Men4Men Sexual Health Outreach Project (SHOP)

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To enable someone from the project to contact you please complete all the fields on the form below. Rest assured this information will be held in strict confidence but it is required to secure future funding that will enable this service to continue.

Please note: this service is restricted to men in the Luton Borough Council area only.

    Type your message here:


I'd like you to:      call me        meet with me

Full Name  
email:    
Phone Number:   
Postcode  
  (We accept only Postcodes in Luton Borough Council area)

 

Age:    
Gender:    
Ethnic Origin:    
Sexuality:    

 


NO - I do not wish for you to use my email address to contact me about other services and related projects which the Men4Men SHOP are involved with, that you think I would find of benefit.

(Please note: Under NO circumstances will your email address be passed on to any third party organisations)

 

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Cambridgeshire Community Services NHS Trust

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