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The Caterpillar Poetry Prize 2023 Entry Form Name: .................................................................................................... Address: .................................................................................................... Email: .................................................................................................... Tel: .................................................................................................... Number of poems: .................................................................................................... Name of poem(s): .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... Please do not include these details on the pages with the poems. Method of payment: Cash or cheque (made payable to 'The Moth Magazine') €15 □ Money or postal order (Irish postal orders only) €15 □ Credit or debit card via PayPal (payment to enquiries@thecaterpillarmagazine.com) €15 □ Current issue of The Caterpillar (Ireland/UK) €7; (Europe) €8 ; (ROW) €10 □ Back issue of The Caterpillar (Ireland/UK) €5; (Europe) €8; (ROW) €10 □ Gift bundle of 5 back issues (Ireland/UK) €20 □ Gift bundle of 5 back issues (Europe) €28 □ Gift bundle of 5 back issues (ROW) €32 □ Total ............................... Please read the RULES before sending your poem(s) to: The Caterpillar Poetry Prize 2023 c/o The Moth Ardan Grange Milltown Belturbet Co. Cavan Ireland
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