RED PHONE HARM REDUCTION
Welcome to The Red Phone Harm Reduction Shipment Form! This Form Is Intended For Individuals Seeking "Personal" Harm Reduction Supplies. RP-HR Supplies Are Donated & Received By The Red Phone via Donation, Amazon, Local & State Governing Bodies, Small Business & Non Profit Organization Supports. We Love You & Thank You For Practicing Self Love With RP Harm Reduction!
Who Do We Have The Pleasure Of Serving:
*
Myself
A Loved One
Phone number:
*
E-mail
*
example@example.com
Delivery Details:
Who Should We Discreetly Deliver To :
*
First Name
Last Name
Receivers Phone Number
*
Where Should We Discreetly Ship To :
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which Free Harm Reduction Products Can We Send
*
Narcan 4MG (2Pack)
External Condoms (Male)
Narcan 4MG (4Pack)
Internal Condoms (Female)
Oral Condoms
RP Safer Sex Kit
Fentanyl Test Strips
RP Hygiene Kit
Xylazine Test Strips
RP Female Hygiene Kit
Other - Please Describe in Message Section
Wound Care Kit
Write Us A Love Letter or Other Request
click to accept terms
*
Yes, I accept The Red Phone order terms and conditions
If You Are Ordering Narcan/Naloxone, Would You Like To Participate In The Red Phone Kick Start Program & Report If Overdose Reversal Took Place (*we only need to know if the product was used*) For Free Narcan/Naloxone Replacement?
Absolutely! We Are Ready To Help Save A Life!
No, I'm Not Interested & Will Request New When I Need It.
I'll Think About It, Can You Send More Info This Way?
Thank You
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