(For duplicate copies of this form, and for additional ordering information, please contact your local
Samsung sales representative. Samsung sales offices are listed on the back cover of this book.)
S3C2410A MASK OPTION SELECTION FORM
Device Number: S3C2410A -__________(write down the ROM code number)
Attachment (Check one): Diskette PROM
Customer Checksum: ________________________________________________________________
Company Name: ________________________________________________________________
Signature (Engineer): ________________________________________________________________
Please answer the following questions:
F Application (Product Model ID: _______________________)
Audio Video Telecom
LCD Databank Caller ID LCD
Game
Industrials Home Appliance
Office Automation
Remocon Other
Please describe in detail its application
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