REQUEST FORM It all begins with an idea. Share your thoughts and let’s create something awesome together! Name * First Name Last Name Age * Email * Phone * (###) ### #### Is it your first tattoo? Yes I already have tattoos Message * Describe your tattoo idea. If you want one of my existing designs, please write its reference number. Size of your Tattoo Estimated / Can be discussed further during our consultation 2 to 5 cm 5 to 10 cm 10-15 cm 15 cm + Body Placement Upper Arm Lower Arm Upper Leg Lower Leg Back Chest Shoulder Other Location / Not Sure Budget Range * 165$ - 250$ (Up to 5cm) 250$ - 750$ (Up to 15cm) 800$ - 1500$ (Half Day rate - 15-20cm Tattoo) 1500$ (Full Day Rate - 20cm+ Tattoo) Preferred Appointment Date/Time How did you hear about me? * Search Engine Social Media Recommendation Other Thank you for your interest. I will get back to you shortly.(Please make sure to check your email Spam folder if you don’t see my reply within the next 24 hours.)