Lost Lotus Ink

Booking Form

First Name *

Last Name *

Email *

Mobile Number *

Date of birth *

Is this your first tattoo? *

Yes

No

Tattoo size *

Tattoo Budget

Tattoo placement *

Do you have any other tattoos, scars, stretch marks or large birth marks in or around the area you would like to be tattooed? *

Yes

No

Not sure

If yes, please upload a photo to show the area of the body you would like to be tattooed.

Tattoo colour *

Color

Black & Grey

Mostly black & grey with a little bit of color

Tattoo description *

Reference Image #1 *

Reference Image #2

Reference Image #3

Reference Image #4

By checking the box below, you confirm that you are 18years +. *

Yes, I am 18+

By checking this box and providing your email and/or phone number, you agree to receive email and/or sms marketing messages, announcements, sales and information regarding your business. Your consent may be withdrawn via sms by typing stop at any time. Message and data rates may apply. Message frequency may vary.

Powered by: