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CUSTOMER EPROM
ORDER FORM
A
Company
Company
Contact,
P.O.
#
Phone #_
Date
Intel
Device
P/N
All
custom
MOS EPROM
orders
must
be
submitted
on
this
form.
Programming
information
should be
sent per the
formats described
in
the
Programming
Instruction section of the
Intel
Data
Catalog.
Additional
forms
are available
from
Intel.
MARKING
The
marking
will
consist of
the
Intel
Logo,
the
product and package type
(B1702A),
the
4-digit
Intel
pattern
number
(WWWW),
an
internal
manufacturing
traceability
code
(XXYY),
and
the
customer
part
number
(Z....Z).
The
customer
part
number
is
limited to
a
maximum
of
9
digits
or
spaces.
1702A/4702A/8702A
Family
2708/8708/2704
Family
2716, 2758, 8741, 8748,
8755
For
Intel
Use Only
s#_
STD_
APP_
Date.
1702A
MARKING
EXAMPLE
D
B1702A
XXYY
WWWW
Z....Z
FLOPPY
DISK
Programming
information
may
be
sent
on
Intel
Microcomputer Development System Floppy
Disk.
When
using
this
input
medium
the
floppy
disk
file
name
should be
indicated
in
the
Customer
Part
Number
Section below.
The
type
of
floppy
disk
sent
should
also
be
indicated
by
checking
one
of the appropriate boxes:
Single
Density
D
Double
Density
CUSTOMER PART NUMBER
Customer P/N
(Please
Fill-in)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Floppy
Disk
File
Name
(Please
Fill-in)
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Intel
Pattern
Number
(Please
Do
Not
Use)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
A2-2
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