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.

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 (optional)
Condom size (1 pack of 12) *
Do you require lube (1 pack of 5)?
Any additional comments
We need to store your personal details. For more information please read our privacy policy.
Yes, store my details *