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Condoms and Lube by post

We are funded to provide free condoms and lube to men that have sex with men in Cornwall & Isles of Scilly only. Use the membership form below to sign up for free condoms and lube, once registered and approved your order will be sent in a plain envelope. Only one order can be made every 3 months.

This is a confidential service, and we don't share your details with anyone else.

Please note - condoms can only be sent to gay men living in Cornwall & The Isles of Scilly.

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First name *
Last name *
Ethnicity *
Gender *
Is this the same sex that you were assigned at birth? *

If your gender or sex is not mentioned please tell us 
Sex *

Sexuality *
Please describe your sexuality if it is not listed 
Email *
Password *
Retype password *
Date of birth *
Address line 1 *
Address line 2 
Address line 3 
Town *
Postcode *
Once you have registered you can manage your data through the login area.

Your consent

The information you provide to Healthy Cornwall will be stored securely in accordance with Section 7 of the Data Protection Act 1998 and only accessed and processed by relevant staff. Your information will be used for the purpose of providing a service to you; it would be shared only if there was a legal reason to do so i.e. safeguarding concerns. The information may also be used, once anonymised, for reporting purposes. You have the right to restrict and/or withdraw consent at any time for us to store and process your information. For more information, please refer to our Privacy Notice which can be found on the Healthy Cornwall website www.healthycornwall.org.uk which complies with General Data Protection Regulations 2018.

I confirm that I have read the above statement and consent to it. *