JohnnyCoburn.com

First Name*

Last Name*

Mobile Phone Number*

Email*

Have you been tattooed by Johnny before?*

Yes No

Typical Availability Through the Week*

Monday Tuesday Wednesday Thursday Friday Saturday Anyday!

Times Available Through The Week*

Day (Noon - 4pm) Evening (4pm - 8pm) Anytime!

Type of Tattoo*

Style of Tattoo*

Describe Tattoo Style:

Size of Tattoo Wanted (in inches)*

Placement*

What Side of The Body*

Are there other tattoos on the body part you would like to be tattooed?*

Yes No

Color*

Tattoo Description:*

Example Photo(s) of What You Would Like to Get Tattooed

Artistic Freedom Given to Artist *

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