yomiko Appointment Request
Full Name
*
First Name
Last Name
Email Address
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Have you gotten a tattoo from me before?
*
Yes
No
Address （option）
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Appointment Details
Let us know your tattoo preferences and scheduling
Tattoo Type
*
New tattoo
Cover-up
Add-on/Extension
Touch-up
Tattooist’s choice
Preferred Date(s)
*
-
Day
-
Month
Year
Date Picker Icon
If not, please list your other available date(s).
*
Instagram Username（optional）
Design Information
Placement on body
*
Forearm
Upper arm
Back
Thigh
Calf
Chest
Ribs
Other
Approximate size
*
Please add here a frontal photo of the placement where you want to be tattooed and circle in red the size
Browse Files
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Choose a file
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of
Please upload here some inspirational pictures of tattoos you like
Browse Files
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of
What elements do you want in the tattoo?
flowers
snakes
butterflies
dragon
animals
birds
anime
font tattoo
pets
Other
Do you want black & grey or color?
*
balck & gray
color
not sure
Please describe your idea in your own words
*
SCAR (option）
Do you need to cover up an old tattoo or scar?
*
yes
no
If Yes: Upload clear photos of the area.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How old is the scar or tattoo?
Budget
What is your budget range?
*
under $500
$500–$1500
$1500+
My budget is flexible
How You Found Me？
instagram
tiktok
friend
family
Other
Anything else you want me to know?
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