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Burmese Rohingya Community of Colorado
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Home
About
Shurah Members
Services
Marriage Family Conseling
Student Registration
Uthman Academy
Youth Department
Outreach Department
funeral Service
Appointments Booking
Events
Blogs
Contact
Zakat Calculator
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funeral Service
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– FAP Payment
Payment for Funeral Assistance Program
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Full Name
*
First
Last
Did you participate in the program last year as well?
Yes
Yes
No
Address
*
City
State
Zip
fees well? household
Phone
*
Email
*
Total household members
*
List the name of all household members
*
Add-on Household Members
*
One Member: 1 (No Add-on)
Two Member: 2 Add-on
Three Member: 3 Add-on
Four Member: 4 Add-on
Five Member: 5 Add-on
Six Member: 6 Add-on
Seven Member: 7 Add-on
Eight Member: 8 Add-on
Nine Member: 9 Add-on
Ten Member: 10 Add-on
Additional Donation
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Total Amount
Price:
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Payment Processing fees
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Total
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