home

purchase

about us back issues current issue poem story submissions where to find it news caterpillar poetry prize caterpillar story for children prize contact
The Caterpillar Poetry Prize 2017 Entry Form
 
 
Name:                    ....................................................................................................
 
Address:                 ....................................................................................................
 
Email:                     ....................................................................................................
 
Tel:                       ....................................................................................................
 
Number of poems:    ....................................................................................................
 
Names of poem(s):   ....................................................................................................
                            
                            ....................................................................................................
                            
                            ....................................................................................................
 
                            ....................................................................................................
 
                            ....................................................................................................
 
                            ....................................................................................................
 
 
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