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Strengthening communities
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Women’s Ethnic Network
Strengthening multicultural community associations
Online Learning
Community Training and Employment
Aspire to Succeed
Bright Future Project
Building Australian Skills for Employment (BASE) Traineeships
Speak my language
Health
Love Health – Hepatitis, HIV and Sexual Health (BBV & STI)
Chronic Disease
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Berlasco Court
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About
What we do
Become a member
Meet the board
Meet the team
Strengthening communities
Policy and advocacy
Recent Policy Submissions
Research and knowledge building
Women’s Ethnic Network
Strengthening multicultural community associations
Online Learning
Community Training and Employment
Aspire to Succeed
Bright Future Project
Building Australian Skills for Employment (BASE) Traineeships
Speak my language
Health
Love Health – Hepatitis, HIV and Sexual Health (BBV & STI)
Chronic Disease
Aged care
Berlasco Court
Diversicare
Multicultural Advisory Service
Partners in Culturally Appropriate Care
Resources
Publications
Recent Policy Submissions
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About
What we do
Become a member
Meet the board
Meet the team
Strengthening communities
Policy and advocacy
Recent Policy Submissions
Research and knowledge building
Women’s Ethnic Network
Strengthening multicultural community associations
Online Learning
Community Training and Employment
Aspire to Succeed
Bright Future Project
Building Australian Skills for Employment (BASE) Traineeships
Speak my language
Health
Love Health – Hepatitis, HIV and Sexual Health (BBV & STI)
Chronic Disease
Aged care
Berlasco Court
Diversicare
Multicultural Advisory Service
Partners in Culturally Appropriate Care
Resources
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Condom Request Chinese
姓名（Full Name）
*
地址 - 僅限澳大利亞昆士蘭地區郵寄 （Address）
*
門牌號和街道名稱（Street Address）
區（Suburb）
州（State）
郵政編碼（Post Code）
性別（Gender）
男性 (Male)
女性(Female)
其他(Other)
年齡 (Age group）
小於18歲
18-29歲
30-49歲
大於50歲
出生地（Country of birth）
*
首要語言（First language /Native language）
*
請選擇您想要的安全套樣品包數量（Number of sample packs needed）
0
1
2
3
4
5
或不同尺寸（寬度）的安全套數量 Or number of condoms in different sizes (width) needed
小號 - Small (45-51mm)
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8
9
10
中號 - Regular (52-56mm)
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1
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9
10
大號 - Large (56-60mm)
0
1
2
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9
10
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