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The Moth Short Story Prize Entry Form 2022 Name: .................................................................................................... Address: .................................................................................................... Email: .................................................................................................... Tel: .................................................................................................... Number of stories: .................................................................................................... Names of stories: .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... 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) □ Annual subscription to The Moth (Ireland/UK) €28 □ Annual subscription to The Moth (Europe) €32 □ Annual subscription to The Moth (ROW) €40 □
Current issue of The Moth €7 □
Digital issue of The Moth €6 □
Total ...............................
Please read the rules before sending your story or stories to: The Moth Ardan Grange Milltown Belturbet Co. Cavan Ireland
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