Enw/Name:  

Cyfeiriad/Address:  

Cod Post/Psot Code:  

Testun/Text: No  

E. Bost/E-Mail:  

Pwysig: Os yn bosib, fedrwch chi adael i ni gael eich cfeiriad Ebost neu rif ffôn symudol ar gyfer negeseuon testun er mwyn i in roi gw'bod i chi am unrhyw

newidiadau i'n rhaglen.

Important: If possible, please provide either an e-mail address or mobile number for text messages to help us keep you updated on events.

Aelodaeth/Membership: (Tick box as appropriate)

 Dysgwr Cymraeg/Welsh Learner (£5.00 tâl aelodaeth/Subscription)

 pa dosbarth?/Which Class

Sieciau'n daladwy i "Clwb Llanllawen" os gwelwch yn dda (Mi fydd angen tâl aelodaeth) blynyddol ym mis Hydref bob blwyddyn)

Cheques payable to "Clwb Llanllawen"  please (Annual Subscriptions are due in October each year)

  Cyfaill y Clwb/Welsh Speaking Friend of Club (dim tâl aelodaeth/no subscription)

  Plant/Junior Member (am ddim/no subscription)

 Dan 18 ac yng ngofal oedolyn/under the age of 18 & accompanied by an adult.

 Dyddiad geni/Date of Birth: