Families and Friends of Murder Victims June - 2016 newsletter

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FFAMILIES & FRIENDS OF MURDER VICTIMS, Inc. (FFMV) Newsletter JUNE 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 * Deuce Players IE * Crime Victims United - CVU * 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\ 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. 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) 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 – 1/8/81

Transcript of Families and Friends of Murder Victims June - 2016 newsletter

Page 1: Families and Friends of Murder Victims   June - 2016 newsletter

FFAMILIES & FRIENDS OF

MURDER VICTIMS, Inc. (FFMV)

Newsletter JUNE 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 * Deuce Players – IE

* Crime Victims United - CVU * 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\

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.

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) 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 – 1/8/81

Page 2: Families and Friends of Murder Victims   June - 2016 newsletter

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 Contact Dawn by June14th to confirm you will

be attending meeting on the 15th

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

[email protected]

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 [email protected]

Contact Rita by Wednesday June 9th

to confirm you will be attending meeting Thursday the 10th – Thank You

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

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 6/7/78 – 6/9/99 Teresa Soto Del Rio

Page 3: Families and Friends of Murder Victims   June - 2016 newsletter

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.

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

[email protected]

* 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

[email protected]

* Resource for the Grieving and

* Crime Survivors – 949-872-7895

www.crimesurvivors.com

*JUSTICE FOR HOMICIDE VICTIMS –

(310) 457-0030 -

[email protected]

* Striving Towards Eradicating Violence In Ennercities

-S.T.E.V.I.E. [email protected]

[email protected]

* Survivors of Murdered Children SGV Chapter – Tina-626-298-9054 [email protected]

*Homicide Survivors Support Group

Meets every 2nd Tuesday at 7pm Solono Family Justice Center

604 Empire St. Fairfield CA Contacts: Valerie Dodini [email protected]

Rita Edmonds-Norris at 707-631-2815

Page 5: Families and Friends of Murder Victims   June - 2016 newsletter

JUNE 2016 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

Richard Lopez Ronnie Stephen Mena

Russina H. Vale

June 2016 Memories

Adam Brodsky Alfred Cabrera

Alicia Chagolla Ashley Nicole Rivas

Bill Ickes Carlos Mendoza

Chad Jeffrey Norris Charlie Martinez

Daniel Perez Jr. Doctor Fernandez

Edward A. Ortiz Elzie Elijah Winston

Gabriel Vargas Jr. Jerry Angelo Sandoval

Jessica Zavala Jesse Garcia

Jose Villalobos Josslyn Dinoso-Brooks

Katie Brennar Lacey Wheeler

Larry Sorrough Michael Lundin

Michael Ribaudo OrlandoHurley

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

Page 6: Families and Friends of Murder Victims   June - 2016 newsletter

LOVE GIFTS In Loving Memory In Loving Memory In Loving Memory

Jesse Garcia Adam Rivera Angel Canul 6/10/78 – 6/27/94 6/1/82 – 1-1/08 6/6/94 – 4/10/11

22yrs Still Unsolved

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______________

# of pictures enclosed/attached ____________ Use picture on file__________ Donation: _________

Page 7: Families and Friends of Murder Victims   June - 2016 newsletter

CAMP GOOD GRIEF (SVP)

Camp Good Grief-Special Victims Program (SVP) is a joint efort 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

Don't Cry for Me Daddy

Don't cry for me Daddy, I'm right here.

Although you can't see me I see your tears. I visit you often,

I go to work with you each day, And when it's time for you

to close your eyes , On your pillow is where I lay.

I hold your hand & stroke your hair,

And whisper in your ear. If you're sad today Daddy,

Remember, I am here. God took me home.

This we know is true. But you'll always be My Daddy Even though I'm not with you.

We will never be apart, For everytime you think of me,

Please know I'm in your Heart.......... ~Author Unknown ~

Page 8: Families and Friends of Murder Victims   June - 2016 newsletter

Justice for Michele Rene (Necochea) Flores.

Stop the Parole Release of Jonathan G Flores

On July 15, 1996, Michele Rene (Necochea) Flores had left her home to go to the

bank to get money before going to get food for her two children. She never

returned home. Michele was missing for three days. On July 18, 1996, her badly

decomposed body was found in the trunk of her car, at the airport in Tijuana,

Mexico. Her estranged husband, Jonathan G. Flores fled to avoid capture. He was

apprehended on July 21, 1996, trying to cross the border into Texas. He was

extradited back to California to face charges. Jonathan was charged and convicted

of 1st degree murder and sentenced to 25 years to life. Prior to Michele's

disappearance, there was history of domestic violence and spousal abuse charges

including death threats made against Michele. All evidence and testimony at trial

proved that Jonathan was guilty of the murder of Michele. He had planned to kill

Michele days, even weeks before he committed the murder and his actions showed

he tried to cover up the crime in efforts to get away with this heinous crime.

Jonathan’s father, Frank Flores was also charged with accessory to murder. He was

given a plea bargain of 5 months’ time served. It was my understanding he was

given a plea-bargin due to his health. Frank is still alive today. Jonathan will have

only served 20 1/2 years when he is considered for parole.

Please help us keep this murderer behind bars.

Please send a letter to:

Board of Parole Hearing

ATT: Prehearing Correspondence

P.O Box 4036

Sacramento, CA 95812-4036

RE: Jonathan G Flores

ID# K79912

Or sign petition on FB: Justice for Michele Rene (Necochea) Flores. Stop the

Parole Release

Thank you, on behalf of the family of Michele

Page 9: Families and Friends of Murder Victims   June - 2016 newsletter

Septemb

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

Page 10: Families and Friends of Murder Victims   June - 2016 newsletter

Proceeds will benefit FFMV’s Annual Victims Christmas Memorial, thank you Deuce Players for hosting this fundraiser! Vendors Welcomed Bring your family and support Families & Friends of Murder Victims, INC

Contact Larry Diaz for more information (909) 332-8774.

Page 11: Families and Friends of Murder Victims   June - 2016 newsletter

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

On Tuesday May 4, 2016 our Dad, Alfred O. Marin, passed away unexpectedly, but

peacefully. He was embraced at the Gates of Heaven by The Love of his life, Our Mom

Genevieve, his parents, three siblings, and grandchildren Jennifer and Alex. Dad lived a

wonderful 89 years, he was 9 days away from his 90th birthday. Our family was excited

about his upcoming surprise birthday party planned for May 15th. Dad was surrounded

by love the last 48hours not only by me and my six siblings, but also by his grandchildren,

and great grandchildren who came by to say their last goodbyes. I know he felt the

presence of all the love we all felt for him. Dad was all about his family and loved all of

his grandkids, great grandkids, and great-great grandkids.

My last 30minutes I spent with him were special, I asked him to give my mom and Jen a

Forever Hug, and I knew he could hear me. On behalf of our family, thank you for all

the kind thoughts, cards, and prayers via email, text and FB messages we received.

Thank you to our FFMV family who attended his services which were held on his birthday on May 13th.

Thoughtfully Rose Madsen & Rita Marin (West End Chapter Leader)

Father’s Day is quickly approaching this will be a very difficult day, I will be thinking of all Dads on Father’s

Day and especially Dads who have lost their children or dads to violence.

I will take a deep breath and pray for a peaceful day for all Dads!

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.

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

Justice Served for Vanessa Martinez Sentence on April 14, 2016 * Life WITHOUT Parole *

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 [email protected] 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

Page 12: Families and Friends of Murder Victims   June - 2016 newsletter

2016 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____________________

Phone(s) with area code ______________________________________________

E-mail ____________________________________________________________

Mail or e-mail participant/release form to: [email protected]

FFMV ~ P.O.Box 11222 San Bernardino, CA ~ 92423-1222

I have included a picture ( ) Yes ( ) No use the one on file

Page 13: Families and Friends of Murder Victims   June - 2016 newsletter

FFMV

FORMA DE PERMISO

2016 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

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