MOSEL VITELIC

Product Request Form

10/12

PID219D 02/96

Customer

Agent

Sales

Represen.

Sound

Providing

to

MVI

Code

Providing

to MVI

Serviced

Required

from

MVI

Who is MVI sales you contact ?

8-bit PCM sound files

.WAV sound files

DAT or equivalent

Something special in written memo

Others

.TRA program file, name =

.EVA LCD file, name =

.HEX program file, name =

.HEX LCD file, name =

EPROMs with data inside

files to pro'med into EPROM

9011 & 9012 emulation boards

u7001 chip on board

Confirm table

Others

Buzzer (F fr= 1K Hz)

Speaker (8 ohm, 1" diam)

Other

2.5 V

3.0 V

3.5 V

4.0 V

4.5 V

5.0 V

5.5 V

6.0 V

Battery size "D"

Battery size "AA"

Battery size "AAA"

Battery button cell

Mains

Other

T i t l e

SampleRate

Output

Device

Working

Voltage

Power

Source

General Descriptions

Chip Descriptions

Hz

Company Name :

Signature :

Position Title :

Department, Section :

Signature Date :

Mosel Vitelic Inc.

886-35-772788 (fax)

Sales & Marketing Department

We hereby request MVI to start preparing produce MSSu001 which is specified as

I already read this data sheet and understand MSu001 completely and know how to

below descriptions as well as form A and form B.

specify to fit my requirement.

T O :

Attention :

MSu001/u001T