Dear Applicant,

Thank you for your interest in Global Protection, and for giving us the opportunity to assist you by providing a donation to your organization.

Each year Global Protection receives hundreds of requests from worthy organizations and programs. As Global Protection already offers very deep discounts to healthcare and non-profit organizations, we regret that we are able to honor very few donation requests each year.

From time to time, variances in inventory provide Global Protection with the opportunity to make a limited number of condoms available for donation. In order to make the process as fair and efficient as possible, an application process for donation requests has been implemented. Individuals and organizations requesting donations from Global Protection Corp. must complete appropriate paperwork in order to participate in the selection process. Applications may be downloaded from GlobalProtection.com, and must be submitted via U.S. Postal Mail to:

Community Outreach Departmentc/o Global Protection Corp.12 Channel StreetBoston, MA 02210

In addition to a completed application, a formal request on organization letterhead and supporting marketing materials for the program or event (ads, posters, flyers) must be enclosed. Requests via email and by phone will not be honored.

Global Protection reviews inventory each month in order to determine if donations can be made. If there is sufficient quantity of condoms, selections will be made on the first Monday of each month with shipment of donations by Friday of the same week. Applications must be received no later than the last business day of the previous month in order to be considered.

Organizations seeking donations for date-specific events will be considered during each allocation meeting until the event date has passed or a donation by Global Protection is made. Requests for donations for ongoing programs or general outreach efforts will be retained for three months from the submission date, or until a donation by Global Protection is made. In order to assist as many organizations as possible, only one donation will be made per organization per year.

DonationsGlobal Protection is happy to donate to approved organizations according to the following guidelines:

• Donations will consist of Global Protection condom brands, including One, Pleasure Plus, Night Light and Atlas. Exact products and quantities to be donated will be determined by Global Protection based on available inventory – requests for specific products may not be honored.

• Global Protection is not able to honor requests for financial contributions or requests that include financial support.

• A typical donation is 1000 condoms.

Selection CriteriaThe following general guidelines will be used to determine qualified candidates for donations:

• Requests are accepted from Non-profit organizations with a demonstrated need (requests from for-profit organizations or individuals will not be considered)

• Preference will be given to public events and free programs• Merit will be given to events and programs that further the perception of Global Protection

Brands• Completeness of Application

For internal use onlyFor internal use onlyFor internal use onlyFor internal use onlyFor internal use onlyReceive DateReceive Date

Exp DateExp Date

StatusStatus

Organization Name:Organization Name:

This donation is for:This donation is for: A specific event or function A specific event or function A specific event or function A specific event or function An ongoing outreach program An ongoing outreach program An ongoing outreach program An ongoing outreach program

Date of Event: Name of Program:Name of Program:Name of Program:

Time of Event: Program Operating Since: Program Operating Since: Program Operating Since:

Name of Event: Frequency of Program: Frequency of Program: Frequency of Program:

Est. Attendance: Number Served?Number Served?Number Served?

Free Event? Free Program?Free Program?Free Program?

Applicant Contact InformationApplicant Contact InformationApplicant Contact InformationApplicant Contact Information Shipping Contact InformationShipping Contact InformationShipping Contact InformationShipping Contact InformationShipping Contact Information

First Name First NameFirst Name

Last Name Last NameLast Name

Title TitleTitle

Address 1 Address 1Address 1

Address 2 Address 2Address 2

City CityCity

State StateState

Zip ZipZip

Phone PhonePhone

Fax FaxFax

Email EmailEmail

Website: Website:Website:

Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):Please describe the population this program or event will serve (men, women, teens, African-American, gay, etc.):

Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):Please describe activities that will occur at this event or during the program (seminar, trade show, fashion show, etc.):

Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):Please describe how a donation of condoms would be used or distributed (goodie bags, hand-outs, picked up by attendees, etc.):

Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):Please list any additional benefits that would be provided to Global Protection by donating to your program or event (inclusion in event program, signage, announcements, distribution of product literature, etc.):

Please provide any additional information that may be useful during the decision-making process:Please provide any additional information that may be useful during the decision-making process:Please provide any additional information that may be useful during the decision-making process:Please provide any additional information that may be useful during the decision-making process:Please provide any additional information that may be useful during the decision-making process:Please provide any additional information that may be useful during the decision-making process:Please provide any additional information that may be useful during the decision-making process:Please provide any additional information that may be useful during the decision-making process:Please provide any additional information that may be useful during the decision-making process:Please provide any additional information that may be useful during the decision-making process:

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

All information provided in this application is true to the best of my knowledge. I confirm that this donation request is for a non-profit organization or program, and that I am able to provide additional information regarding the organization or program’s non-profit status should such information be required by Global Protection. I confirm that condoms donated by Global Protection will be distributed for free.

NameNameNameNameNameNameNameName DateDate

Please enclose with this application a formal request on organization letterhead, andsupporting marketing materials for the program or event.