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Advantech RISC DTOS / ODM Application Form 2005/3/24 1 / 9 Rev. 1.06 Advantech RISC DTOS / ODM APPLICATION FORM v1.06 Date D) M) Y) Project No : Customer Application version : Applicant Information (Advantech contact window) Name E-mail Office Phone Ext. # Mobile FAX RBU / Distributor Customer

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