DOIU Payment Application

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Make a Purchase

Step 1: Purchase Form

Please fill out the form below. Then click on the "Submit Request" button.

Selected Training Course

FCR 404: FAC-COR Refresher (40 hrs.) - 2/13/2023 - Virtual, NM

Card Holder Information

Card Holder Email Address

Card Holder Phone Number

Student Information

Student First Name

Student Last Name

Bureau

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