Name * First Name Last Name Pronouns? Email * Phone Number * The best number to reach you (###) ### #### Are you over the age of 18? * I DO NOT TATTOO ANYONE UNDER 18 YEARS OLD EVEN WITH PARENTAL CONSENT. Yes Did anyone refer you? I have a referral program, let me know their name so I can thank them! Tattoo Description * What did you want to get done? Please be as specific as possible. I will send a follow-up email requesting photo references Is this tattoo a coverup? * Yes No Where did you want to put it? * Where on the body? About how big? * Did you want color? * Just black Color Mostly black with pops of color I may want to add color or some color When? * Is there a specific date and time you're looking to get this done? If you don't have a specific date in mind, be sure to include the days of the week you are available Check your spam! * I have an issue with my replies ending up in spam folders. Please wait at least 5 business days to receive a message then check your spam folder! Yes Thank you! I will respond to your inquiry as soon as possible :)Please be sure to check your spam folders as emails may get lost Add jackieparanoia@gmail.com to your contact book to stay connected Tattoo Request Form
