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* 1. Name

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* 2. Student ID

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* 3. Select your College

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* 4. This is my

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* 5. Would you like to request latex condoms or non-latex condoms

I understand

* I can only make 1 online request a month. But I can always come to Student Health to pick up free safe sex supplies during business hours.
* Condom choices will change slightly every month or as supply changes.
* Orders are filled first thing in the morning.
* If I chose to pick up at Student Health condoms will be held at reception for 3 days then returned.

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