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The Moth Short Story Prize Entry Form 2024
 
 
 
Name:                    ....................................................................................................
 
Address:                 ....................................................................................................
 
Email:                     ....................................................................................................
 
Tel:                         ....................................................................................................
 
Number of stories:   ....................................................................................................
 
Names of stories:     ....................................................................................................
                            
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                              ....................................................................................................
 
                              ....................................................................................................
 
                              ....................................................................................................
 
 
Please do not include these details on the pages with the stories. 
 
 
Method of payment:
 
Cheque or cash (15 per story)   □
Cash or postal order (Ireland/UK only)  (15 per story)   □
Credit or debit card via PayPal (payment to enquiries@themothmagazine.com) (15 per poem)   □
Final issue of The Moth (Ireland/UK)  7   □
Final issue of The Moth (Europe)  8   □
Final issue of The Moth (ROW)  10   □
Back issue of The Moth (Ireland/UK)  5  □
Gift bundle of 5 back issues (Ireland/UK)  20  □
Gift bundle of 5 back issues (Europe)  28  □
Gift bundle of 5 back issues (ROW)  32  □
Digital issue of The Moth 4   □
 
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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