1. Families & Friends of Murder Victims (FFMV)
14th Annual Candlelight Remembrance
SAVE THE DATE
Join Us in Honoring Victims of Crime
Thursday, April 25, 2013 at 6:00pm
Rancho Cucamonga Civic Center Courtyard
10500 Civic Center Drive
Rancho Cucamonga, CA 91730
Bring Your Loved One’s Picture and Shoes to Display
We will have a “Clothesline” display Courtesy of San Bernardino District Attorney’s Office/Victim Services
If you have a t-shirt already made that you would like to display please bring on the day of event.
If you would like your Loved Ones picture included in our slide show please e-mail a picture(s) to
mail4ffmv@yahoo.com or mail to POB 11222 San Bernardino, CA 92423-1222
(Please include DOB, DOD and full name of victim, & photo release form)
Community resource agencies, please reserve your table by April 10, 2013
Questions call: Rose 909-754-6969 or 909-798-4803 – Rita 909-215-7063
(We will be moved indoors if it rains)
2. 2013 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 _____________________________________________________
Address___________________________________________________________
City__________________________________ Zip Code____________________
Phone 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
I have included a $_________ donation for 2013
Thank-you… if you have already sent your 2013 donation