The Caterpillar Poetry Prize 2017 Entry Form
 
 
Name:                    ....................................................................................................
 
Address:                 ....................................................................................................
 
Email:                     ....................................................................................................
 
Tel:                       ....................................................................................................
 
Number of poems:    ....................................................................................................
 
Names of poem(s):   ....................................................................................................
                            
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Please do not include these details on the pages with the poems. 
 
 
Method of payment:
 
Cheque or cash 12 (made payable to 'The Moth Magazine'   □
Money or postal order 12   □
Credit or debit card via PayPal (payment to enquiries@thecaterpillarmagazine.com) 12   □
Current issue of The Caterpillar 6   □
Annual subscription to The Caterpillar 24   □
 
Total ............................... 


 
Please read the RULES before sending your story to:
 
The Caterpillar Poetry Prize 2017
c/o The Moth
Ardan Grange
Milltown
Belturbet
Co. Cavan
Ireland