The information you
provide below will be held in strict confidence,
but is required to secure future funding that
will enable this facility to continue. Orders
will be dispatched in unmarked envelopes but
only posted to addresses in Bedfordshire (UK).
Tick the boxes of the item(s) you require and
ensure you complete all other fields or your
order will not be processed. A maximum of 3
safer sex wallets are supplied per order (each
contains 2 condoms and 2 sachets of water based
lube).
STOP PRESS:
Under 25s can now order
below a free, confidential Chlamydia screening
home test kit as part of the National Chlamydia
Screening Programme. Click
here for more
information on Chlamydia click and for local
Chlamydia Screening Programme information click
on
http://www.chlamydiascreening.nhs.uk.
Full Name:
Address Line 1:
(or company name)
Address Line 2:
(optional)
Town:
Postcode:
(Postal addresses in Bedfordshire
(UK) only are accepted)
email:
Phone Number:
Age:
Gender:
Ethnic Origin:
Sexuality:
Special Order Instructions:
(optional - only complete if applicable)
NO - I do not wish for you to
use my email address to contact me about other
services and related projects which the Men4Men SHOP
are involved with, that you think I would find of
benefit.
(Please
note: Under NO circumstances will your email address be passed on to any third party organisations)
Press the SUBMIT button once and allow up to
20 seconds for the order confirmation page to appear.
