Melin Drafod: Cofrestrwch eich diddordeb / Register your interest

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Os oes gennych chi ddiddordeb yn ein melin drafod flaengar newydd sy'n trin a thrafod agenda flaengar ar gyfer Cymru annibynnol, gadewch eich manylion yma er mwyn i ni gadw mewn cysylltiad.

If you are interested in supporting the our progressive think tank discussing a progressive agenda for an independent Wales, leave your details here so we can keep in contact.

Eich Enw / Your Name *

Cyfeiriad E-bost / Email address *

Rhif Ffôn / Phone Number

Cyfeiriad / Address

Eich maes Diddordeb / Your area of interest *

Llunio Polisi / Policy Work

Trefnu neu gynorthwyo digwyddiadau / Organising or supporting events

Mentrau Cymdeithasol / Social Initiatives

Diddordeb mewn ymuno â bwrdd y felin drafod / Interest in think tank board membership

Other:

Required

Unrhyw Sylwadau Arall? Any other comments?

Rhybudd Preifatrwydd / Privacy Notice

Drwy lenwi'r ffurflen hon, rydych chi'n cytuno i'r Felin Drafod gadw eich data a chysylltu â chi o dro i dro ynghylch ei gweithredoedd. Mae'r polisi preifatrwydd ar gael yma: melindrafod.cymru/preifatrwydd

By filling in this form, you are agreeing that Melin Drafod can keep your data and contact you from time to time about its activities. The privacy policy is available here: melindrafod.cymru/preifatrwydd

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms