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REQUEST FOR PRODUCTION AT CUSTOMER RISK
Customer Information:
Company Name:
Department:
Telephone Number:
Date:
Risk Order Information:
Device Number:
Package:
Intended Application:
Product Model Number:
Customer Risk Order Agreement:
We hereby request SEC to produce the above named product in the quantity stated below. We believe our risk
order product to be in full compliance with all SEC production specifications and, to this extent, agree to assume
responsibility for any and all production risks involved.
Order Quantity and Delivery Schedule:
Risk Order Quantity:
Delivery Schedule:
Delivery Date (s)
Signatures:
_______________________________
(Person Placing the Risk Order)
(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.)
S3C8 SERIES
________________________________________________________________
________________________________________________________________
__________________________
__________________________
S3C8________- ________ (write down the ROM code number)
Number of Pins: ____________
________________________________________________________________
________________________________________________________________
_____________________ PCS
Quantity
Fax: _____________________________
Package Type: _____________________
Comments
_______________________________________
(SEC Sales Representative)
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