Apply to be a Menstrual Cup Service Partner
​PERIOD strives to provide menstrual hygiene products to homeless & low-income menstruators across the United States and we have partnered with DivaCup to provide these products free of charge.

As per the agreement we have set, we will need verification from your organization that you are a legal non-profit that serves menstruators who are experiencing homelessness or financial need. We'd also like to understand more about your work, and how distribution of menstrual cups fits into that model.

Another contractual obligation, is that people who distribute the cups be trained in proper usage, so that they can pass on this information to recipients. After completing this form, you'll also need to be trained and certified (which isn't difficult), and then you'll be able to order products.

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If yes: Chapter Name *
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