home

purchase

about us highlights current issue art prize back issues poetry prize short story prize nature writing prize poem fiction interview submissions books contact
    
Printer friendly version



The Moth Nature Writing Prize Entry Form 2021
 
 
 
Name:                    ....................................................................................................
 
Address:                 ....................................................................................................
 
Email:                     ....................................................................................................
 
Tel:                         ....................................................................................................
 
Number of entries:   ....................................................................................................
 
Names of entries:     ....................................................................................................
                            
                              ....................................................................................................
                            
                              ....................................................................................................
 
                              ....................................................................................................
 
                              ....................................................................................................
 
                              ....................................................................................................
 
 
Please do not include these details on the pages with the entries. 
 
 
Method of payment:
 
Cheque or cash (€15 per entry)   
Money or postal order (€15 per entry)   
Credit or debit card via PayPal (payment to enquiries@themothmagazine.com) (€15 per entry)   
Annual subscription to The Moth (Ireland/UK) €28   
Annual subscription to The Moth (rest of world) €32   
Current issue of The Moth €7   
Digital issue of The Moth €6   
 
Total ............................... 


 
Please send your entries to:
 
The Moth 
Ardan Grange
Milltown
Belturbet
Co. Cavan
Ireland