February monthly newsletter

1. FFAMILIES & FRIENDS OF
MURDER VICTIMS, Inc.
(FFMV)
Newsletter FEBURARY 2015
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
*Family of Kris Flores
*Janet Garcia & Barbara Christian
facebook administrators
* Ellie Rossi – Mother of David and Lisa
* San Bernardino County District Attorney’s Office for
sponsoring newsletter for 2015*
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
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.
The sky will clear.
And in the night, you will
see a star shining in the dark.
Your loss has meaning.
There is hope.
Love never dies.
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
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 – 1/8/8

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
For directions ask for PJ at-
951-696-1600 x2177 –
M-F 9am-4pm (1-2pm lunch)
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,
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
Call Rita Wednsday Feburary 11th
if you are
planning to attend on Feburary 12, 2015
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
FFMV – SFV Chapter satellite
chapter of FFMV SGV
Meets every 1st
Thursday of every month
6:00pm-8:00pm at
United Methodist Church in the
Fireside Room
15435 Rayen St.
Sepulveda, CA 91343
Contact information * Luisa (818) 445-2077
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

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.
FFMV SGV Chapter News
Announcements
Luz shared that she would like to sell
bracelets as a fundraiser for our
chapter. These bracelets would be
personalized with our loved one’s names on
it and Luz Ruiz will make them
herself. Each bracelet will cost $15. She
will be posting pictures of the bracelets on
her Facebook Page soon. She is taking
orders now.
After They Are Gone
When someone we love passes away,
We ache, but we go on;
Our dear departed would want us to heal,
After they are gone.
Grief is a normal way to mend
The anguish and pain in our hearts;
We need time to remember and time to
mourn,
Before the recovery starts.
Let's draw together to recuperate,
As we go through this period of sorrow;
Let's help each other, with tender care
To find a brighter tomorrow
By Joanna Fuchs
Resources and Additional Support Services
San Bernardino County District Attorney’s Office
of Victim Witness Centers: San Bernardino
(909) 387-6540
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
*www.CrimeVictims.gov—public awareness Web
site
* H.E.A.L. Helping Everyone Acknowledge Loss –
818-378-2072– RussellBliss21@aol.com
* 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
* 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
Bereavedwww.griefcompanion.com
* Crime Survivors – 949-872-7895
www.crimesurvivors.com Bi-monthly meetings
held in Orange County
*Survivors of Violent Loss -www.svlp.org
www.maddsanbernardino.org
*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
* www.psychic4themissing.com
* Survivors of Murdered Children SGV Chapter –
Alhambra Police Dept.RM# EDC 2nd
Floor 211 South First
Street, Alhambra, CA., 91801) 3rd Wednesday of the Month
Time: 6:30PM - 8:30PM Tina-626-298-9054 -
tinayyama@att.net

4. FEBURARY 2015 Birthdays & Memories

5. February 2015 Birthdays
Adam Atencio Andrian Rivas
Anne Marie Harrison Antonio Martinez
Armando Gabriel Calvary Benny Rodriguez
Buddy Guitron “Bug’s” Randy Perchez
Colleen Kennedy Cornell L. Wells III
David Charles Nystrom Enrique Bermudez
Frank W. Wellman John Martin
Kyle T. Stutson
Nancy O’Hara/Jessee O’Hara
Ozzy Conde Raul “Ralphee” Payan
Robert Austin Buckey Roghie Ebrahimpour
Ryan Villapando Sandra Rosas
Scott Fisher Steven Lance Bowser
Timothy Hatch Timothy John Morgan
Toni Percell

6. February 2015 Memories
Anthony A. Turdot Arthur “Tudy Boy” Ruiz
Baby Elizabeth Fay Mariani Brian Kischell
Buddy Guitron Randy Perchez
Christian Jesus Hernandez Cornell L. Wells III
Darrell Davis Eilleen Nicole Ponce
Elmer & Gladys Benson
Fields Family: Jonathan, Dwayne, & Lindel
Herbert Seymour Jr.
Jacqueline McVoy (Matzke) & Gilbert Guiterrez
Juanita Martinez Kyle T. Stutson
Lorrain Lopez Mario Maurice Smith
Mark Adam Rodriguez Melissa Sandor
Michael Ray McCoy II Randy Olivas
Rosario & Ruben Mojarro
Sabrina Baldwin Salvador Olivas Jr.
Villapando Family: Ryan, Veronica, Mateo & Bella

7. LOVE GIFTS
In Loving Memory In Loving Memory
Raul “Ralphee” Payan Eileen Ponce
2/14/75 – 1/16/05 11/5/85 – 2/15/08
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. Grief Healing: Remembering Our Loved Ones on Valentine's Day
By Marty Fousley, CNS-BC, FT
Sometimes, for fear of "letting go," we may find ourselves "holding on" to our pain as a way of
remembering those we love. Letting go of what used to be is not an act of disloyalty, and it does not
mean forgetting our loved ones who have died. Letting go means leaving behind the sorrow and pain
of grief and choosing to go on, taking with us only those memories and experiences that enhance our
ability to grow and expand our capacity for happiness.
If our memories are painful and unpleasant, they can be hurtful and destructive. If they create longing
and hold us to the past, they can interfere with our willingness to move forward in our grief journey.
But it doesn't have to be that way. We can choose which parts of life we shared that we wish to keep
and which parts we wish to leave behind. We can soothe our pain by thinking of happy as well as sad
memories. The happiness we experienced with our loved ones belongs to us forever.
If we decide to do so, we can choose to embrace Valentine's Day as a special day on which to
commemorate our loved ones and to celebrate our love for them. Death ends a life, but it does not
end the relationship we have with our loved ones who have died. The bonds of love are never severed
by death, and the love we shared will never die either. For Valentine's Day this year, we can find a
way to honor our loved ones, to remember them and to show them that our love is eternal.
We can build a piece of "memory time" into that particular day, or we can pack the entire day with
meaning. Think of it this way: It's much easier to cope with memories we've chosen than to have
them take us by surprise. Whether we are facing Valentine's Day, Mother's Day, Father's Day,
Memorial Day, an anniversary or birthday, or any other special day of our own choosing, we can
immerse ourselves in the healing power of remembrance. We can go to a special place, read aloud, or
listen to a favorite song. We can celebrate what once was and is no more.
CAMP GOOD GRIEF (SVP)
February 27 – March 1 – 2015 Next Camp
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

9. Each April, OVC helps lead communities throughout the country in their annual observances of
National Crime Victim' Rights Week (NCVRW) which will be observed April 19–25, 2015. This
year's theme—Engaging Communities. Empowering Victims.—emphasizes the role of the entire
community, individually and collectively, as we support victims of crime and empower them to
direct their own recovery. Promoting victims’ rights and honoring crime victims and those who
advocate on their behalf.
Grief is like an old fashioned set of scales. In early grief a great load sits on one end. It
stays there laden down with the weight of our pain. Then it shifts a little, it moves and a
piece gets knocked off. It becomes lighter as we take the time to work through the pain
of our grief. As we find new and different ways to keep our loved one a part of our life it
gets lighter again. The scales tip more. We begin to balance our pain with ease, with
small moments in our everyday life that will balance us a little bit more, even if it takes
much for us to find them. The scales tip this way and that, as our grief tips this way and
that........ (Stepping through Grief)
8th Annual
LAURA Unity and Peace Resource Fair
LAURA = Life After Uncivil Ruthless Acts
Peace Walk &
Breaking the Cycle of Violence
Saturday, April 11, 2015
10:00 am – 3:00 pm
Fred Roberts Park
4700 Honduras St
Los Angeles, CA 90011
In Memory of Laura Sanchez and other innocent victims of homicide
For more information, contact Adela Barajas at 323-816-9651 or adelab@laurala.org.
Although the world keeps turning…And the sun comes up each day…
Life has never been the same….Since you were taken away…
You were such a special person…So gentle kind and good…
And have left the sweetest memories…And thoughts of you behind…
I only wish there was a way…That I could see you one more time…
To thank you for the joy you brought….Into this life of mine.

10. Harriet Salarno - Crime Victims United
2015 National Crime Victims' Rights Week's March On The Capitol in Sacramento
It is with great sadness that we announce that there will not be a 26th Annual Victims’
March on the Capitol this year. Each year we have come together as victims and respected
one another’s grief and pain regardless of how we became victims. We were there as one
voice; the voice of victims. Unfortunately, for the last 2 years, the March was
overshadowed by a strong, anti-law enforcement presence. The groups and individuals
were disruptive and disrespectful during the event; even escalating this past year into an
assault on the mother of a slain officer. As many of you know, California Correctional
Peace Officers’ Association has always graciously sponsored the Annual Victims March on the Capitol. However,
due to the recent violence regarding anti-law enforcement, it has been decided that we cannot risk another
assault. CCPOA, as a law enforcement entity, cannot support an event that has the potential to be overtaken by
anti-law enforcement groups. The photos of the loved ones will remain in the CCPOA archive in hopes that
common decency and tolerance for one another will return and we will be able to once again hold this event.
Crime Victims United will host a press conference to announce National Victims’ Rights Week. New photos will be
on display at this event.
In honor of our loved ones and to never forget them, CCPOA will be putting the photos from the current signs into
a Victims Memory Book that will be made available. To receive a copy of this Memory Book, fill out this
reservation form (Victims Memory Book Order Form PDF) and e-mail it to mail@crimevictimsunited.com.
Once again, we would like to thank CCPOA for their continued support of victims and victims’ rights. We remind
you that it is only through unity that we can affect change. To have new photos on display at the press conference
please fill out this form (Picture Information and Release Form) and return it to Julie Estrella at CCPOA (her email
and address can be found on the form). If your loved ones photo has already been on display, you do not need to
contact us for inclusion in the Victims Memory Book. They will automatically be included.
Please send an electronic copy Julie.estrella@ccpoa.org or a 4x6 photo via first class mail to:
Attn: Julie Estrella
California Correctional Peace Officers Association
755 Riverpoint Drive
West Sacramento, CA 95605
We must receive your photo no later than February 27, 2015.
All photos must include this release form or the picture will not be included in the memory
book.
I give my permission for CCPOA to publish or display a photo of __________________________in the
victim’s memory book or at the Victims Rally. I understand that the photo may be used in other crime
victim displays sponsored by CCPOA or Crime Victims United of California.
I further understand pictures will not be returned to me.
(Please print)
Name____________________________________ Signature_________________________________
Relation to Victim: _______________________ Phone Number: _____________________
Name of Victim__________________________________ Date of Crime: _______________________
Date of Birth: _______________________ Date of Death: ________________________

11. 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
Some of you barely made it through the holidays of December and January, and now the stores are filled with
hearts and flowers and candy, all of it in celebration of the gift of love. But February 14th can be a difficult day for
those of us who are grieving, and for some it will be the first Valentine's Day, the birthday or anniversary since our
precious Valentine died. For some there is no celebration; there is only grief. Here are a few suggestions that
helped me. Select a Valentine card that you wish your beloved would have picked for you, and mail it to yourself
… buy a very special candle, decorate it and light it in honor of your loved one on these occasions.
Silent Grief…….Some people avoid mentioning our loved one following our loss for fear of stirring up sad thoughts
and making us cry. What they don't understand is we think of our loved one every day -- not just once or twice, but
every hour of every day! Please let us know that you remember -- it's a double grief to think that nobody other than
us thinks about our loved one! A violent loss is such a difficult journey to travel alone!!!!
Victims’ Rights Week April 19 – 25 – 2015 is quickly approaching, I will have more details and events in the
March 2015 newsletter. Save the date, Crime Victims Memorial Monday April 20th
, sponsored by the Office of
the District Attorney of San Bernardino, FFMV’s 16th
Annual Memorial will be Thursday April 23rd
. If you have
an event please send to me so I can include your event.
I find it very disturbing that the 26th
March on the Capitol Victims Rally was cancelled due to security
concerns. I have been attending this event since 1997 in which I have met many new families and friends
and looked forward to seeing them each year that I have attended.
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.
Have a Peaceful Valentine’s Day
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
Website - http://families-friends-murdervictims.simplesite.com/

12. 2015 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.
Name of Agency/Non-Victim if applicable: ________________________________
Signature _________________________________________________________
Print Full Name _____________________________________________________
Print Last Name ____________________________________________________
Address___________________________________________________________
City__________________________________ Zip Code____________________
Phone(s) with area code ______________________________________________
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

13. FORMA DE PERMISO
2015 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 92423-1222 ~
He incluido una foto ( ) Sí ( ) No utilizar el que está en el archivo
He incluido una donación de $ _________ para 2015
Thank-you ... si ya ha enviado su donación 2015