CYMDEITHAS DDAWNS WERIN CYMRU

WELSH FOLK DANCE SOCIETY

Rhif Elusen / Charity Number: 1023817

AELODAETH NEWYDD / NEW MEMBERSHIP

DEFNYDDIWCH LYTHRENNAU BRAS, OS GWELWCH YN DDA / USE CAPITAL LETTERS WHEN FILLING THE FORM

ENW LLAWN /
                    FULL NAME	
	
TEITL Nodwch â chylch  / 
                           TITLE Circle	
 Mr  /  Mrs  /  Miss  /  Ms  /  Dr   neu/or … 

CYFEIRIAD /
                 ADDRESS	
	
CÔD POST /
                 POSTCODE 	Rhaid nodi hwn /
This is essential	
DYDDIAD /
                 DATE		
Cyfeiriad e-bost /
                  e-mail address	

AELODAETH Nodwch â chylch /
MEMBERSHIP Circle	AELODAETH TRAMOR  / 
OVERSEAS MEMBERSHIP 	
UNIGOL / 
             INDIVIDUAL	   £8	   Adiwch £7  am cludiant, ayyb /
  Add £7 for postage etc	
AR Y  CYD / 
                 JOINT	  £12		
DAN 18 / 
        UNDER 18	   £5	
GRŴP / SEFYDLIAD
GROUP / ORGANISATION	  £20       (  £45 gydag yswiriant  / with insurance  )	

Anfonwch y daflen yma  ynghyd â’ch taliad at :-	Please return this form with your payment to :-	
G IDWAL WILLIAMS, Disgwylfa, Llanrug, Caernarfon, Gwynedd LL55 4BA

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Arwyddwch isod, os gwelwch yn dda, os yw eich tanysgrifiad i’w roi fel taliad  ‘Rhodd Cymorth’

Yr wyf  fi, a enwir uchod, am i’m tâl aelodaeth ac unrhyw gyfraniad arall i:
GYMDEITHAS DDAWNS WERIN CYMRU 
cael ei drin fel ‘Rhoddion Rhodd Cymorth’ o’r flwyddyn dreth yma ymlaen. 
Mae treth eisioes wedi ei dalu ar fy rhodd.
Cewch adennill y dreth.	
Please sign below if your subscription is to be given
 as a  “Gift Aid”  payment

I, the above, require that my membership subscription
 and any other donation to:
CYMDEITHAS DDAWNS WERIN CYMRU ( WELSH FOLK DANCE SOCIETY )
be treated as a ‘Gift Aid Payment’ from this tax year onwards.  
Tax has already been paid on my payment.
The Society may recover this tax.	

Llofnod / Signature:  ……………………...………………………………..........................

Er gwybodaeth:- Rhaid i chi dalu treth incwm neu dreth enillion cyfalaf yr un faint â’r dreth y byddwch fel Cymdeithas Ddawns Werin Cymru yn ei hadennill ar eich rhodd (ee 28c am bob £1 a roddwch yn y flwyddyn dreth 2004/2005)	Note:- You must pay income tax or capital gains tax to the same amount as the tax that the Welsh Folk Dance Society will recover on your gift (eg 28p in each £1 you donate in the tax year 2004/2005)