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

DYDD IAU 6 TACHWEDD  / THURSDAY 6 NOVEMBER

Canolfan Celfyddydau Minerva / Minerva Arts Centre:

Grŵp ffocws / Focus group: 12.30 - 2.30

Lluniaeth ysgafn ar gael /Light refreshments provided


Stryd Fawr, Llanidloes, SY18 6BY

High Street, Llanidloes, SY18 6BY



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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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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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