Free Condom Delivery
Pandemic got you stuck at home? With the Center closed, access to our free condoms, dental dams, and lube is impossible. UNTIL NOW!

Announcing FREE condom delivery to your home or workplace, within a 15 mile radius of the Center! Just fill out this form and let us know what you need and when.

Delivery is available between 10 am and 4 pm Mon-Fri. Your order will be delivered in a discreet paper bag for your privacy.
Email address *
Our delivery area includes Churchville, Buffalo Gap, Middlebrook, Greenville, Stuarts Draft, Waynesboro, Verona, and Weyers Cave.
What items would you like to order? Order limits are based on our supply. *
How many of each do you need? Please note item limits above.
Your name *
Phone number *
Preferred contact method *
Delivery Address *
When would you like your order delivered? (Monday - Friday 10 am - 4 pm) *
Additional information, instructions, comments, or questions
Never submit passwords through Google Forms.
This form was created inside of Shenandoah LGBTQ Center. Report Abuse