Condom Distribution Application

Condom Distribution Application

Select all that apply.

Does your organization agree to the following?

*No bathrooms please, as the moisture can compromise condom quality.

In each of the categories below, please check ALL that apply for your organization:

1 case = 1,000 (male condoms)

1 bag = 100 (female condoms)


Enter ZIP Code to find test
locations & free condoms: