Condom form with verification

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Terms and conditions 

  1. This offer is only available to residents of England. 
  2. Applicants must be 16 years old or over.
  3. The offer is limited to one sample pack per person or email.
  4. Please allow up to 28 days for delivery.
  5. Packs will be supplied at the discretion of Terrence Higgins Trust.
  6. Packs will be supplied whilst stocks last.
  7. We reserve the right to amend the terms of this offer at any time.
  8. This offer is non-transferrable and has no monetary value.
Request sample pack
Please enter your name and the address where you'd like the pack sent to (condom packs come in plain packaging):
If you wish to receive email updates about the It Starts With Me campaign, please tick this box
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