------------- Free-of Charge Upgrade Application Form -------------STARTED
                 of an MCU Board for 4500 Series

Effective Date of Application:
   From December 16, 2004, to March 1, 2005, inclusive

              Free-of Charge Upgrade Application Form
                 of an MCU Board for 4500 Series

Date of Application:
Product Type:
Lot Code:
  (Be sure to enter the lot no. of yours. It is inscribed on the right 
   bottom of the MCU board.)

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

Message:

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------------- Free-of Charge Upgrade Application Form -------------ENDED
                  of an MCU Board for 4500 Series