-------------- Free-of-Charge Upgrade Application Form ------------- STARTED

TO: Your local Renesas Technology sales office or distributor

Effective Date of Application: 
    From November 1, 2004 through October 31, 2005

           Compact Emulator (WS) and Emulation Probe (WS)
                    for the M16C/Tiny Series
              Free-of-Charge Upgrade Application Form
     -------------------------------------------------------------------

Date: 
Product Type:
  Check the product you want to upgrade and put in its serial number.

            [ ] M30260T2-CPE(WS)   Serial No.:
            [ ] M30290T2-CPE(WS)   Serial No.:
            [ ] M30291T2-CPE(WS)   Serial No.:
            [ ] M30260T-EPB(WS)    Serial No.:
            [ ] M30290T-EPB(WS)    Serial No.:
            [ ] M30291T-EPB(WS)    Serial No.:

FROM:
  Customer Company:
  Customer Section:
  Customer Contact Person:
  Address:
   City                      State                 Zip
                             Country
  Phone:                          Extension:
  FAX:
  E-mail Address:

Message:
                                 (1/1)

-------------- Free-of-Charge Upgrade Application Form ------------- ENDED