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Ink & Energy Tattooing - New Client Application Form

Please fill out the fields below.

Are you over 18 yrs old? Yes No

Full Name *

Email Address *

Phone Number *

Occupation and employer *

How did you find out about me? *

If referred, by whom?

Have you ever gotten a tattoo? * Yes No

Are you looking for a Cover Up? * Yes No

Are you looking to finish an existing project? * Yes No

Is there any other tattoo work in the proposed area? * Yes No

Proposed project canvas area/size (Select one) *

Color Preference (Select one) *

Project Description *

Any further details you\'d like to share about your project?

Please attach here any reference images you might have

Best days for me (check all that apply) * Saturday Tuesday Wednesday Thursday Friday

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