Condom Request Form

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Condom Request Form

All orders are free, private, and will come to your home in discreet packaging in the MAIL. Orders come with a variety of external/'male' condoms that include different sizes, colors, and brands. We fill orders based on what we currently have available. We only mail within New York State. Please complete the form entirely or you will not receive an order.

Email *

First Name *

Last Name *

COMPLETE Mailing Address (If you don't give your ENTIRE mailing address you will not receive an order) *

Please Mail me: *

Condoms - External

Non Latex Condoms (Available in one size & style)

Internal Condoms (a.k.a. Female Condoms)

Flavored Condoms (only use for oral sex, available in one size)

Dental Dams

Silicone-based Lube Packets

Water-based Lube Packets

Required

If you ordered non-latex condoms and want only non-latex select 'only non-latex' below. If selected, you will NOT receive a variety as we only have one type of non-latex external condom.

Only non-latex

Clear selection

All orders are mailed via USPS. Any specific mailing needs you have must be discussed with your mail carrier. If you need extreme discretion try having things mailed to a trusted friends house (ask them first) or get a P.O. box for personal use. If you do not receive a package it is due to not providing your complete mailing address. *

I understand.

Required

Additional Information! If you are ordering separate orders please use this space to note that. Orders with the same name and address without being noted as separate orders will be processed as one singular order. (For example: Order 1, Order 2, etc.)

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