• Junk Mail Order Form

  • Hello! Welcome to Damien.

    Please select from the list of options below which F*ck Around kit you would like to order.  Options include:

    Type of Kit Description
    The Bussy Box Includes four condoms and two packages of lube.
    The Coochie Care Kit Includes two dental dams, two condoms and one package of lube.

     

  • Please select the kit(s) below you wish to order.*

  • Find Out!

  • To receive this test, you must be 18 years or older, be a resident of Indiana, and have not tested for HIV in the last 90 days.

    You will receive a kit to self-test for HIV. Please note that this test is a rapid antibody test and may not show a positive result until 90 days after exposure. If you have ever had a reactive (positive) test or know your status to be positive, please contact the Underground Resource Coordinator, Aaron Hardy (ahardy@damien.org), directly to set up an appointment instead.

    Type of Kit  Description
    Find Out Kit Includes an at-home HIV self-test, infographic, and return card for incentives.
  • Find Out Kit:*
  • Have you ever had an HIV test?*
  • When was your last HIV test?
     - -
  • Risk Factors: In the last 5 years, have you (Check all that apply):
  • Are you on PrEP or have you taken PrEP in the last 12 months?

  • A tester/educator will contact you directly and arrange a time for your test.

  • Demographics

  • Format: (000) 000-0000.
  • What is your gender identity?*
  • What is your race?*
  • What is your ethnicity?*
  • How did you hear about Junk Mail?*
  • Have you heard of PrEP?*

  • Submission Page

  • Today's Date:
     / /

  • Thank you, {pleaseEnter}!

    Please review your order below:

    If everything looks correct, click 'Submit' below to send this order to the Damien Center.

    Name Address Order
    {pleaseEnter} {whatIs} {pleaseSelect}

     Find Out Kit: {typeA22}

  • Should be Empty: