Cyclops Tattoo
Book a consultation with Jason Stein
Please complete this form in its entirety and give as much detail as possible about your tattoo idea. I will reply to your request as soon as possible with scheduling options for a design consultation. There is no charge for consults; please plan for around 30 minutes. Thank you and I look forward to working with you on your project.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Tattoo Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Describe your tattoo idea
*
Describe in detail where you would like your tattoo to be placed and the approximate dimensions in inches
Reference images
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Consultation preference
Phone consultation
In-person visit (deposit required)
Is this a cover up?
Yes
No
Upload photo of tattoo to be covered
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Photo of area to be tattooed
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