Free Condoms!

Home
About
Work With Us!
- Volunteer
- Board Members
DONATE
Events
- Tap Gala
FAQ
Resources

Do you need FREE STI Prevention Supplies? Condoms, Oral/Dental Dams, Lubricants, non-latex condoms? Stop by our office or fill out the form below!

Please fill out the below form to request Prevention Supplies.

* Indicates required field

Name *

First

Last

Address - Required if Mailing *

Line 1

Line 2

City

State

Zip Code

Country

Please put street/PO Box, City, State and Zip Code in boxes below.

Email *

Phone Number *

Choose Delivery Option *

Mail - Discreet Brown Packaging Pick-up at Positive Connections

Choose Any Items Needed *

Regular Latex Condoms Non-Latex Condoms Extra Large Condoms Flavored Condoms Lubricants Oral/Dental Dams Female/Insertive Condoms Condom Case Keychain

Please check any items that you would like.

Please put any comments or special requests below. *

Submit

Proudly powered by Weebly

Home
About
Work With Us!
- Volunteer
- Board Members
DONATE
Events
- Tap Gala
FAQ
Resources