Tattoo Request form

Fill out the form below for a consultation. Please be specific regarding tattoo details. Requests will receive a response in 24-48 hours. Thank you for your business!

Name

First Name

Last Name

Email

Tattoo Description

Please provide the following regarding the tattoo you would like: -Design -Size (in inches) -Placement/location of tattoo on body If you are requesting a cover up, please describe the tattoo you want to cover briefly. I will request a photo of the original tattoo over email. Thank you!

Is this a cover up?

Select One:

Yes

No

Are you 18 years or older?

Select One:

Yes

No

What is your budget for this tattoo?

$

Tattoo Request form

kUJIRA TATTOO

Location