facebook Twitter Pinterest

Ottawa Resident Order Form


 

You can choose from a variety of packages
You can only select 1 package of condoms and/or a package of oral barriers (dams).
All our condom packages contain 12 condoms
10 oral barriers/dams per package




Please mail me a Sex it Smart package (condoms and/or oral barriers (dams)

Field is mandatory


By checking "Yes" above, you are confirming that we can mail you a Sex It Smart package at the address provided.


Packages Available





Invalid Input


Should you require additional condoms we ask that you consult the condom locator found under the 'Get some' Tab on the top menu bar to find out where you can access free condoms or please contact us at OPHSexualHealth@Ottawa.ca

You can access more oral barriers at the Sexual Health Centre or the Site Office located at 179 Clarence Street.




Name(*)

Field is mandatory

Age – select one (*)

Field is mandatory

Select one


Field is mandatory

Neither of these options describes my gender. My gender is:

Invalid Input

City of Ottawa Address(*)

Field is mandatory

City(*)

Field is mandatory

Postal Code(*)

Field is mandatory

Please provide us with your email address if you would like to receive communications from the Sex it Smart team:

This field requires an email address with a valid domain name.

How did you hear about Sex It Smart?

Invalid Input

You chose "Other" for "How did you hear about us". Please specify.

Invalid Input





facebook Twitter Pinterest

(Jan 05, 2015)
    Condoms are one of the best ways to prevent STIs. Sex it Smart and order your free condoms here! Read more...
   |