Please fill in the below sections to receive a Hey Girls Menstrual Cup and Cup Cup. These products are only available in Angus and are being distributed by Hey Girls on behalf of the Angus Community Planning Partnership.

To ensure we keep accurate data the form is on a per person basis. If there are multiple people in a household please complete one form for each person.

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* 1. First Name

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* 2. Last Name

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* 3. Email address

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* 4. What is your age?

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* 5. What size of cup do you need? When using the Hey Girls cup, we recommend trying a small cup if you are age under 25 and not given birth vaginally, or a large cup if you are over 25 or have given birth vaginally whatever your age.

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* 6. Street address

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* 7. City

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* 8. Postcode

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