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! 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!