Tattoo request form
Please allow 3-5 business days for response
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred contact method
*
Text message
Email
Instagram
If preferred contact method is instagram, please enter your Instagram handle
*Please check requests folder for messages*
Description of tattoo. (Size, style, subject matter, black and grey or color)
*
Upload reference pictures for desired tattoo
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Placement of tattoo
*
Is this a cover up?
*
Yes
No
Please upload a photo of existing tattoo you would like to cover.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is this a large scale project? (ie. sleeves, backpiece etc)
*
Yes
No
What is your budget PER SESSION?
*
Preferred day of the week for the CONSULTATION
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
No consultation needed
Preferred day of the week for the TATTOO APPOINTMENT
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you have a specific date in mind to start your tattoo?
Can’t guarantee desired day, I will do my best to accommodate.
Have you been tattooed by me before?
*
Yes
No
How did you hear about me?
*
Facebook
Instagram
Friend
Other
Additional comments or questions
Submit
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