Cofrestru yn Gwsmer Lleol | Local Customer Sign Up
Gofynnwn i chi lenwi’r ffurflen yma cyn eich archeb gyntaf. Mae 3 ffurflen i archebu - bwyd, diod a gwirod a chwrw - cwbwlhewch rhain wedi cofrestru. We ask you complete this before your first order only. There are 3 separate forms underneath for orders food, wine, beers & spirits - please complete after completing sign up form.
Enw | Name
*
Mr/Ms
Enw | Name
Cyfenw | Surname
Cyfeiriad | Address
*
Enw neu Rif Tŷ | House Name or Number
Stryd | Street
Tref neu Bentref | Town or Village
State
Côd Post | Postcode
Cyfeiriad Danfon os yn Wahanol, neu Ychwanegol | Alternative or Additional Delivery Address
Defnyddiwch hwn os hoffech i ni ddanfon i berson arall, efallai perthynas neu ffrind. Please use this if you want items delivered to another address, perhaps a relative or friend.
E-bost | Email
*
Megis criw@blasarfwyd.com
Rhif Ffon | Phone Number
*
Format: 00000 000 000.
Rhif Ffon Ychwanegol | Extra Phone Number
Format: 00000 000 000.
Marchnata - hoffech i ni gysylltu a chi gyda chynnigion a newyddion Blas ar Fwyd yn y dyfodol? | Marketing - would you like us to contact you with Blas ar Fwyd news and offers in future?
*
Yndw, hapus i chi gysylltu a mi. Yes, I’m happy to be contacted
Peidiwch a Chysylltu a mi. Don’t contact me
Nodiadau | Notes
ee cyswllt neu pwynt danfon. eg delivery contact or point
Submit
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