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The Caterpillar Story for Children Prize 2016 Entry Form 
 
 
Name:                    ....................................................................................................
 
Address:                 ....................................................................................................
 
Email:                     ....................................................................................................
 
Tel:                       ....................................................................................................
 
Number of stories:    ....................................................................................................
 
Names of stories:   ....................................................................................................
                            
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Please do not include these details on the pages with the stories. 
 
 
Method of payment:
 
Cheque or cash 12   □
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 Short Story Prize 2015
c/o The Moth
Ardan Grange
Milltown
Belturbet
Co. Cavan
Ireland