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