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CUSTOMER CONCERN FORM
Full Name
Email Address
Phone Number
Studio Tattoo Was Completed At
Please Select
Australia - Belconnen
Australia - Broadbeach
Australia - Carindale
Australia - Chermside
Australia - Coolangatta
Australia - Coomera
Australia - Fountain Gate
Australia - Garden City
Australia - Highpoint
Australia - Hyperdome
Australia - Indooroopilly
Australia - Ipswich
Australia - Melbourne Central
Australia - Queen St
Australia - Southport
Australia - Sunshine Plaza
Australia - Surfers Paradise
Australia - Tea Tree Plaza
Bali - Kuta
Bali - Canggu
Italy - Florence
Philippines - Siargao
Sweden - Stockholm
Thailand - Phuket
Thailand - Chiang Mai
Vietnam - HCMC
Amount Paid
$
Photo of job prior to touch-up
Date Of Tattoo
Concerns
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Scalp Micro Pigmentation (SMP)
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