Ffurflen Archebu Cae’r Lles - St Clears Town Council

Enw’r Sefydiad*

Enw cyswllt*

Cyfeiriad Llinell 1*

Cyfeiriad Llinell 2

Tref*

Côd Post*

Ffôn*

E-bost*

Math o digwyddiad*

Dyddiad Cychwyn y Digwyddiad*

Amser Cychwyn y Digwyddiad*

: HH

MM

* Dylid caniatáu digon o amser i osod a thynnu unrhyw offer a chlirio sbwriel.

Dyddiad Gorffen y Digwyddiad*

Amser Gorffen y Digwyddiad*

: HH

MM

* Dylid caniatáu digon o amser i osod a thynnu unrhyw offer a chlirio sbwriel.

Confirmation*

I confirm that I have read and agree to the terms & conditions for field booking noted on the back of this form. Cadarnhaf fy mod wedi darllen ac yn cytuno â’r amodau a thelerau.

The receipt of this form does not constitute an acceptance of the booking by the Council. The applicant will receive confirmation in writing if the booking is possible. The responsibility and arrangements for booking will be with the person named on this completed application form and correspondence and /or instructions will only be entered into with this person.

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