Agency Contact Information

*Please note that we only supply to agencies or organizations.

Please fill out your organization's contact information and order request using the form below.

If you have any questions, please call us at 407-858-1400

Address(Required)

Order Requests

Indicate your order on the form below. The quantity specified should be the number of cases you would like for each item.

  • - Male Condoms
  • - Female Condoms
  • - Other Latex Barriers
  • - Lubricants

NOTICE: We make no assurances that we have the itemized products in stock. We reserve the right to:

  • - Deny any order in whole or in part;
  • - Adjust the quantity of orders; and
  • - Substitute items.

Male Condoms

Female Condoms

Other Latex Barriers

Lubricants

Consent(Required)