Name *

First Name

Last Name

Phone *

(###)

###

####

When are you available? *

Afternoons (12pm-5pm)

Evenings (5pm-8pm)

Nights (8pm-10pm)

Weekdays only

Weekends only

Totally flexible

Tattoo Size *

Medium (post-it note to DVD case)

Large (larger than DVD case)

Tattoo Placement *

Left Arm

Right Arm

Left Leg

Right Leg

Torso / Chest

Ribs

Hip

Back

Head / Face

Tattoo Style *

Color

Black & Grey

Line Work / Dot work