Ship
Condoms

Name *

First Name

Last Name

Address *

NOTE: All orders must ship to a Tennessee residence.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Desired Products *

Please select all items you prefer in your order. Remember, all orders include lube!

25 Male (External) Condoms

5 Female (Internal) Condoms

I have a latex allergy

Acknowledgment

I acknowledge that I am a resident of Tennessee and that by submitting this form, I am permitting PPTNM to mail me a package of free condoms and lubricant to my home address in an unmarked envelope.

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