Age:Yes, I am over the age of 18.No- If you are not 18 year of age, your inquiry will be ignored.
*Please select Artist:
—Please choose an option—George ZabalaJulie Orlove - JewelsMatt KealeyChuchoNick ErnstGuest Artist
*Is this a consultation?Yes, I would like a consultationNo consultation

*Color:ColorBlack and Gray

*Is this a cover up tattoo?Yes, I want to cover up a tattoo I already haveNo, This is a blank location

*Design:I want a specific designArtist has freedom of creativity

*Tattoo Location:—Please choose an option—Upper ArmLower ArmHandUpper LegLower LegStomachChestUpper BackLower BackFull BackHeadNeckArmpitFootOther Area

*Tattoo Description:

*Tattoo Size: (lenght)x(height)

*Approximate Budget:—Please choose an option—$100-$200$200-$300$300-$500$500-$700$700-$1,000$1,000-$1,500$1,500-$3,000No Budget
Approximate budget is a price range that helps artist determine what your looking for. Price may change based on tattoo size and detail.

*I am available during these days:SundayMondayTuesdayWednesdayThursdayFridaySaturday

*Time Preference:AfternoonEvening

*Are You Traveling out of state/country?Yes, I am traveling out of state/countryNo, I live in Illinois

Image References (optional):



Acceptable files: jpg, png, pdf, eps, gif | Size limited: 5mb each
If you are having issues uploading any images, please fill out form with no images upload and email us directly to lifestyleink12@gmail.com

*First Name:
*Last Name:
*City:
*State:Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoillinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JearseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermountVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming
*Email:

*Telephone:

Message: Please leave any other information that is important! If this is a follow up session, please indicate in the message below.

*Time:—Please choose an option—12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm

Please select services: select more than one if needed.
ConsultationNew PiercingJewelry ChangePiercing for a minor

Type of Piercing:
—Please choose an option—NostrilTonguePhiltrumForward HelixOutter HelixDaithRooksConchTragusSeptumNavelNippleEar LobesIndustrialSurface AnchorEyebrowOther