Tattoo Request

Tattoo Request Form

To help streamline the booking process please fill out any relevant information I may need for your appointment. 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. Once this has been filled out you will be contacted via phone/email to sort out either a tattoo appointment or a in person consultation (if needed; free of charge).
Name

First NameLast Name
Phone Number
.Format: 0000 000 0000.
Email
example@example.com
Is this a coverup?
Placement Location

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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.
Placement
Right Forearm, left bicep, etc. PLEASE BE SPECIFIC.
Tattoo Size
Preferably in centimetres. A rough estimate is fine so I have a general idea .
Style
Traditional, Japanese, dot work etc.
Colour or Black and Grey
Colour, black and grey, just black, only lines etc.
Description of tattoo
Reference 1

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Reference 2

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Reference 3

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PREFERRED DAYS OF THE WEEK
PREFERRED TIME OF DAY
If you are looking for a specific date, please list those dates, so I can try to accommodate you.
INQUIRIES & ADDITIONAL COMMENTS
Have you been tattooed by me before?
Please verify that you are human
*Please note if you are only looking for a price estimates and are NOT looking to book an appointment at this time.*
Should be Empty:

Tattoo Request Form