1200 S 3rd Ave Suite A, Yuma, AZ 85364

Consultation Request

Reservation Down Payment

Do not make payment until we confirm your request.

This consultation questionnaire does not guarantee your booking, it is designed to give me an idea of the project overall. Once I have received the questionnaire, I will contact you by phone and we will finalize an appointment and review any questions either of us may have.

All appointments require a $100 nonrefundable deposit that goes toward the total cost of your tattoo. We accept all major credit cards.

Name is required
Age is required
Email is required
Phone is required
Tattoo: (subject matter, style, color or black and grey, size) is required
Is there a cover-up involved is required
Placement: (what side and area of body) is required
Reference material: (do you have any images you would like me to use as reference) is required
Budget: (do you have a budget in mind for project) is required
Availability (what time and day were you hoping to schedule for) is required
8 + 10 =

* indicates a required field