Ffurflen Ad-daliad Pledleisio - Cân i Gymru 2024
Rydym yn deall bodd nifer o wylwyr wedi cael trafferthion wrth geisio bwrw pleidlais yn ystod Cân i Gymru 2024. Drwy lenwi'r ffurflen hon, gallwch wneud cais am ad-dalu cost eich galwad(au) ar wahân i’r alwad gyntaf. Mae telerau ac amodau llawn y broses ad-dalu ar wefan S4C.
Cân i Gymru 2024 - Televoting Refund form
We understand that many viewers had difficulties trying to cast a vote during Cân I Gymru 2024.By completing this form, you can apply for repayment of the cost of your call(s) except for the first call. The full terms and conditions for the refund process are on the S4C website.
Enw / Name
*
Enw cyntaf / First Name
Cyfenw / Surname
Ebost / Email
*
esiampl@esiampl.com
Cyfeiriad / Address
*
Enw tÿ neu rif / House name or number
Stryd / Street
Tref / Town
Côd Post / Post Code
RHIF Y FFÔN a ddefnyddwyd i bleidleisio / Telephone number used to vote
*
Defnyddir hefyd fel rhif cyswllt / Also used as a contact number
MATH O ALWAD / Type of call
*
FFôn tŷ / Landline
Symudol / Mobile
RHWYDWAITH / Network
*
e.g. BT / Vodafone/ Tesco etc
COST Y GALWADAU (heblaw'r cyntaf) / Cost of calls (except the first)
*
e.g. 90c = 0.90
COPI O'R BIL YN DANGOS DEILIAD Y BIL, GALWADAU A'R GOST / Copy of bill showing name of claimant, the calls and cost
Pori Ffeiliau / Browse Files
Drag and drop files here
Choose a file
Gellid anfon hyd at 6 / You can send up to 6 - pdf,jpg, jpeg, png, gif
Cancel
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Llun o'ch bil / Photo of the bill
ENW BANC / Name of bank
*
e.g. Natwest
CYFEIRIAD BANC / Bank Address
*
Rhif / No
Stryd/Street
Tref / Town
Côd Post / Post Code
ENW AR Y CYFRIF / Account name
*
Fel ar eich cyfriflen / As per your statement
RHIF Y CYFRIF / Account number
*
8 rhif/number
COD BANC / Sort Code
*
Byddwn yn ymateb o fewn 21 diwrnod / We will respond within 21 days.
Anfon / Submit
Should be Empty: