Free condoms are available to be mailed directly, and discretely, to the home or desired address of any person over the age of 16 living in the state of Ohio in the United States. Limitations do apply. Please fill out the form below and someone will be in contact with you shortly. For updates on the Free Condom Project, please follow us on Facebook

Limitations do apply to this program.

Condoms will only be sent to people living in the state of Ohio.

ANY CONDOM SUBMISSION FROM OUTSIDE OF THE STATE OF OHIO WILL NOT BE COMPLETED.

Condoms will only be sent to people over the age of consent (16 years old)

Condoms will only be sent to individuals and not organizations

Please contact us at (800) 332-2437 for more information

Thank you.

Name * First Last

Mailing Address * We are unable to supply condom deliveries outside of the State of Ohio in the U.S. Orders placed for outside of the state of Ohio will NOT be fulfilled. We apologize for the inconvenience. Street Address Apartment Letter, Number, or Lot Number City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code

County * Adams Allen Ashland Ashtabula Athens Auglaize Belmont Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware Erie Fairfield Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Jefferson Knox Lake Lawrence Licking Logan Lorain Lucas Madison Mahoning Marion Medina Meigs Mercer Miami Monroe Montgomery Morgan Morrow Muskingum Noble Ottawa Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union Van Wert Vinton Warren Washington Wayne Williams Wood Wyandot

Email * Enter Email Confirm Email

What is your age? * Please enter a value between 16 and 100 .

What is your gender? * Female Male Genderqueer or not exclusively male or female Trans+ Something else

Do you think of yourself as: * Gay Lesbian Bisexual Queer Questioning Heterosexual Pansexual Asexual Something else

What is your racial/ethnic group(s)? * American Indian/Alaskan Native African African American/Black Asian Native Hawaiian or Pacific Islander Caucasian/White Hispanic or Latino/Latina Two or more races Middle Eastern Something else

What kind of condom pack would you like? Assorts Regular Assorted XL Assorted Latex Free Assorted Dental Dam

How did you hear about the Free Condom Project?

For comments, questions, concerns, please email ohiohotline@equitashealth.com