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

DYDD MAWRTH 2 RHAFYR  / TUESDAY 2 DECEMBER

Neuadd y Dref Trefaldwyn / Montgomery Town Hall: 10.00-12.00

Grŵp ffocws / Focus group: 12.00-13.00

Lluniaeth ysgafn ar gael /Light refreshments provided

Stryd Eang, Montgomery SY15 6PH
Broad St, Montgomery SY15 6PH

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.

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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. 
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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?
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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
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