October 2017 newsletter

1. FFAMILIES & FRIENDS OF
MURDER VICTIMS, Inc.
(FFMV)
Newsletter SEPTEMBER 2017
Thank-you:
*Carol Anderson – Website
*Kaiser – Oakland
*Avaxat Elementary School- Murrieta
*St. Anthony’s Catholic Church-Upland
*Christ The Redeemer Catholic Church
Grand Terrace
*First United Methodist Church of La Puente
* United Methodist Church of Sepulveda
*San Bernardino County District Attorney’s Office of
Victim Services/Victim Advocates
* Linda Rodriguez – Mother of Angel - Memory Cards
*Janet Garcia & Barbara Christian
Facebook administrators
* Ellie Rossi – Mother of David and Lisa
Need Someone to Talk To?
* Bertha Flores - Parent - Spanish speaking
(909) 200-5499 (after 3pm) Rialto CA
*Rose Madsen – Parent (909) 798-4803 (after 4pm)
Redlands CA
*Mary Stewart -Parent (951 698-5317) Emergency
Consult for Suicidal or
Homicidal Participants
*Donna Lozano - Parent – 760-660-9054
* Palm Springs/Coachella Valley 10am-9pm
*Linda Rodriguez -Parent – 951-369-0010-Home –
951-732-3255 - Riverside
* Ellie Rossi - Parent - 909-810-8133 Yucaipa CA
* Richard McVoy – Adult Sibling –
909-503-5456 – Grand Terrace CA
* Tanya Powell - Parent – 760-596-2292-
Upland CA
Families & Friends of Murder Victims:
A non-profit organization
Dedicated to providing information, support, and
friendship to persons who have experienced the
death of a loved one through the violent act of
murder
Share Sorrow…..
Share Strength
Mission: To restore a sense of hope and to
provide a pathway to well-being to those who
have lost a loved one to murder and to those who
are victims of attemptedmurder.
Love Gifts
Love gifts are a specific tax deductible donation made
to the memoryof a loved one’s birthday, anniversary
of a death, holiday, or justbecause which are posted
in newsletter.They are also made by caring
professionals,organizations to help in the work that
FFMV does with victims/survivors.These gifts help
with the expenses incurred in reaching outto others
and operating expenses.When making outa check,
please make payable to FFMV and note Love Gift on
check or envelope.
Love Gifts can be mailed to FFMV-
P.O. Box 11222 San Bernardino,Ca. - 92423-1222
In Loving Memory
Jose Luis Cruz Jr
“Luisito”
10/5/89 – 12/1/12
Join Families & Friends of Murder Victims on
Thank-y ou
Janet Garcia
Mother of Jesse Garcia – 6/1 0/7 8 – 6/27 /94
Barbara Christian –RIP – 9/30/17
Mother of TerriLynn Winchell –4/1 0/63 – 1 /8/81

2. FFMV - Riverside Chapter
Due to our Chapter Leaders
health, chapter is suspended
until further notice
FFMV - Colton Chapter
3rd
Monday of every month
Christ The Redeemer Catholic Church
Robinson Hall – Room 6
12745 Oriole Ave Grand Terrace, CA
92313
Time: 6:15pm - 8:00pm
Contact person for directions or
information Rose – 909-754-6969
mail4ffmv@yahoo.com
NOTE NEW DAY & TIME
Next MEETING October 16th, 2017
Oakland Chapter
1st
Tuesday of every month
Kaiser in Oakland, Howe St. at
Broadway, 7pm-9pm
12th floor Room 1200 East
Contact: Robin – 510-653-8069
Sandra – 510-691-7089
MEETING October 3, 2017
Grief Support Group
ALL are welcome at our monthly meetings.
Whether you are a parishioner or not. If you are
suffering the loss of a loved one and in need to talk
to someone, we are here to listen and share
emotions.
Together and with the help of the Lord, we can
help each other heal.
Meetings are held every 2nd Wednesday of the
month 7 to 9 P.M. ~ Room 8
St. Anthony’s Church 1640 Western Ave. San
Bernardino (909)887-3810
Contacts: Hope Morfin (909)820-6163
Ralph & Arlene Payan (909)887-4387
(FFMV Participants)
Danny & Rose Equihua (909) 887-3744
Inmate Locator, Department of Corrections is
now making it easier for people to locate
prison inmates; it’s a free online search and
is open to the general public.
http://inmatelocator.cdcr.ca.gov
FFMV
West End Chapter -Bi-lingual
Meets every 2nd Thursday of every month at
7:00pm-8:30pm
St. Anthony’s Catholic Church
Conference Room
2210 North San Antonio Upland, CA 91786
Participants have the option of the
English & Spanish Meeting
Local Grupo Bilingue
Los participantes pueden escoger en Inglés
o en Español
Se reunen cada Segundo Jueves del mes a
las 7:00 p.m.
Contact persons/ Personas de contacto:
Rita Marin (909) 215-7063
rittaatffmv@aol.com
Contact Rita by Wednesday October 11th if
you will be attending meeting on
Thursday October 12, 2017
FFMV – SGV Chapter
Meetings are on the 2nd Tuesday of each month
7pm-9pm in a classroom at the First United
Methodist Church of La Puente, located at. 15701
Hill Street, La Puente, CA 91744
Contact information
* Luz Ruiz (626) 388-6403
Next Meeting October 10, 2017
Bridge to Our Angels
Grieving Parents of Adult & Young Children
Mondays @ 4pm
Christ the Servant Lutheran Church Fellowship
Hall 2 South Pecos RD. Henderson NV 89074
Facilitated by Grieving parents
Sharon 702-238-8722 & Donna 702-688-1367
In Loving Memory
Duane Murley
Murdered October 7, 2012

3. FFMV Fundraisers
Office Depot - Staples – Office Max
If you shop at Office Depot or Staples please
use FFMV’s Rewards Number for Office Depot
which is 1139461170 Office Max – 650756207,
Staples- or use just give them 909-798-4803
for all three. We get reward points that help
defray the cost of printing, ink cartridges and
office supplies.
PLEASE….Don‘t throw away your old ink
cartridges! Continue to bring them to us, or take
them to Office Max, Staples or Office Depot and
give them 909-798-4803
It’s an easy way to help
FFMV purchase office supplies.
Support Families & Friends of Murder Victims by
starting your shopping at smile.amazon.com.
It's easy, just go to smile.amazon.com and enter
"Families & Friends of Murder Victims" in the
search box. Click "Families & Friends of Murder
Victims" and Amazon will donate .5% of the
price of your eligible purchases to FFMV
whenever you shop. SmileAmazonSmile is the
same Amazon you know. Same products, same
prices, same service.
Online affirmations for grief support free for
365 days
http://www.markbshawmortuary.com/
Check out this website and click on Grief
Support
In Loving Memory
Christopher Mykle Sanchez
11/22/90 – 10/20/12
Resources and Additional Support Services
San Bernardino County District Attorney’s Office
of Victim Witness Centers: San Bernardino
(909) 382-3846
Rancho Cucamonga: (909) 945-4241*
Victorville/Desert area: (760)552-6947
Riverside County District Attorney’s Office of
Victim Witness Centers:
Riverside: (951) 955-5450
Murrieta: (951) 304-5680 * Banning: (951) 922-7130
* Indio: (760) 863-8408
*Los Angeles County District Attorney's Victim
Witness Assistance Program offices:
Pomona: 909) 620-3381
*Life.After.Uncivil.Ruthless.Acts.
323-816-9651 www.laurala.org
* WINGS OF JUSTICE – Website
www.murdermislabeledsuicide.com/WingsofJustice
*Women Against Gun Violence – 310-204-2348
www.wagv.org
* Crime Victims United of California –
530-885-9544 www.crimevictimsunited.com or
mail@crimevictimsunited.com
* North American Victim Assistance (NOVA)
www.trynova.org
* Victims of Crime Resources Center
800) VICTIMS
* POMC - (888) 818-POMC www.pomc.org
GOC – Debra – 714-999-7132
IE Chapter – Linda – 909-653-7236
* Citizens Against Homicide - (415) 455-5944
* Justice for Murdered Children - (310) 547-1367
* Memory of Victims Everywhere - (949) 248-5470
MOVE@cox.net
* Resource for the Grieving and
* Crime Survivors – 949-872-7895
www.crimesurvivors.com
*JUSTICE FOR HOMICIDE VICTIMS –
(310) 457-0030 -
jhvinfo@justiceforhomicidevictims.com
* Striving Towards Eradicating Violence In Ennercities
-S.T.E.V.I.E. stevieisunityandpeace@yahoo.com
oneunikadvocate2@aol.com
* Survivors of Murdered Children SGV Chapter –
Tina-626-298-9054 -tinayyama@att.net
*Homicide Survivors Support Group
Meets every 2nd
Tuesday at 7pm
Solono Family Justice Center
604 Empire St. Fairfield CA
Contacts: Valerie Dodini
v.dodin.law@sbcglobal.net
Rita Edmonds-Norris at 707-631-281
* Margaret Goldman – MA MFT
760-946-9036 – Apple Valley, CA
*Option House: www.optionhouseinc.org
Hotline:909-381-3471

4. October2017
BIRTHDAYS & MEMORIES

5. No matter how long, no matter how short,a life lived is never lost to those who remember!
October 2017 Birthdays
AlfredCabrera
AnthonyRodríguez AnthonyLedinich
BettyVan Patter CharlieMartinez
ChristopherPatrick Weiss David Garcia
DavidLowe DemetriusLanier Williams
Dwayne Fields ElzieElijahWinston
ErickaElaineBaker HeatherAnnSteimer
Hector Cisneros Ariz-mendez Jason VanKleef
Jerry RamirezJr. Jimmy Brown
Jordon Alan Vigil Joshua Rexford
Jose AlfredoSuarez Jose UrielAlvarezVillalobos
Jose Luis Cruz Jr. “Lusito” Kori VanHulle
Kristhoper Flores Linda Whiting
Mark AnthonyMinchaca Michael RayMcCoy II
MicheleKriezel Michele Rene Necochea Flores
Nicolas Casas RandyOlivas
RosarioMojarro Ronald Saxton
Stevlan “Stevie”Singleton TheodoreAlbert Goede
Trevor John Neiman TrudyThompson
When we bury our parents that is our past. When we bury a spouse, that's our present.
When we bury our kids, we bury our future.... Stefan Robinson

6. October 2017 Memories
Aaron LuisAngulo Aaron Gurrola
Abel Gonzales Adelaja Nogoma Russ
Alfonso Lopez AndyR. Castro Jr.
Angela Lynn Merth BaileyElizabethSloan
BrandonSmith BrittanyRiggs
Bryan Stapleton ChrisSanchez
Christopher Mykle Sanchez
Damon Jones Sr. Diana Dawn Vacari
DuaneMurley Elena Sylvia Perez
FrankieCayetano JesseAguilar
Justyn Broweliet Maria Banuelos
Maureen Ramirez Ozzy Conde
RichardAnthonyHernandez Rosa MariaGamino
Rosa Torres Sandra Rosas
Trevor Johnson WilliamRees Merrel
There are moments in life when you wish you could bring someone down from
Heaven...and spend the day with them just one more time, give them one more hug,
kiss them goodbye or hear their voice again.
One more chance to say …. I Love You!

7. LOVE GIFTS
In Loving Memory of In Loving Memory of In Loving Memory of
Kris Flores Jason M. VanKleef Joshua Rexford
10/10/77 – 7/24/96 10/18/82 – 3/19/01 10/8/76 – 11/27/94
In Loving Memory David Charles Nystrom – 2/21/64 - 7/27/98 & Lisa Cummings – 11/13/66 – 3/12/11
Brother and Sister in Heaven ….. now together watching over their Mom (Ellie Rossi)
--
----------------------------------------------------------Love Gift-----------------------------------------------------------------
Donation $_______________
Name (please print):_________________________________________________________________
Address____________________________________City/St.________________________Zip__________
Email address:__________________________________________________________
Your Phone # ( ) ____________________Relationship to Victim: _____________________________
Name of Victim: _________________________________________________________________
Date of Birth: Date of Death: ______________________
Please post my loved ones message and/or picture(s) for the month of: ___________
# of pictures enclosed/attached ____________ Use picture on file_____________

8. Families & Friends of Murder Victims, Inc.
Annual Christmas Candlelight/Memorial Luncheon
All FFMV chapter members, their family, children, friends
and supporters of FFMV are invited to attend
When: Sunday December 10, 2017
Time: 2pm - 5pm
Where: The Diocese of San Bernardino Pastoral Center
1201 E. Highland Ave., San Bernardino, CA. 92404-4641
Families & Friends of Murder Victims, Inc.
Anual Navideño
LUZ DE UNA VELA CONMEMORATIVO
Todos los miembros del capítulo FFMV, su familia,
amigos y partidarios del FFMV son invitados a asistir.
Cuando: Domingo, 10 de diciembre del 2017
Hora: 2:00pm – 5:00pm
Adonde: Diócesis de San Bernardino, Centro Pastoral
1201 E. Highland Ave., San Bernardino, CA. 92404

9. CAMP GOOD GRIEF (SVP)
Camp Good Grief-Special Victims Program (SVP) is a joint effort between the San Bernardino County District Attorney's
Office Bureau of Victim Services and Loma Linda University Medical Center Children's Hospital. The 3-day grief camp is
geared toward homicide/suicide and is for children ages 10-16 who have experienced a violent death in their family.
At camp the children participate in game and team building activities and therapeutic group activities designed to help
them learn and understand how to cope with the grief over the violent death of their loved one. This camp has been so
successful that it has been expanded to include Camp Good Grief - Special Victims Program Teen Retreat. It will be held
annually and provides grief services for teens ages 14-18 who previously participated in Camp Good Grief - SVP and whose
lives havebeen positively impacted by camp. It will be a combination of learning advanced grief management skills as well
as a training camp for future Camp Good Grief Peer Counselors.
Camp is free of charge to all campers and camperships are funded by unclaimed victim restitution. Therapists and interns
from Loma Linda Marriageand Family Therapy Clinic,Loma Linda Child Life Specialists and District Attorney's Office Victim
Advocates donate their time to the camp.
The Bureau of Victim Services and Loma Linda University Children's Hospital havepledged to continue fundraisingactivities,
presentations to service groups, and outreach events so they may continue hosting future Camp Good Grief-SVP programs.
Contact: Dorothy Brooks 909-558-4073
Memory Jar 7th Annual Sunday, November 5, 2017
Candle Lighting to Remember 4pm – 6pm
A special evening of Love and Healing Heisler Park, Laguna Beach
As the sun sets on Laguna Beach, hundreds of luminaries will light up the sand. Each luminary represents a loved one
who is gone, but not forgotten -- a child, a parent, a sibling or friend
Meet at picnic tables at HeislerPark (lookfor purple balloons). Amplemeteredparkingon Cliff Drive andsurroundingstreets
Luminaries, candles and decorating materials are provided at no charge. If you would like to bring your own supplies,
you are more than welcome -- including small photos to attach. Or you can send your request to: Memory JAR, 360 E.
1st Street #728, Tustin, CA 92680.
Please RSVP by November 4th to https://candlelighting2017.eventbrite.com. Memory Jar has a FB page
If you cannot attend but would like your loved one remembered with a personal luminary, email us at
info@memoryjar.org and include your loved one's name. We will create a luminary for you, take photos and then mail
to you the week after the event. This is a no-charge event.
Please feel free to bring friends and family, and your camera - the scenery is breathtaking with the
sunset and luminaries.
FFMV Colton Chapter will be decorating luminaries on October 16th
meeting,
I will bring some decorating supplies.

10. Feel free to bring decorating materials to personalize your luminaries …
FFMV will supply luminaries.

11. Common Ground for Peace will be walking on the last Thursday of every month at 5:30pm. We
will gather 30 minutes before the walk on Thursday, October 26th at 5:00pm.
Please keep this project in prayer as we continue to make a difference as a community of peoples united for
change. We hope you will join us.
Starting Point:
New Hope Missionary Baptist - 1575 W 17th
St., San Bernardino, 92411
Midpoint:
St. Anthony Catholic Church - 1640 Western Ave., San Bernardino, 92411
Endpoint:
Saint Paul AME - 2050 N. Mt. Vernon Ave., San Bernardino, 92411
Since January 1, 2017 we have seen 26 homicides in the City of San
Bernardino and 62 homicides around San Bernardino County for a
total of 88 homicides. (Note: These numbers do not include the suspects killed)
Please pray for those who have died in San Bernardino County by gun violence or trauma since August 10,
2017:
Anthony Villamueva, age 20 of Rialto, died on August 21
Karina Gonzalez, age 25 of Bloomington, died on August 24
Priscilla Gonzalez, age 8 of Bloomington, died on August 24
Beatrice Gonzalez, age 6 of Bloomington, died on August 24
Miguel Angel Hernandez, age 21 of Bloomington, died on August 25
Unnamed Male, Barstow, died on August 28
Irwin Myland, age 44 of Rancho Cucamonga, died on September 1
Gregory Atkins, age 23 of San Bernardino, died on September 7
Unnamed Male, of Redlands, died on September 12
Joshua Gloss, San Bernardino, died on September 15

12. The work of the Restorative Justice Victim Ministry is available to support families of murder victims with
activities such as this. Please help us spread the word. For more information, please contact our office at
(909) 475-5474 or email Anna Hamilton at ahamilton@sbdiocese.org.
Justice for Homicide Victims, Inc.
P.O. Box 4202, Cerritos, Ca. 90703-4202 contact number- 310-457-0030
jhvinfo@gmail.com
victimvoices@yahoo.com
Contact: Jane Bouffard: 310-457-0030 or LaWanda Hawkins: 310-547-5362
PHOTO RLEASE OF YOUR LOVED ONE FOR JHV/JFMC PROJECTS TO PROMOTE “Unsolved Cases”
I ______________________________give” Justice for Homicide Victims, Inc. and Justice For Murdered
Children” Your first and last name
and their representatives and associates permission to publish information on your loved one’s murder, and
photographs of your loved one, on the internet, newspaper, television or radio.
______________________________________________________________________________________
Print name of loved one first and last name
I understand that the information and photo you provide of your loved one and of his/her murder circumstances,
maybe edited for both length and content. I further understand that the photograph I provide will not be
returned. So please make sure you have made extra copies for yourself.
I am 18 years or older. I have read the foregoing document and fully understand its content.
______________________________________________________________________________________
Signature Date
______________________________________________________________________________________
Address City Zip code
______________________________________________________________________________________
Telephone (s) E-Mail address
_____________________________________________________________________________________
Victim’s age Victims’ Birth & Murder date Your relationship to victim?
______________________________________________________________________________________
City where murder took place Any suspects arrested?
______________________________________________________________________________________
Detective’s name and telephone

13. Comments or additional information on your loved ones’ murdered:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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ANYQuestionsorISSUES registering…Please contactRose @ 909-754-6969 or
mail4ffmv@yahoo.com
I have been fortunate to have attended two different training sessions that Connie Saindon has taught. I have
now facilitated and co facilitated two 10week Journey Classes Thank you Connie for this opportunity …
Rose Madsen
Follow the Violent Loss Resource Blog = https://svlnetwork.wordpress.com
Survivors Of Violent Loss Resources
Announcements
Clinical Use of Restorative Retelling Training is being planned for SAVE THE DATES: November 13 & 14. Look at
your Invitation to this Save the Date Opportunity for you to be ready to apply this evidence based model for
those you work with that have experienced a violent loss. This two day training will be done by Edward
Rynearoson, MD and Connie Saindon, MFT in San Diego. Registration information available soon. Any
questions or comments can be directed to svlp@svlp.org.
Website Under Construction: We need your help too.
Take a look at our website and let us know what is missing and what you'd like to see
added. www.svlp.org

15. Restorative Retelling is an evidence based model that has been successfulin supporting those who have lost
someone to a violent death. Restorative Retelling services include general counseling and group services.
A new ten-week group is being planned to start in October. Tammy Carter, MFTI is now doing prescreening for
services for those who have lost someone to violence. Call her at 619-685-0005 for more information. Group
leaders are Connie Saindon MFT and Tammy Carter, MFTI.
From Rose Madsen, Editor/Chair/co-founder of the
Colton & Coachella Chapter of FFMV
In Memory of my daughter Jennifer LeAnne Balber
12/02/73 – 11/10/94
A 20yr. old SoCal Gas Co. Meter Reader,
Fatally Shot in the Line of Service in Rialto, CA
My beautiful Jen…..I can no longer…See you with my eyes…Touch you with my hands…
But I will feel you in my heart….Forever…Love, Mom
FFMV’s Annual Christmas Memorial Luncheon will be on December 10,2017 at SB Diocese. We are looking for
sponsors to donate towards paper goods, ornaments, centerpieces, toys/gift cards for surviving kids.
We will also have an optional ornament gift exchange for adults/teens in attendence.
If a family wants to sponsor centerpieces or ornaments in memory of their loved one
or if you need a donation letter, please contact Rose - mail4ffmv@yahoo.com
More updates in November newsletter.
E-mail me your outcome of your court process, status of your case or upcoming events, and I will post on our
newsletter.
Thoughtfully,
Rose
FFMV Executive Board
Rose Madsen – Chair, Mother of Jennifer LeAnne Balber
Dawn Hall– Vice Chair, Mother of Joshua Rexford
Rita Marin – Secretary, Aunt of Jennifer LeAnne Balber
Bertha Flores – Treasurer, Mother of Kristopher Flores
FFMV is a non-profitorganization dedicated to serving survivors of murder victims & victims of attempted murder.Our main purpose is
to offer griefsupportfor those victim/survivors. All assistance provided to victims is given free of charge by volunteers. Contributions
and/or questions regarding the policies ofFFMV may be addressed to: FFMV Executive Board at P.O. Box 11222 San Bernardino,Ca.
92423-1222,e-mailed to mail4fffmv@yahoo.com or phoned to 909-754-6969
FFMV is a tax-exempt organization under the Section 501 (c) (3) of the Internal Revenue Service.
Our Organization depends largely upon private donations which will cover operational expenses,Our Annual Family
Christmas Memorial Luncheon, and Our Annual Victims’ Rights Week Memorial. We are seeking a sponsor (s) for our events.
Please contact FFMV at the above e-mail or phone if you are interested. Tax ID #68-0299211 All Contributions
Are Tax Deductible

16. Keep continued prayers for families that are in the court process
getting JUSTICE they Deserve!!
And for families dealing with the injustice of UNSOLVED Murders!
RSVP must be received by November 30, 2017
FFMV will provide desserts and beverage
~We ask that you please bring a main dish, salad or side dish to share ~
(Enough to feed your party plus 5)
~ Bring your Loved Ones picture/shoes to display on our Memorial Table ~
~ Each family will receive a special ornament in Memory of their Loved One ~
~ Our Loved Ones Slide Show Presentation (send your picture if we don’t have one on file) ~
~ We will have an ornament gift exchange for adults and teens 13yrs and up.
If you would like to participate, please bring a wrapped ornament.
($5min, it can be a store bought or if you are crafty, you can make one) ~
*We are in need of additional donations. If you are interested in donating a toy, book, or gift card for kids , or if you know of a business
that would like to help sponsor his memorial please call and leave a message at.
If you would like to sponsor centerpieces or ornaments in memory of your loved contact.
We will be accepting donations thru November 30, 2017, so we can finalize event.
Rose @ (909)754-6969 or e-mail mail4ffmv@yahoo.com with your interest or questions.
Completed RSVP MUST be received by November 30. 2017
(sorry no exceptions especially if immediate children of loved one will be attending)
FFMV ~ P.O. Box 11222 ~ San Bernardino, CA ~ 92423-1222 or mail4ffmv@yahoo.com
NOTE: Lunch will be served promptly from: 2:30PM – 3:30PM
Ornament hanging/Candlelighting3:30PM - 4:30PM …..Ornament gift exchange 4:30PM - 5:00PM
-------------------------------------------------------------------------------------------------------------------------------------------------------
( ) Enclosed is myloved ones picture ( ) I will e-mail myloved ones picture ( ) Use my loved ones picture that you have on file
PLEASE PRINT: Your loved ones DOB_________________________ DOD _______________________
Loved Ones First Name________________________ Last Name____________________________________
Your Name: ______________________________________________________________________________
Address____________________________________________________________________________________
City/Zip____________________ Your Contact phone # with area code: ( ) _______________________
Email_________________________________________
# of adults ______________ # of teens 13-17yrs. old ____________ # of children (0-12yrs) ______________
List Boys 0-12yrs: First and Last Name & Age: _______________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

17. List Girls 0-12yrs: First and Last Name and Age: _______________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
2018 Participant /Photo Release Form for slide show & picture boards
Families & Friends of Murder Victims, INC (FFMV)
Circle one: New Participant ~ Update my information ~ Agency/Non Victim
Please Print
Date________________ Relationship to Victim_______________________
Victim’s First Name______________________________________________
Victim’s Last Name______________________________________________
Date of Birth _____________ Date of Death__________ Solved: Yes ( ) No ( )
Was this a DUI Yes ( ) No ( ) Was this Domestic Violence Yes ( ) No ( )
Permission to use photo(s): Yes ( ) No ( ) Just add me to e-mail/mailing list to receive
monthly newsletter and event information
I grant to Families & Friends of Murder Victims, Inc. (FFMV), the right to use photograph(s) of
the above-identified subject. I authorize FFMV to use and publish the same in print and/or
electronically.
I agree that FFMV may use such photographs with or without his/her name and for any lawful
purpose, including for example such purposes as publicity, illustration, advertising, and Web
content.
I have read and understand the above.
Signature_________________________________________________________
Print Full Name _______________________________________________________
Print Last Name ______________________________________________________
Address_____________________________________________________________
City_________________________________________________________________
Zip Code _______________Contact Phone(s) with area code____________________

18. E-mail ____________________________________________________________
Mail or e-mail participant/release form to: mail4ffmv@yahoo.com
~ FFMV ~ P.O.Box 11222 San Bernardino, CA ~ 92423-1222
I have included a picture ( ) Yes ( ) No use the one on file
FFMV
FORMA DE PERMISO
2018 Participante / Formulario de Autorización para la presentación de diapositivas de
fotos y fotos juntas
Fecha: _____________ Relación con la víctima: ____________________________________
El Primer nombre de la victima: ____________________________________________
El Apellido de la victima: ________________________________________________
Fecha de nacimiento_________ Fecha de la muerte__________ Solucionado: Si ( ) No ( )
¿Fue esto un DUI: Si ( ) No ( ) ¿Fue esta violencia doméstica: Si ( ) No ( )
Permiso para usar la foto (s): Si ( ) No ( ) Sólo me agregar a la lista e-mail/mailing para recibir el
boletín mensual, información de eventos
Concedo a las FAMILIAS Y AMIGOS DE VICTIMAS DE HOMICIDIO, INC. (FFMV)
el derecho a usar la fotografía (s) del sujeto identificado anteriormente. Autorizo FFMV a utilizar y
publicar el mismo en forma impresa y / o electrónica.
Estoy de acuerdo en que FFMV podrá utilizar dichas fotografías con o sin su su / nombre y para
cualquier propósito legal, incluyendo, por ejemplo, con fines tales como la publicidad, la ilustración, el
contenido publicitario y web.
He leído y entendido lo anterior.
Firma: ______________________________________________________________
Nombre en letra imprenta: ________________________________________________
Direccion: ____________________________________________________________
Ciudad: ____________________________ Estado: __________ Codigo postal: ____________
Telefono: (_____) _____-________ Celular: (_____) _______________________

19. e-mail: ___________________________________________________________________
Envíe por correo participante / formulario de divulgación para
FFMV ~ PO Box 11222 San Bernardino, CA 92423