Consultation & Appointment request form

First Name (required)

Last Name (required)

Email (required)

Phone#
(please include it even if you think I already have it. Mobile# preferred. so I can text instead.)

Is this an appointment request or Consultation request or both?

When are you free to come in for a consultation or an appointment?
I'm available Wed, Thu, Fri and Sat.
(Mondays&Tuesdays may be available with more than 2weeks notice).

If you have a specific budget you want to work with, please let me know here.
I can change design or size of the tattoo to fit within your budget.

Where (on your body) would you like to apply your tattoo?

What size would you like your tattoo to be? (example: 3"x5" etc. )

Are you interested in Color or "black&grey" work?

Please describe your tattoo idea here.
If you have a link to share, please cut© web address in this section.
If you have files to share, please email me directly to masamitattoo(dot)gmail(dot)com