TATTOO REQUEST FORM

TATTOO REQUEST FORM

WWW.FKSEGISMUNDO.COM
NAME *

First Name Last Name
EMAIL *
example@example.com
PHONE NUMBER *

Area Code Phone Number
ARE YOU A NYC LOCAL? *

Yes No
WHERE ARE YOU BASED?
TYPE OF TATTOO *

Flash Custom-design
FLASH SERIES *

Energy Movement I - arms Movement II - legs Movement III - upper body Birth Marks Bits & Pieces Skin Graft Versicolour
DESIGN NUMBER *
DESIGN NUMBER *
DESIGN NUMBER *
DESIGN NUMBER *
CONCEPT *
E.g. 'past, present, future' or 'against all odds'
PLACEMENT *
Where would you like the tattoo?
MAXIMUM SIZE *
What is the maximum size you are willing to go?
INK *

COLOUR BLACK A BIT OF BOTH
FILE UPLOAD

Upload photo
Feel free to upload any photos for reference (visual refs, or photos of your body) Cancel of
NOTES
Additional information e.g. booking date preferences
IS THIS YOUR FIRST TATTOO? *

Yes No
ADDITIONAL INFORMATION
DO YOU HAVE ANY SKIN CONDITIONS? *

Yes No
IF YES, PLEASE DESCRIBE
This is important for me to know so that I can work with it
NOTE:

Tattoo pricing varies from project to project.

More information will follow once form is submitted.

I LOOK FORWARD TO WORKING WITH YOU!
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