Order Form
please print out and mail to:
Pillar Productions, Inc.

P.O. Box 35
Quincy, IL 62306

Please rush ____ copies of the FREDDIE TIEKEN AND THE ROCKERS CD at a price of $12.95 each, plus $2.50 shipping and handling. (Illinois residents please add 7% tax--- $.90 per CD)

Send to:

Name       _______________________________________ 
Address   _______________________________________ 
City         _______________________________________
State       _______________________________________ 

_____ Payment enclosed (please allow time for bank check to clear)


_____ Visa          ____ MasterCard

Card # ___________________________ Exp. _________

Signature _______________________________________



Please mail or fax your order to:

Pillar Productions, Inc.
P.O. Box 35
Quincy, IL 62306
Telephone: 888 616-1179
217 228-7200
Fax : 217 228-7210