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Membership Application Form  

Name…………………………………....................................
 
Address………………………………………………………....

............................................................................................

Contact Details (for Mold and District Reds use only)  

Tel No....……………………....
 
Email…………………………………...................................
 
Age (if under 16) ......... 
 

I wish to apply for (tick as applicable)  

Adult £5/Juniors & OAPs £2.50/Family £10 

(Family Membership is 2 adults and up to 3 children) 

If accepted I agree to be bound by the Association's Rules and Constitution
 
SIGNED…………………………………….............DATE……………  

Payment 

Cash: Give this to a committee member 

Online: Using Mold and District Reds bank details,  

Sort code: 541010, Account number: 10066683, Reference: Membership 

Cheque: Made payable to Mold and District Reds.  

Give this to a committee member  

Post: 4 Woodlands Close, Mold, Flintshire, CH7 1UT 

Ffurflen Gais Aelodaeth  

Enw…………………………………................................... 

Cyfeiriad………………………………………………………   

 ................................................................................. 

Manylion Cyswllt (ar gyfer Cochion Yr Wyddgrug a’r Fro YN UNIG) 

Rhif Ffon………………………………..

Ebost .............................................................  

Oed (os o dan 16) …….. 

Byddaf/Na Fyddaf Dymunaf wneud cais ar gyfer  

Oedolyn £5 / Consesiynau/Plant £2.50
Teulu £10 (aelodaeth teulu yw 2 oedolyn ac hyd at 3 o blant) 

Ar gael fy nerbyn cytunaf I dderbyn Cyfansoddiad a Rheolau’r 

Gymdeithas  

LLOFNODWYD……………………………………..DYDDIAD…………… 

Taliad 

Arian parod: Rhowch hyn i aelod o'r pwyllgor 

Ar-lein: Gan ddefnyddio manylion banc Yr Wyddgrug a'r Cylch Cochion,  

Cod didoli: 541010, Rhif cyfrif: 10066683, Cyfeirnod: Aelodaeth 

Siec: Wedi'i wneud yn daladwy i'r Wyddgrug a'r Cylch Coch.  

Rhoi hyn i aelod o'r pwyllgor  

Swydd: 4 Woodlands Close, Yr Wyddgrug, Sir y Fflint, CH7 1UT