Condom Mailer Order Form

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Allow two weeks for delivery.

Condom mailers are available within Wyoming only. Addresses will be verified prior to mailing and will be mailed to residences only.

Orders are limited to one request, per person, per month and are mailed in a plain brown padded envelopes with a discreet return address and include 10 condoms and 10 pouches of lubricant.

Additional questions may be directed to cdusupplies@wyo.gov

Age *

10-14

15-19

20-24

25-34

35-44

45-54

55-64

65+

Gender *

Female

Male

Transgender

Non-binary/third gender

Do you or your partner(s) have a latex allergy? *

Yes

Why I'm requesting condoms from KnoWyo *

Don't want my parents to know

Too embarrassed, uncomfortable

Don't know where to get them

Too expensive

Not available near me

COVID-19

Transportation issue or distance to store

Other:

First Name *

Last Name *

Street Address or PO Box *

City *

State *

Zip Code *

County *

Submit

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