(For duplicate copies of this form, and for additional ordering information, please contact your localSamsung sales representative. Samsung sales offices are listed on the back cover of this book.)KS57 SERIES OTP FACTORY WRITING ORDER FORM (1/2)Product Description:Device Number: KS57P________-________(write down the ROM code number)Product Order Form: Package Pellet WaferIf the product order form is package: Package Type: _____________________Package Marking (Check One):Standard Custom A Custom B(Max 10 chars) (Max 10 chars each line)@ : Assembly site code, Y : Last number of assembly year, WW : Week of assembly@ YWWDevice NameSEC Device Name@ YWW @ YWWDelivery Dates and Quantity:ROM Code Release Date Required Delivery Date of Device QuantityPlease answer the following questions:++ What is the purpose of this order?New product development Upgrade of an existing productReplacement of an existing microcontroller OtherIf you are replacing an existing microcontroller, please indicate the former microcontroller name( )++ What are the main reasons you decided to use a Samsung microcontroller in your product?Please check all that apply.Price Product quality Features and functionsDevelopment system Technical support Delivery on timeUsed same micom before Quality of documentation Samsung reputationCustomer Information:Company Name: ___________________ Telephone number _________________________Signatures: ________________________ __________________________________(Person placing the order) (Technical Manager)