home

purchase

current issue prizes submissions books contact
The Moth Short Story Prize Entry Form 2022
 
 
 
Name:                    ....................................................................................................
 
Address:                 ...................................................................................................
 
Email:                     ...................................................................................................
 
Tel:                       .....................................................................................................
 
Number of stories:    ................................................................................................
 
Names of stories:   ..................................................................................................
                            
                            .....................................................................................................
                            
                            .....................................................................................................
 
                            .....................................................................................................
 
                            .....................................................................................................
 
                            .....................................................................................................
 
How did you hear about the prize:   ........................................................................

 
Please do not include these details on the pages with the stories. 
 
 
Method of payment:
 
Cheque or cash (€15 per story)   
Money or postal order (€15 per story)   
Credit or debit card via PayPal (payment to enquiries@themothmagazine.com) €15 per story   
Annual subscription to The Moth €28 (IRL/UK)   
Annual subscription to The Moth €32 (Europe)   
Annual subscription to The Moth €40 (ROW)   
Current issue of The Moth €7 (Ireland/UK)   □ €8 (Europe)  €10 (ROW)  
Digital issue of The Moth €4   

 
Total ............................... 


 
Please read the rules before sending your story to:
 
The Moth Short Story Prize 2022
Ardan Grange
Milltown
Belturbet
Co. Cavan
Ireland H14 K768