Tattoo Request Form:
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tattoo description:
*
Artist choice
*
LongJON
Pinky
Are you a new or return client of the artist you chose?
*
New
Return
Budget
*
Desired placement and approximate size:
*
Placement photo
Browse Files
Cancel
of
Reference photo
Browse Files
Cancel
of
Black and grey or color?
*
Black and grey
Color
No preference
Is this a coverup?
*
Yes
No
Are you 18 or older?
*
Yes
No
Submit
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