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申請人資訊
Request Date: Region:
Distributor Proposer:
   
客戶資訊
Is this new customer ?
   
Company Name  
Contact name: Title & Dept.:
   
   
關於專案.
Project Name: Potential( K/M) :
Application: End Product:
   
Is this new project ? ( If it is New Project. Please fill following items.)
 
量產時程
Engineer-Run Trial-Run
Mass-Production  
   
Request details
   
Prod. Type
Product Name
Q'TY
Samples
Remarks
D
S
G
Free
Charge
Product Type Codes: D- Demo Board, S- SAMPLES, G- Selection Guide
   
連送地點
   
Ship-to-Company:
Ship-to-Address:
Ship-to-Attn:
Shipping Method: