home

purchase

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

The Moth Art Prize Entry Form 2020
 
 
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 €28 (IRL/UK)   □
Annual subscription to The Moth €32 (ROW)   □
Annual subscription to The Moth (digital) €24
Current issue of The Moth €7   □

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
The Moth
Ardan Grange
Milltown
Belturbet
Co. Cavan
Ireland H14 K768