Tattoo Request Form
Name
*
First Name
Last Name
Preferred Pronouns
Email
*
example@example.com
*
Please enter a valid phone number.
Format: (000) 000-0000.
I work at two different shops. Which shop are you looking to get tattooed at?
Lucky’s in Northampton, MA
Regeneration in Allston, MA
Size
*
Approximate in inches
Placement
*
Location on the body you want the tattoo to be. (Please be specific as to left or right side, front or back, inner or outer, etc.)
I want the tattoo to be
*
Color
Black & grey
Design Description
*
In the description please let me know what kind of style, look or feel you want for the piece. I work primarily in a Japanese or American Traditional style. If it’s still unclear, you can always check back to my instagram for examples of the style I work in.
Reference Photos
Browse Files
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Please attach any images that are inspiration for your tattoo, pics of other tattoos or illustrations you like, and/or photos of the area of your body you want tattooed. This is especially helpful if you are working around other tattoos or covering old tattoos or scars.
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