Product description: Device Number: KS86C_- (write down code number) P

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Product description: Device Number: KS86C_- (write down code number) P

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KS86 SERIES MASK ORDER FORM
Product description: Device Number: KS86C_- (write down code number) Product Order Form: Package Pellet Wafer Package Type: Package Marking (Check One): Standard Custom (Max chars) Custom (Max chars each line)
Device Name
Device Name
Assembly site code, Last number assembly year, Week assembly
Delivery Dates Quantities: Deliverable code Customer sample Risk order Please answer following questions: Risk Order Sheet Required Delivery Date Quantity applicable Comments Selection Form
what kind product will using this order? product Replacement existing product Upgrade existing product Other
replacing existing product, please indicate former product name
What main reasons decided Samsung microcontroller your product? Please check that apply. Price Development system Used same micom before Product quality Technical support Quality documentation Features functions Delivery time Samsung reputation
Mask Charge (US$ Won): Customer Information: Company Name: Signatures:
(Person placing order)
Telephone number
(Technical Manager)
(For duplicate copies this form, additional ordering information, please contact your local Samsung sales representative. Samsung sales offices listed back cover this book.)
KS86 SERIES REQUEST PRODUCTION CUSTOMER RISK
Customer Information: Company Name: Department: Telephone Number: Date: Risk Order Information: Device Number: Package: Intended Application: Product Model Number: KS86C_- (write down code number) Number Pins: Package Type: Fax:
Customer Risk Order Agreement: hereby request produce above named product quantity stated below. believe risk order product full compliance with production specifications and, this extent, agree assume responsibility production risks involved.
Order Quantity Delivery Schedule: Risk Order Quantity: Delivery Schedule: Delivery Date Quantity Comments
Signatures:
(Person Placing Risk Order)
(SEC Sales Representative)
(For duplicate copies this form, additional ordering information, please contact your local Samsung sales representative. Samsung sales offices listed back cover this book.)

Product description: Device Number: KS86C_- (write down code number) P

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