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To your local Renesas Technology sales office or distributor
Application Form for M30620T-PRTM Board
Date: ______/______/______ (Month / Day / Year)
[About the product]
| Product name | Circle one that applies.
M30620T-RPD-E / M30620TB-RPD-E / M30620T-RPD / M30620TB-RPD |
| Serial number |
__________________________________________
The serial number is inscribed at the back of your product. |
| Date of purchase | ______/______/______ (Month / Day / Year) |
[About the customer]
| Company | - |
| Department | - |
| Name | - |
| Phone number | - |
| FAX number | - |
| Email address | __________________@_________________________ |
| Address | - |
| - |
[Message]
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