Instagram Takeover Request Form
Please note that submitting a request through this form does not guarantee that you will be contacted for an Instagram Takeover
Name
Email Address:
Type of Takeover
Clear selection
Describe the content of your takeover
Proposed Date (if any)
MM
/
DD
/
YYYY
What's your Instagram handle or Facebook URL so we can get a feel for your social media presence?
Before submitting, please keep in mind Burlesque Boston's values and mission: We are dedicated to fostering a culture of inclusion and empowerment within a safe and accountable community.

Thanks for being a part of the Burlesque Boston community!
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