Register your #Tatts4TSC Event
Use this form to register your event. We'll send you 10 Free tatts (or more if you need).
Name
*
First Name
Last Name
Postal Address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Email
*
example@example.com
Event Date
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Number of Tattoos?
*
If you'd like more just increase this quantity. We'll send them free. If you're not having an event or people wish to buy Tatts to donate, they can use our separate Tattoo order form (at 5 for $20).
What is your connection to TSC?
I am an individual with TSC
I am a relative of an individual with TSC
I am a medical practitioner
Other
Other
Join our mailing list?
*
Yes, please add my email address above to your mailing list
No thanks or I am already
Tell us a bit more about your event
Submit
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