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To: Renesas Technology sales office or distributor
M16C/62POD M16C/62A Remodel Application Form
Date: _______________month_______________day_______________year
[Product Information]
| Product Name | M30620TB-RPD-E / M30620T-RPD-E |
| Serial No. |
____________________________________________________
Be sure to enter the Serial No. of yours. Serial No. is marked at the backside of the pod. |
| Date of Purchase |
____________________month____________________day____________________year |
[Customer]
| Company Name | Company Name |
| Section | Section |
| Contact Person | Contact Person |
| Phone | Phone |
| FAX | FAX |
| E-mail Address | E-mail Address |
Address
City
State
Zip
Country | Address |
[Message]
(1/1)
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