December newsletter

1. FFAMILIES & FRIENDS OF
MURDER VICTIMS, Inc.
(FFMV)
Newsletter DECEMBER 2016
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
*Riverside 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
* San Bernardino County District Attorney’s Office for
sponsoring newsletter for 2016*
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
Join Families & Friends of Murder Victims on
Thank-you
Janet Garcia
Mother of Jesse Garcia – 6/10/78 – 6/27/94
Barbara Christian
Mother of Terri Lynn Winchell –4/10/63 – 1/8/81
FFMV Christmas Memorial 12/11/16
RSVP’s due by 12/5/16
Ornaments to be assembled 12/6/16
Bring your crayons, stickers or markers if
you would like personalize your luminaria
bag that each family will receive.
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
*Dawn Hall – Parent (951) 757-4419 –
Murrieta CA
*Mary Stewart -Parent (951 698-5317) Emergency
Consult for Suicidal or
Homicidal Participants
*Linda Atencio -Parent – 760-662-4373 –
High Dessert
*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 Redlands CA
* Delores Maloy- Parent – High Desert
Contact – 760-530-7027
* Shayla Adams – 760-475-3774
* 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 attempted murder.
Love Gifts
Love gifts are a specific tax deductible donation made
to the memory of a loved one’s birthday, anniversary
of a death, holiday, or just because 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 out to others
and operating expenses. When making out a 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
On Behalf of FFMV SGVC
Thank you LaWanda Hawkins from Justice
for Homicide Children for the thanksgiving
baskets that were delivered to our families,
we are very grateful!

2. FFMV - Riverside Chapter
Meets on the 3rd
Wednesday of every
month at 7pm
Avaxat Elementary School, 24300 La
Brisas Road in Murrieta, CA
Contact Dawn (951) 757-4419
FFMV - Colton Chapter
1st
Tuesday of every month
Christ The Redeemer Catholic Church
Robinson Hall – Room 6
12745 Oriole Ave Grand Terrace, CA
92313
Time: 6:00pm - 8:00pm
Contact person for directions or
information Rose – 909-754-6969
mail4ffmv@yahoo.com
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
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
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
NO DECEMBER MEETING
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
*Tracy Ponce (626) 533-3121
tdponce@yahoo.com
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
You help yourself.... when you help others. ..

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
Jose Luis Cruz Jr. “Luisito”
10/5/89 – 12/1/12
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
* Greater Orange County POMC –
Marie – 714-999-7132 – 562-508-2397
*Inland Empire – 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

4. 2016
Birthdays
and
Memories

5. December 2016 Birthdays
Andy R. Castro Jr. AlexanderRray Esparza
Bruce Ridgley Bryan Stapleton
Christopher Martinez Daryl Smith
Dominic T. Reed Edward A. Ortiz
Franky Mosqueda Gilbert Rivera
Jacob Eric Jackson Jason Verde
Jacqueline McVoy (Matzke)
Jennifer LeAnne Balber Jesus D. Calderon
Jimmy Brown Larry Leyva
Marie C. Gonzales Mark Mireles
Michele Jeanette Carson MickeyThompson
Michael Andrew Rosas Reychell Lujan
Richard Hernandez Roberto Carlos Davalos
Russell Travis Dorff Samantha Salas
Sonia Herrera Tom Myers
Travis Williams Venessa Martinez
William “Bill” Dyrness

6. December 2016 Memories
Alexander Alvarado Anthony Maldoado
Arturo J. Velazquez Beatrice Hatfield
Brian Michael Doyel Bruce Ridgley
Chris Stirrat Clasten Jr. Vaughn
David Lowe David Allen Parrish
Dominic Ortega Ericka Elaine Baker
Guilermo Reyes Henry Vellore Lozano
Janet Heartfield Jerrick Jay Richarson
Jerry AngeloSandoval Joseph Salazar
Jose Luis Cruz “Luisito”
Krishana LeAnn Szymanski Linda Hesse
Maria De Los Angeles Maggllon
Michele R. Kriezel Michael George Rivera
Reginald Reese
Roberto V. Morales Roberto Carlos Davalos
Timothy Hatch Travis Williams
Nicolas & Emilia Casas
Angelo “EIO” Huerta, Donna Marie Morgan
& Steven Calder

7. LOVE GIFTS
In Loving Memory of In Loving Memory of In Loving Memory of
Jacob Eric Jackson Michele Carson Beatrice Hatfield
12/22/82 – 3/2/07 12/22/84 – 11/7/10 6/29/00 – 12/14/83
6yrs…still waiting for JUSTICE!!
In Loving Memory David Charles Nystrom – 2/2/64 - 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. Join
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 11, 2016
Time: 2pm - 5pm
Where: The Diocese of San Bernardino Pastoral Center
1201 E. Highland Ave., San Bernardino, CA. 92404-4641
(909) 475-5300
Reserva el dia
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, 11 de diciembre del 2016
Hora: 2:00pm – 5:00pm
Adonde: Diócesis de San Bernardino, Centro Pastoral
1201 E. Highland Ave., San Bernardino, CA. 92404
(909) 475-5300)

9. Christmas Memorial Please RSVP by December 5, 2016
We need to order enough food and make enough ornaments!
~ FFMV will provide the main course of chicken & pizza and beverage ~
~We ask that you please bring a side dish or appetizer and dessert to share ~
~ 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) ~
~ We will have an ornament gift exchange for adults.
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) ~
* If you are interested in donating a toy, book, or gift cards for older kids raffle, or if you know of a business that would
like to help sponsor this memorial please call and leave a message at
(909)754-6969 or e-mail mail4ffmv@yahoo.com with your interest or questions.
Directions to the Diocese:
From I-210 East; exit at Waterman Ave. and go right , then go left on Highland Ave. Diocese is on the right
From I-10 E, to I-215 N towards San Bernardino, merge onto I-210-E, HIGHLAND / MTN RESORTS, exit at Waterman Ave. and go right , then go left
on Highland Ave. Diocese is on the right
From 91 E , 91E becomes I-215 N , merge onto CA I-210 E / HIGHLAND / MTN RESORTS, exit at Waterman Ave. and go right , then left on
Highland Ave. Diocese is on the right,
From Beaumont take I-10 W, merge onto I-210-Pasadena/CA-30 W toward HIGHLAND, continue going west on I- 210, exit Del Rosa Ave, and go left,
then right on Highland Ave. Diocese is on the left
Diocese is on Highland Ave & Golden Ave (signal)
-------------------------------------------------------------------------------------------------------------------------------------------------------
( ) Yes I will be attending
( ) Enclosed is my loved ones picture ( ) I will e-mail my loved 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 children ________ # Boys______ Ages_______________________________
# of Girls_______ Ages________________________________________________________________
Please RSVP by mailing or e-mail this completed form no later than December 5, 2016 to:
FFMV ~ P.O. Box 11222 ~ San Bernardino, CA ~ 92423-1222 ~ mail4ffmv@yahoo.com

10. Memorial de Navidad favor RSVP por 05 de Diciembre 2016
~ FFMV proporcionará el plato principal (pollo /pizza) y bebidas ~
~ Le pedimos que por favor traiga una ensalada o en el lado del plato y postre para compartir
~ Traiga su Ones foto Me encantaron para mostrar en nuestra Tabla Memorial ~
~ Cada familia recibirá un adorno especial en la memoria de su ser querido ~
~ Nuestros Seres Queridos Slide Show Presentación (enviar su foto) ~
~ Este año vamos a tener un intercambio ornamento regalo para los adultos.
Si a usted le gustaría participar, por favor traiga un adorno envuelto.
($ 5 minutos, puede ser un almacén comprado o si eres astuto, usted puede hacer uno) ~
Direcciones al Centro Pastoral:
Del I-210 Este; salga en Waterman Ave. Doblar derecha, después izquierda en Highland Ave. El Centro Pastoral se encuentra a la mano derecha.
Del I-10 Este; al I-215 N hacia San Bernardino, únase al I-210-E, HIGHLAND / MTN RESORTS, salga en Waterman Ave. doble derecha, entonces
doble izquierda en Highland Ave. El Centro Pastoral se encuentra a la mano derecha.
Del 91 Este; 91E se convierte en el I-215 N , únase al CA I-210 E / HIGHLAND / MTN RESORTS, salga en Waterman Ave. doble derecha, entonces
doble izquierda en Highland Ave. El Centro Pastoral se encuentra a la mano derecha.
De Beaumont; tome I-10 Oeste, únase al I-210-Pasadena/CA-30 Oeste hiendo hacia HIGHLAND, continua hiendo oeste en el I- 210, salga en Del Rosa
Ave, y haga una izquierda, entonces derecha en Highland Ave. El Centro Pastoral se encuentra a la mano derecha.
El Centro Pastoral hace esquina con Highland Ave y Golden Ave (en el semáforo)
---------------------------------------------------------------------------------------------------------------------------------------------------
( ) Si, Atenderé
( ) Incluido se encuentra la foto de mi ser querido ( ) mandare las foto de mi ser querido por correo electrónico
( ) Use la foto de mi ser querido que Usted tiene archivado.
IMPRIMA POR FAVOR:
Fecha de nacimiento del Difunto: _________________ Fecha de muerte:________________
Nombre del Difunto: ________________________ Apellido del Difunto: _________________________________
Su Nombre: ___________________________ Su Apellido: ______________________________________
Su numero de teléfono con área ( ) ____________________correo electrónico ______________________
# de adultos ________ # de niños ________ las edades de los niños __________________________________
# niñas_______ las edades de los niñas_________________________________________________________
Traeré (circule uno) ensalada ó platillo
Envíe por correo o e-mail el formulario completado a más tardar el 05 de Diciembre 2016
FFMV ~ P.O. Box 11222 ~ San Bernardino, CA ~ 92423-1222 mail4ffmv@yahoo.com

11. On Sunday November 6, 2016, I attended this beautiful Candlelight
for the first time with Anna, Juenenne, Janet, Linda and her daughter, it was a beautiful evening
and I would recommend this event to all who has lost a Loved One. Not knowing what this event
was about, we arrived early, only to be greeted with so much kindness. We had fun decorating
our lanterns overlooking the ocean. Next time I will bring more decorations from home to really
personalize my lantern, as others did who have attended this event. We ended the evening
having a fun dinner at Johnny Rockets, chatting about the event and getting ideas for next year.

12. 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.
Campers board a bus at the Ronald McDonald House in Loma Linda and head to Camp Cedar Falls in the San Bernardino
Mountains for a three-day camp and grief therapy experience.
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 have been 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 Marriage and 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 have pledged to continue fundraising activities,
presentations to service groups, and outreach events so they may continue hosting future Camp Good Grief-SVP programs.
Contact: Dorothy Brooks 909-558-4073
Cherishing the Memories
Hanging on to the memories is, at first, almost too much to
bear. The pain is too intense, the absence of your loved one
too large. But, don’t push them away. Let them be, for a
while. When you’re ready, these memories will be so
valuable to you - like precious gems. Take them out, and
enjoy them - not just on the anniversaries, and birthdays, but
every day. Your heart is large enough to carry them,
I guarantee it.
Quotation for the Day
"What is there to do when people die – people so dear and
rare – but bring them back by remembering" ~ May Sarton

13. 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

14. 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
Prayers to all! It's always hard to put a smile on our faces during the holidays but on this day I raise my glass to
all. May the memories of past holidays help put a smile on your face.
On December 2nd
Jen would have turned 43 yrs. old, but in my heart she is forever 20yrs. old, make a toast to
her on her special day! This December newsletter is dedicated to My Jen…
It’s so hard to forget
Someone who gave you
So much to remember
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
E-mail me your outcome of your court process, status of your case or upcoming events, and I will post
on our newsletter.
I want to thank my chapter leaders, board members, volunteers, supporters, and all who have helped
with FFMV in 2016! A very special Thank-you to SBCDA Office and Ellie Rossi.
Have a Merry Christmas and a Safe 2017 New Year!!
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-profit organization dedicated to serving survivors of murder victims & victims of attempted murder. Our main
purpose is to offer grief support for those victim/survivors. All assistance provided to victims is given free of charge by
volunteers. Contributions and/or questions regarding the policies of FFMV 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

15. 2016/2017 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 ( )
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 _______________________________________
E-mail ____________________________________________________________
Mail or e-mail participant/release form to: mail4ffmv@yahoo.comFFMV ~
P.O.Box 11222 S Bernardino, CA ~ 92423-1222
I have included a picture ( ) Yes ( ) No use the one on file

16. FFMV
FORMA DE PERMISO
2016/2017 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 ( )
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: (_____) _______________________
e-mail: ___________________________________________________________________
Envíe por correo o e-mail participante / formulario de divulgación para
FFMV ~ PO Box 11222 San Bernardino, CA 92423