| Sample Request Instructions/Guidelines |
- Be sure to fill in all fields completely.
- If you do not wish to have any alternate speeds or packages, put "no alternatives" on the box where it asks for alternative speed and package on the request. (Note: if you do not fill that out, we will automatically upgrade to a higher speed or different temperature).
- Please refer to your local Sales Representative for maximum sample order quantities.
- Allow 72 hours for processing and shipping. If products requested are not currently available in sample stock your Representative will let you know the shipping schedule.
- Orders are shipped Federal Express (2 Day) to your local rep every Tuesday or Thursday.
- If you require faster shipment Atmel can charge your shipping carrier (Example: Fed Ex, UPS, or Airborne) account directly. You MUST include a shipping account number and carrier name. Atmel will not "rush ship" without this information.
Fields marked with an asterisk (*) are required. |
| Contact Information |
| First Name* |
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| Last Name* |
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| Job Title* |
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| Job Function* |
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| Company* |
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| Address 1* |
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| Address 2 |
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| City* |
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| State/Province* (US and Canada only) |
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| Region* (only if outside US and Canada) |
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| Postal Code* |
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| Country* |
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| Telephone* |
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| Email* |
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| Fax |
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| Products Requested |
Part Number* |
Quantity* |
Alternative Speed or Package* |
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| Application |
Telcom |
Consumer/Automotive |
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Computer |
Industrial/Military |
| Network |
Other |
| Potential Production Quantity |
Near Term*
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Long Term*
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| First Buy Date* |
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| Parts per Board* |
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| Urgent Sample Shipping |
Carrier Name |
| Priority Account |
| Comments or Action |
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