Trojan Free Sample

First Name:
Last Name:
*Email Address:
Are you 18 or older:	YesNo
Year of Birth:
Gender:	MaleFemale
Street Address:
Apt. or Dorm No.:
City:
State:
ZipCode:
*By providing your email address you agree to receive product information and offers from Church & Dwight Co., Inc., the makers of Trojan® Brand Condoms. Each email gives you the opportunity to opt-out of receiving such communications. Church & Dwight Co., Inc. respects your privacy. We will not sell, rent or trade your personal information and email address. To ensure that you receive your Trojan emails, please add [email protected] to your address book.
The offer will be available for a limited time. Only one condom per name or address per year. We cannot mail to post office boxes, so please use street addresses only. For this offer, you need to be 18 yours years of age or older. By continuing, this confirms that you are 18 or older. Offer good only in the USA (sorry to you International Net Surfers). Void where prohibited, restricted or taxed. You will receive your sample in 6-8 weeks.
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