Menstrual Product Request Form

Complete this form to request various menstrual products. Menstrual products are only offered individually, not for distribution by offices or departments. It is mandatory for you or a representative party to come to the Gender and Sexuality Center, Nebraska Union, Room 340, to retrieve your items. You will receive an email from the Gender and Sexuality Center staff when your order is ready to be picked up. Thank you.

About the Menstrual Products:
We currently have menstrual cups, menstrual pads, reusable menstrual pads, panty liners, menstrual discs, and tampons available for pick up. Please select the amount of each item you will need. Please only request what you will use, as we have a limited number of products available.

Limited to 10

Limited to 10

Limited to 10