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 Form 

www.moldreds.co.uk
 
Formed July 2007

Membership Application Form Season 2017/18

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 & OAPs (£2.50) Family (£10)
(Family Membership is 2 adults and up to 3 children )
  
Payment can be made via cash or cheque to a committee member or by cheque
posted to:
Mold & District Reds, 7 Llys Pont Y Garreg, Mold, Flintshire, CH7 1EZ.
  
Please make cheques payable to “Mold & District Reds”

  
If accepted I agree to be bound by the Association's Rules and Constitution
 
SIGNED…………………………………….............DATE……………

Membership benefits include:
· Priority seats for Mold and District Reds Away Travel
· 5% discount at Hays Travel – Mold 

(on production of membership card T&Cs Apply)
· Regular information with updates on events, fundraising ideas and group meetings

Mold and District Reds have donated over £13,000 to Wrexham AFC
in donations and sponsorship since forming.


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 2017/18

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……………Back to top











           

 
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