Ffurflen archebu ar gyfer Sgyrsiau Cymunedol / Booking form for Community Conversations

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DYDD MAWRTH 18 TACHWEDD / TUESDAY 18 NOVEMBER

Canolfan Hamdden Rhaeadr Gwy / Rhayader Leisure Centre: 10.00-12.00

Grŵp ffocws / Focus group: 12.00-13.00

Lluniaeth ysgafn ar gael /Light refreshments provided

Stryd Y Gogledd, Rhaeadr Gwy, LD6 5BU

North Street, Rhayader, LD6 5BU

Bydd y cyhoedd a'r gymuned leol yn cael eu gwahodd i gwrdd â chi, dysgu am eich gwaith, a rhannu'r pethau sy'n bwysig iddynt dros de, coffi a chacen.

The public and local community will be invited along to meet you, learn about your work, and share what matters to them over tea, coffee and cake.

Enwau: / Names: *

Mudiad: / Organisation: *

Tref a Chod Post: / Town & postcode:

Ffôn: / Telephone:

E-bost: / Email:

Mae sesiwn grŵp ffocws yn cynnwys cinio / Focus group session includes lunch.

Bydd angen cinio arnaf. / I will require lunch.

Dim diolch. Ni fydd angen cinio arnaf / No thank you I will not be requiring lunch

Clear selection

Gofynion eraill (e.e. mynediad, deiet, cyfathrebu, ayb) / Requirements (e.g. access, diet, communication etc)

Ydych chi'n defnyddio cadair olwyn? / Are you a wheelchair user?

Ym mha iaith y byddai'n well gennych chi gyfrannu?? / In which language would you prefer to contribute?

Cymraeg / Welsh

Saesneg / English

Yn ddwyieithog (Cymraeg a Saesneg) / Bi-lingually (English & Welsh)

Clear selection

Cais am Stondin Arddangosfa / Request for display stand

Rhowch ddisgrifiad byr o'r arddangosfa y byddwch yn dod / Please give brief description of display stand

Dymunwch chi ddod ag ychydig o ddeunyddiau (e.e. taflenni) i osod ar stondin cyffredinol? / I will not require a display stand but wish to bring small amount of information eg leaflets for display on an existing shared table?

Er mwyn ein helpu gyda hysbysebu yn y dyfodol - ble gwelsoch chi'r hysbyseb am y digwyddiad hwn? To help us with future advertising - where did you see this event advertised?

Ticiwch un neu fwy o'r blychau os yw'n berthnasol / Tick one or more boxes if applicable

ebost PAVO / PAVO email

ebrief' PAVO / PAVO ebulletin

gwefan PAVO / PAVO website

PAVO Facebook

Other:

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