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Please print out and complete this form, and return it to: Liz Suter, 3 Cae Nicholas, Menai Bridge, Gwynedd. LL59 5LE If you have any problems, contact us for a hard copy
I wish
to become a Friend of Ty Encil Carreg, Bardsey Island
I wish to give £__________ per annum [minimum £25], and have filled in the Standing Order Mandate, which I enclose with this form. Rydw i’n dymuno rhoi £ ______ y flwyddyn. Rydw i wedi llenwi ffurflen Archeb Sefydlog ac rydw i’n ei hamgáu gyda’r ffurflen hon.
Signed/Llofnodwyd: _______________________________
Date/Dyddiad: ___________ |