Tattoo Inquiry
For Lucid Imprints (Sam Roth)
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Age
Budget
Please Select
$150-$500
$500-$1,000
$1,000-$1,500
$2,000-$3,000
Whatever it takes!
N/A
Preferred Days of the Week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Earliest Available
Tattoo Description
Color or Black & Gray
Tattoo Location and Size (Please be Specific)
Do you have any tattoos in the area that I may need to work around?
File Upload/Reference Images
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Additional Questions or Comments
If you are having trouble uploading images, please email them to lucidimprintstattoo@gmail.com
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