Menstrual Cup Order Form
4/10/19 Update: Cups will be available to pick up at on Sunday, April 28th at 2:00pm at the Resource Center. You will be able to drop in to learn how to use and care for your cup as well as celebrate period positivity! More details will be emailed to you.

Want a free menstrual cup? Fill out this form! The Wes Period Project was created to provide free sustainable menstrual products to all menstruating individuals on campus. We believe that everyone should have the right to comprehensive knowledge and to make decisions about their own health. Through providing a variety of free sustainable menstrual products (menstrual cups, tampons, and pads), we hope to provide everyone with increased options.

After filling out this form, an email will be sent out once your cup is ready to pick up! Only one cup will be provided for free during your time at Wesleyan (not one/year). If you would like an additional cup, they will be available for $14/cup to purchase at Davison Health Center. If you have any questions or concerns please direct them to Catherine Xi at
First and Last Name
Student ID
Wesleyan Email
What size? If you are not sure, here is a guide: Still not sure? Pick the size you think will best fit or "not sure" and attend one of our workshops to get help (more details to come)!
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