Tattoo Request Form
* Please read carefully and fill out all of the information *
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Tattoo Design Description:*
Budget
$60-100
$100-$250
$250-$400
$400-$600
$600 & Up
Not Sure
Approximate Size: *
Placement:*
Choose an option:
Black & Grey
Color
Photo of the area you'd like tattooed: *
Browse Files
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of
Reference Photos:
Browse Files
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Reference Photos:
Browse Files
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of
Reference Photos:
Browse Files
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of
Are there any days of the week that works best for you? ( We are closed Sunday and Mondays)
Time of Day (desired appointment time)
Early Afternoon ex. 1pm
Early Evening ex. 4pm
Are you a returning client?
yes
no
I am 18 yrs of age or older.
yes
no
Requesting a specific Artist?
Kevin
Shelly
IJ
It doesn't matter they all rock, give me the first available!
Submit
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