By clicking the box above, you agree to the following statement about your subscription.
I confirm that I am the person listed above and consent to participate in Protect Your 'O' by receiving a monthly
supply of condoms mailed to the address I listed through USPS mail. I agree that it is my responsibility to notify
Comprehensive health Center at condoms@chcmed.com to cancel my subscription at anytime.
I agree to allow Comprehensive Health Center to contact me about my enrollment.
I understand that Comprehensive Health Center may use my contact information to offer me additional services and
programs, which I may opt-out at anytime by sending an email to Hope & Help at condoms@chcmed.com.
I also understand that Comprehensive Health Center will not sell my contact information to third parties.
I confirm that I am a resident of any of the following counties in the state of Florida: Miami-Dade County, Broward, Palm Beach, Monroe County.
