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The Caterpillar Poetry Prize 2021 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:
 
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     □
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