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The Caterpillar Poetry Prize 2021 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: Cheque or cash €14 (made payable to 'The Moth Magazine') □ Money or postal order €14 □Credit or debit card via PayPal (payment to enquiries@thecaterpillarmagazine.com) €14 □Current issue of The Caterpillar €7 □Current issue of The Caterpillar (digital) €6 □ Back issue of The Caterpillar €5 □ Annual subscription to The Caterpillar €28 (Ireland/UK) □ Annual subscription to The Caterpillar €32 (ROW) □ Total ...............................
Please read the RULES before sending your poem(s) to: The Caterpillar Poetry Prize 2021 c/o The Moth Ardan Grange Milltown Belturbet Co. Cavan Ireland
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