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Old East Durham
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Samantha Castrovinci's
Design Raffle Entry Form
First Name
Last Name
Preferred Pronoun (optional)
Email
Phone
Desired Design(s)
Conifer Cones
Parakeet
Burdock and Crab
Ornamental bloom 1
Ornamental bloom 2
Hunting bird
Oceanfish 1
Oceanfish 2
Coral fish sculpture
Crane
Praying mantis
Nautilus shell
Butterfly
Toad and tadpoles
Snail on Maidenhair
Moth
Choose one
Color
Black and gray
Artists choice
Preferred day of the week to schedule
Thursday
Friday
Saturday
Sunday
No preference
Any dates that are off limits? Vacations, prior commitments, etc?
How do you prefer your tattoo experience?
Curtains closed
Curtains open
Low energy/minimal conversation
Med-High energy/more conversation
I prefer to wear headphones
No preference at all
Other
Other? Please share
Send
Thanks for entering! A name will be randomly selected and announced on 2/3
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