Bulk Condom Request

If you or your organization would like to request a bulk order of condoms, please complete our request form using the request button below. Once completed, you should receive a confirmation notice. If everything is in order, your request should be filled within five (5) business days and ready for pick up at our main office located in Suite 1100 of the Reitz Union. (655 Reitz Union Dr. | Level 1 | Suite 1100)

NOTE: Excluding condoms, GatorWell does not provide health-related promotional items in bulk unless GatorWell is directly involved with the UF affiliated event and providing health education to UF students.

Bulk condom requests will be filled on a case-by-case basis. Once the request is received, you will be contacted by our Sexual Health coordinator, Samantha Evans. Please allow 1 business day to process request. If you are having problems with this form, email gatorwell@ufsa.ufl.edu.
Name of Organization and Affiliation to the University*
Are you a Student Government Organization?*
- Yes
- No
Event Name*
Event Date
MM slash DD slash YYYY
Event Location
Purpose of the Event*
Expected number of participants*
Number of condoms requested*
Requester Name*
First Last
Requester Email*
Phone
Advisor/department (include email address and phone number)