This item only needs to be added to custom tattoos to cover the time of creating the artwork and the back and forth communication to get the final image to align with your vision. This fee is separate from the cost of the tattoo itself. It can either be sent as an e-transfer to ladywoodink@gmail.com with your name, and confirmed date in the info tab or if e-transfers aren't your thing you can add this item to your cart and checkout using a credit card or paypal. An additional $2 is added to cover the processing fees if you go this route.