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FAMILIES & FRIENDS OF
MURDER VICTIMS, Inc.
(FFMV)
Newsletter JUNE 2023
Thank-you:
* Rivera Family- In Memory of
Adam Rivera
* Ellie Rossi – Mother of David and Lisa
*Crosswalk Church – Tim Gillespie (Pastor)
In Loving Memory
Adam Rivera
6/1/82 – 1/1/08
Happy Heavenly Birthday
FATHER’S DAY
Warm and sunny day in June,
Father’s Day,
Children, small and grown,
Give gifts to father
Say thanks to father,
Say I love you.
But there are fathers
Whose children are not here
To give gifts and say thanks
And I love you.
Remember the fathers
Whose children are gone,
Because they will always be
Fathers at heart.
Need Someone to Talk To?
* Bertha Flores - Parent - Spanish speaking
(909) 200-5499 (after 3pm)
*Rose Madsen – Parent (909) 798-4803 (after 4pm)
Redlands CA
*Donna Lozano - Parent – 760-660-9054
Palm Springs/Coachella Valley 10am-8pm
*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
* Luz Ruiz – Parent – 626-388-6403 – Spanish
speaking
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
In Loving Memory
Jesus Caldron
12/8/60 – 1/11/10
2023
Birthdays & Memories
JUNE 2023 BIRTHDAYS
Adam Brodsky Adam John Rivera
Angel Canul Beatrice Hatfield
Bill Ickes Bobby D. Stutson
Chris Walsh Gina Louise Perez
Henry Vellore Lozano Herbert E. Seymour Jr.
Jamal Mboya Johnson Jesse Garcia
Jerry Angelo Sandoval Jillian Michele White
Joseph Threadgill Kelly Bullwinkle
Larry Sorrough Linda Hesse
Lori Renee Gonzalez Lorrain Lopez
Mateo Villapando Maureen “Marsy” Ramirez
Melissa Sandor Officer David Ruiz
Rene Tejada Reyes Prieto
Richard Lopez Ronnie Stephen Mena
Russina H. Vale
June 2023 Memories
Adam Brodsky Alfred Cabrera
Alicia Chagolla Anissa Noel Antunez
Ashley Nicole Rivas Bill Ickel
Carlos Mendoza Chad Jeffrey Norris
Charlie Martinez Cynthia Tammy Hernandez
Daniel Perez Jr. Doctor Fernandez
Edward A. Ortiz Elzie Elijah Winston
Gabriel Vargas Jr. Janet Lynn (Godard) Gore
Jennifer Eubanks Jerry Angelo Sandoval
Jessica Zavala Jesse Garcia
Jose Villalobos Josslyn Dinoso-Brooks
Justin Reyes Katie Brennar
Kyle Madsen Lukas Scot Clark
Lacey Wheeler Larry Sorrough
Michael Lundin Michael Ribaudo
Orlando Hurley Richard Allen Pogue Jr.
Richard Ronald Ortega Ross Elvey
Russina H. Vale Russell Travis Dorff
Sean Gardhouse Somer Clugston
Steven Grant
Steven Paul Medrano Teresa Soto Del Rio
Terese R. Stewart Yvonne Guiterrez
LOVE GIFTS
In Loving Memory In Loving Memory In Loving Memory
Beatrice Hatfield Orlando Hurley
6/29/1900 – 12/14/83 1/18/62 – 6/24/89
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______________
On June 2-4, 2023—National Gun Violence Awareness Day—people across the country will
#WearOrange & come together to call attention to the gun violence crisis that takes more than 110
lives and wounds hundreds more in the US every single day. Learn more at wearorange.org. We
wear orange to call for an end to gun violence in all of its forms, including domestic
violence, suicide, and city gun violence. During National Gun Violence Awareness Day
and Wear Orange Weekend, honor survivors of gun violence by participating online and in
your community.
The Inspiration for Wear Orange
Orange is the color that Hadiya Pendleton’s friends wore in her
honor when she was shot and killed in Chicago at the age of 15—
just one week after performing at President Obama’s 2nd inaugural
parade in 2013. After her death, they asked us to stand up, speak
out, and Wear Orange to raise awareness about gun violence.
Since then, orange has been the defining color of the gun violence
prevention movement. Whether it’s worn by students in Montana,
activists in New York, or Hadiya’s loved ones in Chicago, the color
orange honors the more than 110 lives cut short and the hundreds
more wounded by gun violence every day.
Participate in #WearOrange on Social Media
Official hashtag for all platforms: #WearOrange
Please use this hashtag in all of your #WearOrange posts so we can tie the conversation
together and show the scale of the movement.
Wear Orange coalition website: wearorange.org
Spanish Wear Orange coalition website: wearorange.org/es
Tool to turn your profile pic orange: wearorange.org/wear-orange. Spanish version of the
tool here: wearorange.org/es/vestirse-de-naranja
Dropbox folder where you can download all of the assets in this toolkit
Tell your followers to #WearOrange on June 2, which is National Gun Violence
Awareness Day, and give them ideas on how to go orange. Find simple and creative ideas
here: wearorange.org/ways-to-participate. For the Spanish version of this site, go
here: www.wearorange.org/es/formas-de-patricipar
Invite your followers to join events throughout #WearOrange Weekend, June 2-4, by
texting ORANGE to 644-33.
POMC 37th Annual National Conference
Date: July 20-23, 2023
Hilton Atlanta Airport
1031 Virginia Avenue
Atlanta, GA 30354
1-800-445-8667 (Hilton)
POMC.org
Hilton Hotel Link
Room Rates: $119.00 plus tax per night
Download 2023 Conference Brochure
Conference Registration
Frequently Asked Questions for the conference
The Compassionate Friends (TCF) 46th Annual National Conference in Denver!
July 7 -8am – July 9 – 5pm TCF's National Conference is an enriching and supportive
event for many newer and long-time bereaved parents, grandparents, and siblings.
Attendees come and find renewed hope and support, as well as strategies for coping
with grief, all while making friendships with other bereaved people who truly
understand the heartbreaking loss of a child, sibling, or grandchild. Lifelong
friendships are often formed and rekindled each year at TCF conferences.
Unique and cherished highlights of our conference include our heartfelt Saturday
evening Candle Lighting Program, Sharing Sessions, Keynote Addresses, Healing
Haven, Butterfly Boutique, Crafty Corner, and Silent Auction. Our weekend of
inspiration, sharing, and learning is followed by the Walk to Remember on Sunday
morning.
This year’s conference will be held at the Sheraton Denver Downtown. Reservations
can now be made online at TCF’s dedicated reservation link. Our discounted room rate
with the Sheraton is $159 per night plus tax. Please note that each attendee can reserve
a maximum of two rooms. Many attendees arrive on Thursday since the conference
begins early on Friday morning. We also have pre-conference activities that are offered
on Thursday evening, that attendees find beneficial.
"Survivors of Violent Loss Program"
In late 2022 became the
"Violent Loss Solutions"
Violent Loss Solutions program is a life preserver for many co-victims. They deserve the
kind of specialized support required after the loss of someone in an unnatural, violent way.
It is heartbreaking to lose someone dear to you. Life as it was known becomes shattered.
When someone you love has been murdered or died in a violent way, it is truly
devastating. Beginning in 1998, the “Survivors of Violent Loss Program” in San Diego
began along with the support of many in the community. In late 2022 the “Survivors of
Violent Loss Program” became “Violent Loss Solutions” a 501(c)(3) Non-Profit
organization.
The new website www.vloss.org is home for "Violent Loss Solutions". It is our virtual
office for those who live and work with violent death. This National resource provides
information, resources, training, and opportunities for networking with others.
The Mission of this site is to provide a lifeline of hope and healing, addressing
the issues of traumatic grief for those who work to rebuild their life after a
homicide, suicide, drunk driving, or terrorist fatality.
Name: Violent Loss Solutions
Website: www.vloss.org
Phone: (619) 685-0005
Email: vloss.org98@gmail.com
From Rose Madsen, Editor/Chair/co-founder of the
Colton 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
Thinking of dads on Father’s Day
To those who have lost their children or to those who have lost their father to violence.
Happy Father’s Day to all the Dads in Heaven!
Have a Peaceful Father’s Day!!
Thoughtfully, Rose
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 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
Keep continued prayers for families that are in the court process trying to get the
JUSTICE they Deserve!!
Chris Martinez & Eddie Urena 10yrs. still no Justice. Jesus (Beto) Oseguera,
Bradley Cunningham, Santos Bonilla, Jonathan Michael Smith,
Elmer & Gladys Benson, & Julian Kilgore
And for ALL families dealing with the injustice of UNSOLVED Murders!
2023 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 Clearly
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 ( )
Was This Gun Violence Yes ( ) N0 ( ) Was this a Drug Induced Homicide 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: ffmvmail@yahoo.com
~ FFMV ~ PO Box 11222 San Bernardino, CA ~ 92423-1222
I have included a picture ( ) Yes ( ) No use the one on file

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Support for families of murder victims in June 2023 newsletter

  • 1. FAMILIES & FRIENDS OF MURDER VICTIMS, Inc. (FFMV) Newsletter JUNE 2023 Thank-you: * Rivera Family- In Memory of Adam Rivera * Ellie Rossi – Mother of David and Lisa *Crosswalk Church – Tim Gillespie (Pastor) In Loving Memory Adam Rivera 6/1/82 – 1/1/08 Happy Heavenly Birthday FATHER’S DAY Warm and sunny day in June, Father’s Day, Children, small and grown, Give gifts to father Say thanks to father, Say I love you. But there are fathers Whose children are not here To give gifts and say thanks And I love you. Remember the fathers Whose children are gone, Because they will always be Fathers at heart. Need Someone to Talk To? * Bertha Flores - Parent - Spanish speaking (909) 200-5499 (after 3pm) *Rose Madsen – Parent (909) 798-4803 (after 4pm) Redlands CA *Donna Lozano - Parent – 760-660-9054 Palm Springs/Coachella Valley 10am-8pm *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 * Luz Ruiz – Parent – 626-388-6403 – Spanish speaking 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 In Loving Memory Jesus Caldron 12/8/60 – 1/11/10
  • 3. JUNE 2023 BIRTHDAYS Adam Brodsky Adam John Rivera Angel Canul Beatrice Hatfield Bill Ickes Bobby D. Stutson Chris Walsh Gina Louise Perez Henry Vellore Lozano Herbert E. Seymour Jr. Jamal Mboya Johnson Jesse Garcia Jerry Angelo Sandoval Jillian Michele White Joseph Threadgill Kelly Bullwinkle Larry Sorrough Linda Hesse Lori Renee Gonzalez Lorrain Lopez Mateo Villapando Maureen “Marsy” Ramirez Melissa Sandor Officer David Ruiz Rene Tejada Reyes Prieto Richard Lopez Ronnie Stephen Mena Russina H. Vale
  • 4. June 2023 Memories Adam Brodsky Alfred Cabrera Alicia Chagolla Anissa Noel Antunez Ashley Nicole Rivas Bill Ickel Carlos Mendoza Chad Jeffrey Norris Charlie Martinez Cynthia Tammy Hernandez Daniel Perez Jr. Doctor Fernandez Edward A. Ortiz Elzie Elijah Winston Gabriel Vargas Jr. Janet Lynn (Godard) Gore Jennifer Eubanks Jerry Angelo Sandoval Jessica Zavala Jesse Garcia Jose Villalobos Josslyn Dinoso-Brooks Justin Reyes Katie Brennar Kyle Madsen Lukas Scot Clark Lacey Wheeler Larry Sorrough Michael Lundin Michael Ribaudo Orlando Hurley Richard Allen Pogue Jr. Richard Ronald Ortega Ross Elvey Russina H. Vale Russell Travis Dorff Sean Gardhouse Somer Clugston Steven Grant Steven Paul Medrano Teresa Soto Del Rio Terese R. Stewart Yvonne Guiterrez
  • 5. LOVE GIFTS In Loving Memory In Loving Memory In Loving Memory Beatrice Hatfield Orlando Hurley 6/29/1900 – 12/14/83 1/18/62 – 6/24/89 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______________
  • 6. On June 2-4, 2023—National Gun Violence Awareness Day—people across the country will #WearOrange & come together to call attention to the gun violence crisis that takes more than 110 lives and wounds hundreds more in the US every single day. Learn more at wearorange.org. We wear orange to call for an end to gun violence in all of its forms, including domestic violence, suicide, and city gun violence. During National Gun Violence Awareness Day and Wear Orange Weekend, honor survivors of gun violence by participating online and in your community. The Inspiration for Wear Orange Orange is the color that Hadiya Pendleton’s friends wore in her honor when she was shot and killed in Chicago at the age of 15— just one week after performing at President Obama’s 2nd inaugural parade in 2013. After her death, they asked us to stand up, speak out, and Wear Orange to raise awareness about gun violence. Since then, orange has been the defining color of the gun violence prevention movement. Whether it’s worn by students in Montana, activists in New York, or Hadiya’s loved ones in Chicago, the color orange honors the more than 110 lives cut short and the hundreds more wounded by gun violence every day. Participate in #WearOrange on Social Media Official hashtag for all platforms: #WearOrange Please use this hashtag in all of your #WearOrange posts so we can tie the conversation together and show the scale of the movement. Wear Orange coalition website: wearorange.org Spanish Wear Orange coalition website: wearorange.org/es Tool to turn your profile pic orange: wearorange.org/wear-orange. Spanish version of the tool here: wearorange.org/es/vestirse-de-naranja Dropbox folder where you can download all of the assets in this toolkit Tell your followers to #WearOrange on June 2, which is National Gun Violence Awareness Day, and give them ideas on how to go orange. Find simple and creative ideas here: wearorange.org/ways-to-participate. For the Spanish version of this site, go here: www.wearorange.org/es/formas-de-patricipar Invite your followers to join events throughout #WearOrange Weekend, June 2-4, by texting ORANGE to 644-33.
  • 7. POMC 37th Annual National Conference Date: July 20-23, 2023 Hilton Atlanta Airport 1031 Virginia Avenue Atlanta, GA 30354 1-800-445-8667 (Hilton) POMC.org Hilton Hotel Link Room Rates: $119.00 plus tax per night Download 2023 Conference Brochure Conference Registration Frequently Asked Questions for the conference The Compassionate Friends (TCF) 46th Annual National Conference in Denver! July 7 -8am – July 9 – 5pm TCF's National Conference is an enriching and supportive event for many newer and long-time bereaved parents, grandparents, and siblings. Attendees come and find renewed hope and support, as well as strategies for coping with grief, all while making friendships with other bereaved people who truly understand the heartbreaking loss of a child, sibling, or grandchild. Lifelong friendships are often formed and rekindled each year at TCF conferences. Unique and cherished highlights of our conference include our heartfelt Saturday evening Candle Lighting Program, Sharing Sessions, Keynote Addresses, Healing Haven, Butterfly Boutique, Crafty Corner, and Silent Auction. Our weekend of inspiration, sharing, and learning is followed by the Walk to Remember on Sunday morning. This year’s conference will be held at the Sheraton Denver Downtown. Reservations can now be made online at TCF’s dedicated reservation link. Our discounted room rate with the Sheraton is $159 per night plus tax. Please note that each attendee can reserve a maximum of two rooms. Many attendees arrive on Thursday since the conference begins early on Friday morning. We also have pre-conference activities that are offered on Thursday evening, that attendees find beneficial.
  • 8. "Survivors of Violent Loss Program" In late 2022 became the "Violent Loss Solutions" Violent Loss Solutions program is a life preserver for many co-victims. They deserve the kind of specialized support required after the loss of someone in an unnatural, violent way. It is heartbreaking to lose someone dear to you. Life as it was known becomes shattered. When someone you love has been murdered or died in a violent way, it is truly devastating. Beginning in 1998, the “Survivors of Violent Loss Program” in San Diego began along with the support of many in the community. In late 2022 the “Survivors of Violent Loss Program” became “Violent Loss Solutions” a 501(c)(3) Non-Profit organization. The new website www.vloss.org is home for "Violent Loss Solutions". It is our virtual office for those who live and work with violent death. This National resource provides information, resources, training, and opportunities for networking with others. The Mission of this site is to provide a lifeline of hope and healing, addressing the issues of traumatic grief for those who work to rebuild their life after a homicide, suicide, drunk driving, or terrorist fatality. Name: Violent Loss Solutions Website: www.vloss.org Phone: (619) 685-0005 Email: vloss.org98@gmail.com
  • 9. From Rose Madsen, Editor/Chair/co-founder of the Colton 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 Thinking of dads on Father’s Day To those who have lost their children or to those who have lost their father to violence. Happy Father’s Day to all the Dads in Heaven! Have a Peaceful Father’s Day!! Thoughtfully, Rose 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 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 Keep continued prayers for families that are in the court process trying to get the JUSTICE they Deserve!! Chris Martinez & Eddie Urena 10yrs. still no Justice. Jesus (Beto) Oseguera, Bradley Cunningham, Santos Bonilla, Jonathan Michael Smith, Elmer & Gladys Benson, & Julian Kilgore And for ALL families dealing with the injustice of UNSOLVED Murders!
  • 10. 2023 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 Clearly 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 ( ) Was This Gun Violence Yes ( ) N0 ( ) Was this a Drug Induced Homicide 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: ffmvmail@yahoo.com ~ FFMV ~ PO Box 11222 San Bernardino, CA ~ 92423-1222 I have included a picture ( ) Yes ( ) No use the one on file