Samsung KS57C2308 KS57 Series Request for Production AT Customer Risk, Risk Order Information

KS57 SERIES

REQUEST FOR PRODUCTION AT CUSTOMER RISK

Customer Information:
Company Name:	________________________________________________________________
Department:	________________________________________________________________
Telephone Number:	__________________________	Fax: _____________________________
Date:	__________________________
Risk Order Information:
Device Number:	KS57C________- ________ (write down the ROM code number)
Package:	Number of Pins: ____________	Package Type: _____________________
Intended Application:	________________________________________________________________
Product Model Number:	________________________________________________________________

Customer Risk Order Agreement:

We hereby request SEC to produce the above named product in the quantity stated below. We believe our risk order product to be in full compliance with all SEC production specifications and, to this extent, agree to assume responsibility for any and all production risks involved.

Order Quantity and Delivery Schedule:

Risk Order Quantity: _____________________ PCS

Delivery Schedule:

Delivery Date (s)

Quantity

Comments

Signatures:	_______________________________	_______________________________________
	(Person Placing the Risk Order)	(SEC Sales Representative)

(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.)