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    I gefnogi'r ymdrechion hyn byddwch gystal â dychwelyd y ffurflen hon at:   M. Thomas, Glasfryn, Heol Llangynnwr, Caerfyrddin, SA31 2PA

    To support these efforts please return this form to: M. Thomas, Glasfryn, Llangunnor Road, Carmarthen, SA31 2PA
    Tâl Aelodaeth Blynyddol

    Oedolyn - £5

    Cwpwl - £8

    O dan 18 - 50 ceiniog
    Busnes - £5

     

     

    Annual Membership Rates

    Adult - £5

    Couple - £8

    Under 18 - 50 pence
    Business - £5

     

     

    Ffurflen Aelodaeth

    Amgaeaf fy siec/arian am £ …………………………..….

    Enw: ………………………………………………………..…..

    Cyfeiriad: ………………………………………………………

    …………………………………………………………………...

    Côd Post: ………………… Rhif Ffôn: …………………..….

    ebost: ……………………………………………………..……

    Membership Form

    I enclose a cheque/money to the value of £ ……….....

    Name: …………………………………………………………..

    Address: …………………………………………………….….

    ………………………………………………………………..…..

    Post Code: ………………… Tel No: ……………………..…

    email: ……………………………………………………………

    Gorchymyn Banc

    At y Rheolwr

    Banc …………………………………………………….CCC

    Cyfeiriad y Gangen: ………………………..……………...

    …………………………………………………..……………….

    Taler Banc Lloyds CCC, 43 Stryd y Brenin, Caerfyrddin, SA31 1BW (côd dosbarthu 30 91 68) i gyfrif Cymdeithas Ddinesig Caerfyrddin (Rhif y Cyfrif: 0039450), y swm o ……. o bunnoedd ar y 1af o Gorffennaf 20… ac yna ar bob 1af o Gorffennaf wedi hynny hyd nes y'i diddymir. Y mae'r Gorchymyn hwn yn disodli unrhyw orchymyn i dalu Cymdeithas Ddinesig Caerfyrddin sy'n bodoli ar hyn o bryd.

    Enw: ……………………………………………………………

    Rhif y Cyfrif: …………………………..…………………..…...

    Llofnod: ……………….… Dyddiad: …………….……….

    Cyfeiriad: ……………………………………………….…..….

    ……………………..……………………….…………………….

    ………………………………….. Côd Post: ……….……….

    Llofnod: ……………………….….. Dyddiad: …………….

    Standing Order

    To the Manager

    …………………………………………………….. Bank PLC

    Branch Address: ………………………………..…………....

    …………………………………………………………..….…….

    Please pay Lloyds Bank PLC, 43 King Street, Carmarthen, SA31 1BW (sort code 30 91 68) Carmarthen Civic Society (account number 0039450) the sum of ……. pounds on the 1st July 20 … and on every 1st July thereafter until further notice. This order replaces any existing standing order to Carmarthen Civic Society.

    Name: ………………………………………………………………..…

    A/c Number: ……………………..…..… A/c Code: ……………....

    Signed: ……………………….…………… Date: ……………….…

    Address: ………………………………………………………………...

    ………………………………………………………….…………………

    ……………………………………….. Post Code: ……….…….……

    Signed: ……………………………....….. Date: …………..….…....