JM Form

Are You Older Than The Age of 18 *

Name *

First

Last

Email *

Phone *

Select An Artist *

Have You Been Tattooed By Him Before? *

When Were You Last Tattooed By Jacob *

What Did He Tattoo On You *

Is This A Touch-Up *

Body Location

Side of the body

Are You Looking For A Portrait (Specialty) *

Are We Covering Scars/Tattoo? *

Are you thinking of doing Black and Grey, Color, or a combination of the two? *

Is This One Of His Flash Pieces? *

Tattoo Details *

Studio *

Mark All That Apply To You/Your Tattoo

Area Of The Body To Be Tattooed *

Side Of The Body

Picture of the area of the body being tattooed (not necessary for dermagraphics/repigmentation)

Click or drag a file to this area to upload.

Please upload up to 3 reference images *

Click or drag files to this area to upload. You can upload up to 3 files.

How Did You Find Us? *

Additional notes

Nobody under the age of 18 may be tattooed by me under any circumstances. Try again in a couple years!

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