To sign up for Ultimate Body Art List, please fill out the form below, or email us at info@ultimatebodyartlist.com, or contact us on myspace.

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Membership Sign up Form

Please allow 2-3 business days for your portfolio and contact info to be listed.

 

Please fill out this form in it's entirety.

Membership  (remember Bronze is free for first 510)
   
Full Name:     (first,last, and middle ini.)
   
Nick Name:   (if none, insert None)
   
Birth Date    Please just give us the month and day you were born, no year necessary... we'll be nice :)
   
Shop Name:  
   
Shop Address:  
   
Email Address:  
   
Personal Phone:  
  Do you want the personal phone listed?  yes    no
   
Business Phone:  
   
Web Address:    (if none, please enter None)

 

 
 
 
 
 
 
 
 
 
 

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