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LGBT Foundation Condom & Lube Order Form

LGBT Foundation provides a free online condom & lube order service for people living in Greater Manchester which can be accessed via the form below.

We're currently out of stock of latex free, extra large and snug fit. Please bare with us and we'll dispatch your order as soon as we have them.

Contact Name (Required)
Email (Required)
Postal address for condoms to be delivered to (Required)
Postal Postcode (Required)
What is your current age? (Required)
Gender Identity - Which of the following options best describes how you think of yourself?
Gender Identity (In another way) - please provide details here
Sexual Orientation - Which of the following options best describes how you think of yourself?
Sexual Orientation (In another way) - please provide details here
Is your gender identity the same as when given at birth?
Do you describe yourself as intersex?
Ethnicity - Which of the following options best describes how you think of yourself?
Ethnicity (Any other ethnic background) - please provide details here
Who do you have sex with? (if on a desktop computer hold 'ctrl' when clicking to select multiple options)
Do you require large condoms? (Required)
Do you require latex free condoms? (Please note that if you pick latex free , we can only provide regular size latex free condoms) (Required)
Do you require snug fit condoms? (Required)