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To: Renesas Technology sales office or distributor

Extra-Charge M30800T-/M30803T-RPD-E
Upgrade Application Form

Date ___________________


[Effective Date of Application]
From September 1, 2002, to August 31, 2003, inclusive

[Product Type and Lot Number]
Product Type Lot Number Date of Purchase
___ M30803T-RPD-E
___ M30800T-RPD-E


Be sure to enter the lot number of yours. It is inscribed on the bottom of the pod.


[Customer]
Company Name
Section
Contact Person
Phone
Fax
E-mail Address
Address


[Message]




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