Custom Tattoo Request
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Do you consent to receiving text messages from us?
Please Select
Yes
No
Texts are used for appointment related information!
Email
example@example.com
New Client or Returning Client?
Please Select
New
Returning
Custom Tattoo or Touch Up?
Please Select
Custom Tattoo
Touch up
Preferred Artist?
Please Select
Celtae
Zachariah
Budget
$150-$250
$250-$350
$350-$450
$450-$850
$850+
Description of tattoo: please be specific!
In addition to a description, please upload pictures that help explain your idea!
Reference Photo 1
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Reference Photo 2
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Reference Photo 3
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Reference Photo 4
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Reference Photo 5
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Location on body:
Where do you think you want the piece on your body?
Would you like your tattoo to be in:
Color
Black
Black & Gray (shading)
Black & Gray (with hints of color)
Unsure
Referral Code:
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