Custom Tattoo Request

Name *

Email *

Phone Number *

Your Tattoo Idea * Placement (select at least one) *

If it’s a left/right body part, check Left and/or Right and we’ll apply it to your selection.

Left Right

Head / Neck

Head Face Neck

Back torso

Upper back Lower back Spine Butt cheeks

Other

Approx Size *

Tattoo Styles (select at least one) * Artist Preference *

Preferred Date & Time

OR General Timeframe

If blank, we record “None”.

Maximum Budget (USD) * Reference Images (Required ONLY if “Cover up” is selected)

Non-cover-up submissions can omit images and will record “None”.

Things to avoid (optional)