The Caterpillar Poetry Prize 2023 Entry Form
 
 
Name:                    ....................................................................................................
 
Address:                 ....................................................................................................
 
Email:                     ....................................................................................................
 
Tel:                         ....................................................................................................
 
Number of poems:   ....................................................................................................
 
Name of poem(s):   ....................................................................................................
                            
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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