Partner Signup

Thank you for your interest in becoming a L.A. Condom Partner! With the help of partners like you, we’re able to provide millions of condoms to L.A. County residents every year, free of charge.

In order to become an approved partner, we’ll need you to fill out this short sign-up form. We ask that each location creates one profile, to help manage communication and profile data. Once your location is approved, you will be able create sub-accounts for your colleagues and share condom ordering access.

Terms and Conditions: L.A. Condom’s resources are reserved for L.A. County residents only, and distribution partners must have a business address within L.A. County that is open to (or serves) the general public. If your organization uses a home address, you may be required to provide additional information.

    • Company

    If Yes: Admins are responsible for maintaining Partnership Profile information for the location, and will be the primary contact for LA Condom moving forward. If No: Contact the admin for your location, and ask them to create a sub-account on your behalf. Then your admin will be able to provide your login credentials.