home

purchase

about us news current issue back issues poetry prize art prize short story prize retreat poem fiction interview distribution submissions books contact

The Moth Art Prize Entry Form 2017
 
 
Name:                   ....................................................................................................
 
Address:               ....................................................................................................
 
Email:                    ....................................................................................................
 
Tel:                        ....................................................................................................
 
Number of pieces: ....................................................................................................
(max of 10 per entry)

Where did you hear about the prize?:  ....................................................................
 
 
Purchasing: 
Entry to Moth Art Prize 20   □
Annual subscription to The Moth 24   □
Current issue of The Moth 6   □

Method of payment:
Cheque or cash   □
Money or postal order   □
Credit or debit card via PayPal (payment to mothartprize@themothmagazine.com)   □
PayPal transaction ID: 
 
Total ............................... 


 
Please read the rules before sending your portfolio to mothartprize@themothmagazine.com or:
 
The Moth Art Prize
c/o The Moth
Ardan Grange
Milltown
Belturbet
Co. Cavan
Ireland



 

 

 

 

 

 

 

 

 

333940 Visitors 333940 Visitors
Admin                         

Websites for Artists618