MCUez_doc_request.pdf

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MCUEZDRF/D
DOCUMENT REQUEST FORM
You can order printed copies of the MCUez documentation by completing this form and faxing it to
Motorola Fulfillment. Documentation cost for each family is $120 (includes shipping and handling).
Orders will be shipped within 3 days from receipt of order.
Fax literature requests to:
Attn: Motorola Fulfillment
Ken Cook Co.
Fax: (414) 466-0840
Check the appropriate MCUez literature package for:
Qty.
________ HC05 Family @ $120
________ HC08 Family @ $120
________ HC12 Family @ $120
Sub Total
Wisconsin resident add 5.5% tax
Total
HC05 Family
MCUEZDBG0508/D
MCUEZASM05/D
MCUEZLNK/D
MCUEZINS/D
MCUEZSWRG/D
____________
____________
____________
____________
____________
____________
HC12 Family
MCUEZDBG12/D
MCUEZASM12/D
MCUEZLNK/D
MCUEZINS/D
MCUEZSWRG/D
HC08 Family
MCUEZDBG0508/D
MCUEZASM08/D
MCUEZLNK/D
MCUEZINS/D
MCUEZSWRG/D
Payment:
MasterCard or Visa Account No.: ____________________________________________________
Expiration date: _________________ Name as it appears on card: __________________________
If ordering by check, shipment
will be made after check clears.
Signature _____________________________________
Daytime phone and fax numbers where you can be reached:
Name: _____________________________________________________________________________
Phone: _______________________ Fax: __________________ E-mail: _______________________
Address 1: __________________________________________________________________________
Address 2: __________________________________________________________________________
City/State/Country: ___________________________________________________________________
Zip/Country Code: ___________________________________________________________________
You will receive a fax acknowledgement of your order.

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