

Tattoo only

Permanent Makeup

Both

Do you have an Oregon tattoo license? *

Yes I do

No, out of state license or other situation

Not licensed yet, but able to get one

What are you interested in renting? *

Full-time booth

Part-time (3 days)

Part-time (4 days)