Period Products Request
The Connection/PPCWNY received funding to provide young people in Niagara Falls with menstrual and hygiene products! We know that what products you use is unique to each person, so fill out this form and we will call you when your package is ready to pick up. We can also organize drop off if transportation is an issue.
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Name *
Best way to reach you (call, text, facebook messenger, etc). Leave the contact info below. *
Do you use tampons or pads? *
Required
If you use tampons, which brand do you prefer?
If you use pads, what brand do you prefer?
How many tampons/pads on average do you use per month? (This will let us know how many we should put in your pack) *
Are you interested in trying out a menstrual cup? Wanna know more: https://www.plannedparenthood.org/learn/teens/ask-experts/whats-the-deal-with-menstrual-cups
Clear selection
Body Wash Preference
Deodorant Choice
Need any of the following?
Questions and comments
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