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Condom Order Form Individual

PLEASE BE ADVISED THIS SERVICE IS FOR WASHINGTON, DC RESIDENTS ONLY. 
If you do not reside in the District of Columbia you will not receive condoms.

Individuals that reside in the District of Columbia can now order a package of ten free condoms from HAHSTA and have them mailed to you directly. Please fill out the form below or email or call one of our condom distribution representatives if you have questions.

If you do not reside in the District of Columbia you will not receive condoms.

 Email: [email protected]
Telephone: (202) 671-4900

Or

Fill this Form below