Convention Booking Form

Please complete the booking form below to book a place at

Derby Tattoo Convention, Derby
19th & 20th July 2008

with Dan Stone

Please give as much informatio as possible about the work that you require at your session in order for us to be as prepeared as possible.

Name

E-Mail

Telephone No

What day/time would you like to book a session for?

Please give further details of the tattoo that you require.

How did you hear about Electric Buddha?