Books Open Name * First Name Last Name Email * Phone * (###) ### #### Is this your first tattoo? * Yes No Tattoo Description * FILE UPLOAD FileField; MaxSize=10000KB; Multiple; addText=Upload_Tattoo_Reference_Image (you can upload multiple files) Or attach link below Tattoo Design Reference #1 http:// Tattoo Design Reference #2 http:// Tattoo Design Reference #3 http:// Desired placement of tattoo * FILE UPLOAD FileField; MaxSize=10000KB; Multiple; addText=Upload_Photo_Of_Desired_Placement Size Please provide size in measurements and units of inches/cm. (Size will help determine the estimated price) Potential appointment day: Tuesday (1:00PM - 8:00PM) Wednesday (1:00PM - 8:00PM) Friday (1:00PM - 8:00PM) Saturday (1:00PM - 8:00PM) I'm over 18 * You must be at least 18 years old to get tattooed (according to New York State Law) Yes Date of birth * MM DD YYYY Notes Thank you! Your form was submitted successfully. Marusia will reply to your appointment request as soon as possible by e-mail.If you haven’t received a reply within a week please check your spam folder.