Tattoo Request Form
For Chris Peralta
Preferred Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Tattoo Placement - Where on your body would you like your tattoo?
(forearm, calf, etc. Be specific.)
Tattoo Size
Please guess approximate size in inches.
Style
Traditional, Illustrative, realism, etc.
Color or B/G
Color, black and grey, or some mix, let me know
Description
Please describe the subject matter or theme that you would like to get tattooed.
Is this a cover-up
Yes
No
If your tattoo is a cover-up, please include a well lit photograph of the tattoo you would like to get covered and the surrounding areas. Please note that not all cover-ups are possible, and nearly all cover-ups have to be larger than the original tattoo.
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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
SUNDAY
Other
ADDITIONAL COMMENTS
If you have a specific timeframe you are hoping to get tattooed, or have any other things to tell me that might pertain to you getting tattooed, please let me know here. I can not guarantee that I can accommodate them, but I will do my best.
HAVE YOU BEEN TATTOOED BY ME BEFORE?
Yes
No
Thank you so much for your interest in my work!
Submit
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