Name

First Name

Last Name

Age

Phone

(###)

###

####

Location (City, State, Country)

Email Address

Type

Color

Black/Gray

Tattoo Placement

ie. Arm, Leg, Neck, Face, etc.

Tattoo Size

Either inches or standard tattoo sizes: Sleeve, Half Sleeve, 3/4 Sleeve, etc

Schedule

Are you willing to get tattooed at least once a month until this project is complete?

Yes

Travel

Are you willing to travel to my studio here in Mooresville, NC in order to get this piece completed?

Yes

Price Range

How much can you afford per month to invest in this project?

Availability

On average, what days and times are you available to be tattooed?

Brief Description of tattoo idea

PLEASE ALLOW 2-4 BUSINESS DAYS FOR A REPLY, IF YOU DO NOT RECEIVE A RESPONSE WITH IN A REASONABLE AMOUNT OF TIME, PLEASE CALL THE SHOP.