TATTOO REQUEST FORM

Tattoo Request!
In order to help me streamline the booking process please fill out any relevent information I may need for your appointment below. If there is a question you do not understand or are not sure how to answer, give a best guess and let me know at the end how I can help.
Preferred Name *

First Name Last Name
Email *
example@example.com
Phone number
Not required, I will probably never phone you
Placement *
(forearm, calf, etc. Be specific.)
Is this a cover-up *

Yes No
Placement Location
If there is a cover-up involved, please take a well-lit photo of the tattoo or scar that you would like covered as well as some area around it. Also please note how old the tattoo/scar is in the description box.
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Tattoo Size *
Please guess size in cm or inches
Style *
Realism, neotraditional, linework, etc.
Colour or B/G *
Colour, black and grey, or some mix, let me know
Description *
Any and all details I could need to know
REFERENCE 1

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REFERENCE 2

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REFERENCE 3

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PREFERRED DAYS OF THE WEEK *

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
PREFERRED TIME OF DAY *

Early (9am-11am) Afternoon (12pm-2pm Late (3pm-5pm)
INQUIRIES & ADDITIONAL COMMENTS
HAVE YOU BEEN TATTOOED BY ME BEFORE?

Yes No
Thank you so much for your interest in my work! I will reach out in response as soon by text message and we will go from there.
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Tattoo Request!