Condom Mailer Order Form
Orders are fulfilled with Latex condoms. If you have a Latex allergy or sensitivity, please contact your local clinic (found on www.Knowyo.org) for non-Latex options. For alternative barrier methods such as insertive condoms (often called female condoms) and dental dams please contact cdusupplies@wyo.gov.

-Condom mailers are only available to residents of the State of Wyoming
-Verifiable residential and PO Box addresses only
-Make sure your internet connection is secure by checking that the displayed URL begins with “https://”
-Additional questions may be directed to: cdusupplies@wyo.gov

Age
Gender
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Barriers to accessing condoms:
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First Name
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Last Name
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Street Address or PO Box
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City
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County
State
Zip Code
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