First + Last Name^*

Phone Number^*

Your Email^*

Your Birthday^* // You must be 18 years old to be tattooed by Ashesbardole.

Tattoo Information

Description of Tattoo^*

Tattoo Size^*

Tattoo Location^*

Color or Black & Grey^*

Upload 4 examples/inspiration for your tattoo:

MUST be a .jpg/.jpeg/.png/.pdf file. Max File Size is 2Mb

4 examples are required

Upload Example One(Max Size 2MB)^*


Upload Example Two(Max Size 2MB)^*


Upload Example Three(Max Size 2MB)^*


Upload Example Four(Max Size 2MB)^*