Artist Information Submission Form

First Name	* REQUIRED
Last Name	* REQUIRED
Email Address	* REQUIRED
Home Address	* Personal Addresses will not be display ** For SMART Tattoo use only
City
State
Zip Code
Personal Phone
Type of Tattooer	ProfessionalAmateur* REQUIRED - Choose One
I am currently Working at
	OR
Enter Studio Name
Years Exprience
I have worked at these Studios
Personal Website
Security Code
Enter Security Code:

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