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Consult Request Form
First name
Last name
Email
Phone
Age
How did you hear about us?
Choose an option
I am over 18 and can provide a valid form of ID
Check here if you are a repeat client.
Do you have a prefrence on which artist you want work with?
*
Bethanie Hart
Evan Talkers
Soonest Available
Let's Talk Availability! Which day of the week work best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
Where do you live?
*
Jackson or surrounding area
Jackson- seasonal/part-time
out of town
Out of town folks! Please list the dates you will be in town
Please provide a size estimate of your tattoo.
Placement. List multiple locations if unsure.
Please describe your desired tattoo.
Tattoo Style
*
Just Lines
Grey Wash Shading or Stipples. (No Color)
Color
Not Sure
Is this a modification of an existng tattoo? If so, please upload a photo of existng tattoo below.
*
No! New tattoo
Adding to an existing piece
Cover up
Favorite Reference Photo (optional)
Upload File
Upload supported file (Max 15MB)
Second Favorite (optional)
Upload File
Upload supported file (Max 15MB)
Third Favorite (optional)
Upload File
Upload supported file (Max 15MB)
Fourth Favorite (optional)
Upload File
Upload supported file (Max 15MB)
Photo of Existing Tattoo if applicable.
Upload File
Upload supported file (Max 15MB)
Submit
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