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Membership Form | Ffurflen Aelodaeth
First Name | Enw Cyntaf
Surname | Cyfenw
Address | Cyfeiriad
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Mobile | Rhif Ffôn Symudol
Phone | Rhif Ffôn
Email | Ebost
email
Newsletter | Amdanoch Chi
Recieve our monthly newsletter full or opportunities and other news | Er enghraifft, enw’ch busnes / eich enw masnachu, gwaith creadigol, diddordebau, gwefan
Yes, sign me up! | Ydw, dwi am danysgrifio!
No | Na
Languages | Ieithoedd
Fluent | Rhugl
Semi-Fluent | Semi-Rhugl
Basic | Sylfaenol
English | Saesneg
Welsh | Cymraeg
Other - please mention in About You | Arall - rhowch sôn mewn Amdanoch Chi
About You | Amdanat ti
For example, your business / trading name, creative work, interests, website | Er enghraifft, enw eich busnes / masnachu, gwaith creadigol, diddordebau, gwefan
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Membership Type | Math o Aelodaeth
Select An Option | Dewiswch Opsiwn
£5 - Friend Membership - 1 Year | Aelodaeth i Gyfeillion - 1 Blwyddyn
£12 - Artist Membership - 1 Year | Aelodaeth lawn - 1 Blwyddyn
£32 - Artist Membership - 3 Year | Aelodaeth lawn - 3 Blynedd
£50 - Artist Membership - 5 Year | Aelodaeth lawn - 5 Mlynedd
£100Corporate Membership | Aelodaeth Gorfforaethol - 1 Blwyddyn
Quantity | Nifer
Select An Option | Dewiswch Opsiwn
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Items | Eitem
Qty | Nifer
Total | Eitem
Membership | Aelodaeth
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[field11*field10]
Annual Charge $xxx
I agree to the Terms and Conditions and Privacy Policy | Cytunaf â'r Telerau ac Amodau a Pholisi Preifatrwydd
I am happy for Arts Connection - Cyswllt Celf to share my details with other artists / funders / partners, where appropriate | Rwy’n hapus i Cyswllt Celf - Cyswllt Celf rannu fy manylion gydag artistiaid / cyllidwyr / partneriaid eraill, lle bo’n briodol
Submit | Cyflwyno
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