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Last Updated:

19 September 2008

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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
Yr wyf yn dymuno dod yn Gyfaill Ty Encil Carreg, Ynys Enlli

Name/Enw:

_____________________________________________________

Address/Cyfeiriad:

_____________________________________________________

 

_____________________________________________________

Postcode/Côd Post:

______________

 

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.

If you are a UK taxpayer we can claim 28p on every £1 donated provided you have paid tax in the current year to equal the tax we reclaim on your donation.

(please tick)

 

 

 

 

Signed/Llofnodwyd: _______________________________

 

Date/Dyddiad: ___________


[Friends of Ty Encil Carreg] | [Standing Order Mandate]