TATTOO REQUEST FORM

For time sensitive inquiries please call, or stop by the shop.

INKSMITH & ROGERS

10095 Beach BLVD

Jacksonville, Florida

904-886-4954

All appointments require a non-refundable $100 deposit.
This is not an additional fee and will come off the final price of the tattoo on the day of the appointment, (multiple session tattoos the deposit will be used on the final appointment.)

Deposits can be done through my webstore or dropped off at the shop in cash when we lock down an appointment date.

The day of your appointment final payment can be made in either cash, credit card or Apple Pay.

Please give at least 24 hours notice prior to appointment for any rescheduling.
Less than 24 hours notice will result in a forefit deposit. A

Name*

First NameLast Name

Email*

example@example.com

Phone number*

Instagram*

If you don’t have one you can fill N/A

Style of Tattoo*

Tattoo Size*

Please take your best guess. IN INCHES!

Placement*

(forearm, calf, etc. Be specific.)

Description*

Any and all details I could need to know

Is this a tattoo we have already started?*

YesNo

Is this a cover-up or rework of an existing tattoo?*

YesNo

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.

Photos of existing tattoo

BUDGET*

PREFERRED DAYS OF THE WEEK*

PREFERRED TIME OF DAY*

1pm-4pm4pm-7pm7pm til we’re done.

Have I tattooed you before?*

YesNo

REFERENCE 1

Browse Files

If you are inquiring about custom work please include any reference you have

INQUIRIES & ADDITIONAL COMMENTS

How did you find me?*

Tattooed your friend, website, Instagram, sticker you saw, etc.

THANK YOU FOR YOUR INTEREST IN GETTING TATTOOED!