Roger Appointment Request Form

Interested in getting work done by me?

Fill out the form below to get started! Deposits will not be taken until idea is finalized and a budget is set.
Name

First NameLast Name
Email '
example@example.com
Instagram username
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred form of contact?
Are you a new or existing client?
Are you over the age of 18?
Do you have a budget for this project? If none, write n/a
I'm more than happy to work with you if you have a range you’d like to stay under! I want to make my work accessible to everyone
Will this be a continuation on work previously started or a new stand alone piece?
Describe your tattoo idea/list characters. Be descriptive!
Please give the location of the desired tattoo, left or right orientation and approximate size IN INCHES as best as you can. (no small, medium or large answers please)
Please attach any reference images that you have!

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Please attach a picture of the area you’d like tattooed! Make sure it’s straightforward and in good lighting, have someone take the picture for you.

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What days of the week would work best for you?
Are you traveling from out of state or long distance? If so where are you traveling from?
Click SUBMIT and you're all done!

My assistant will try and respond to all inquiries in a timely manner! Thank you so much for your time and for considering me for your tattoo! You will be contacted usually within 24 hours.
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Interested in getting work done by me?