Condoms by post

If you’re already signed up to the Safety C-Card scheme, you can complete the form below to receive a packet of 12 regular, trim or large condoms (latex or non-latex) and lube by second class post.

Condoms are still available through participating pharmacists, but please avoid all unnecessary journeys during this time and remember that pharmacies may be busier than normal.

Please complete all mandatory fields marked *
Your first name *
Your last name *
Your date of birth *
Your C Card number *
If you don't have a C Card number you can register at a participating location
Postal address *
Postcode *
Email address 
Phone number *
Condom size (1 pack of 12) *
Do you require lube (1 pack of 5)? 
Any additional comments 
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Yes, store my details *