Just highlight the form, then right click and print or save the membership form 

Mold and District Reds/Cochion Yr Wyddgrug a'r Fro 

Membership Application Form Season 2018/19

Name………………………………….................................… 

Address………………………………………………………....

 
............................................................................................

Contact Details ( for Mold and District Reds use ONLY )  

Tel No....……………………...........Mobile ....……………………..........

Email…………………………………...................................

Age (if under 16) ......... 

I wish to apply for (tick as applicable) 

Adult (£5) 
Concessions - Juniors (2.50)
 Concessions OAPs (£2.50) 
Family (£10)
(Family Membership is 2 adults and up to 3 children )

If accepted I agree to be bound by the Association's Rules and Constitution

SIGNED…………………………………….............DATE…………… 
Payment
Cash: Give this to a committee member

Online: Using Mold and District Reds bank details, 
Sort code: 541010, Account number: 1006668310066683, Reference: Membership
Cheque: Made payable to Mold and District Reds. 

Give this to a committee member or post to: 7, Llys Pont Y Garreg, Mold,Flintshire, CH7 1EZ.

Membership Benefits
 Priority seats for Mold and District Reds Away Travel

KMA Tool Hire & Sales - Discounts 

on production of 2018/2019 membership card

5% discount at Hays Travel Mold 

(on production of 2018/2019 membership card. T&Cs apply) 

www.moldreds.co.uk

 Regular information with updates on events, fundraising ideas and group meetings
 
Mold & District Reds have already donated £15,000 to Wrexham AFC



Just highlight the page then print off your highlighted selection 
Mold and District Reds  
Cochion Yr Wyddgrug a’r Fro
www.moldreds.co.uk

Sefydlwyd Gorffennaf 2007Ffurflen Gais Aelodaeth Tymor 2018/19

Enw…………………………………................................... 

Cyfeiriad……………………………………………………… 

      
 ................................................................................. 

                  Manylion Cyswllt ( ar gyfer Cochion Yr Wyddgrug a’r Fro YN UNIG )

Rhif Ffon………………………………..Ffon Symudol……………………………

Ebost ............................................................. 
 Oed (os o dan 16) ……..
Byddaf/Na Fyddaf Dymunaf wneud cais ar gyfer 

Oedolyn (£5) 

Consesiynau (£2.50)

Teulu (£10) (aelodaeth teulu yw 2 oedolyn ac hyd at 3 o blant )
Tal trwy arian parod neu siec (talydwy I Mold and District Reds)
 neu ei bostio seic i 
Mold & District Reds, 7 Llys Pont Y Garreg, Mold, Flintshire, CH7 1EZ.


Ar gael fy nerbyn cytunaf I dderbyn Cyfansoddiad a Rheolau’r



 Gymdeithas  LLOFNODWYD……………………………………..DYDDIAD…

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