(For duplicate copies of this form, and for additional ordering information, please contact your local Samsung sales
representative. Samsung sales offices are listed on the back cover of this book.)
NOTE
: Please one more check whether the selected device is S3C80A5B.
S3C8 SERIES MASK ROM ORDER FORM
Product description:
Device Number: S3C80A5B
S3C__________- ___________(write down the ROM code number)
(note)
Product Order Form:
Package
Pellet Wafer
Package Type: __________
Package Marking (Check One):
Standard
Custom A
Custom B
(Max 10 chars)
(Max 10 chars each line)
@ : Assembly site code, Y : Last number of assembly year, WW : Week of assembly
@ YWW
Device Name
SEC
Device Name
@ YWW
@ YWW
Delivery Dates and Quantities:
Deliverable
Required Delivery Date
Quantity
Comments
ROM code
–
Not applicable
See ROM Selection Form
Customer sample
Risk order
See Risk Order Sheet
Please answer the following questions:
F
For what kind of product will you be using this order?
New product
Upgrade of an existing product
Replacement of an existing product
Other
If you are replacing an existing product, please indicate the former product name
(
)
F
What are the main reasons you decided to use a Samsung microcontroller in your product?
Please check all that apply.
Price
Product quality
Features and functions
Development system
Technical support
Delivery on time
Used same micom before Quality of documentation
Samsung reputation
Mask Charge (US$ / Won):
____________________________
Customer Information:
Company Name:___________________ Telephone number _________________________
Signatures:
________________________
__________________________________
(Person placing the order)
(Technical Manager)