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Tattoo Request Form

First Name

Last Name

Email

Phone

Have you been tattooed by me before?

What City/State are you from?

Where you refered to me by anyone?

What do you want to get done?

Black & Grey or Color?

Where is this tattoo going?

What day's of the week are you avaible? (No Saturdays available until December, so Saturday's will be prioritized for designs I am especialy inerested in)

Tuesday

Wednesday

Thursday

Friday

Saturday

How big do you want this piece?

Describe what you want in detail.(I will request reference photos, if your idea is accepted)

Thank you for submitting your request! Please note that it can take a few weeks for me to get through my requests. I appreciate your interest:)