List & Membership Form
Please fill out the fields below to be
added to our mailing list and/or membership list. All fields marked with a red
asterk (*) are required to be added to our mailing list all
other fields are optional.
Please provide the following contact information for our mailing list:
Choose one of the following options:
Please Select One
Victim was murdered in NM and I live in NM
Victim was murdered in NM and I live out-of-state.
Victim was murdered out-of-state and I live in NM
Victim was murdered out-of-state and I live out-of-state.
I am a concerned citizen
None of the above
Please provide the following information for our survivor
Homicide Survivors who live in New Mexico or who's loved ones were murdered in
New Mexico please fill out the following if you would like your loved one(s) added to our
database. If you have lost more then one loved one to homicide please fill out this
form for each victim.
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New Mexico Survivors of Homicide, Inc.,
www.nmsoh.org email: email@example.com
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