甲方(卖方)：______________________________________________ ;

注册地址：___________________________________________________ ;

营业执照号码：_______________ ;资质证书号码：_______________ ;

法定代表人：_________________ ;联系电话：___________________ ;

通讯地址：___________________________________________________ ;

邮编：_______________________________________________________ ;

委托代理机构：______________________________________________ ;

注册地址：___________________________________________________ ;

营业执照号码：_______________ ;资质证书号码：_______________ ;

法定代表人：_________________ ;联系电话：___________________ ;

通讯地址：___________________________________________________ ;

邮编：_______________________________________________________ .

乙方(买方)：______________________________________________ ;

住所(址)：_________________________________________________ ;

国籍：___________ ;性别：___________ ;出生年月：___________ ;

身份证 / 护照 / 营业执照号码：_______________________________ ;

通讯地址：___________________________________________________ ;

邮编：______________________ ;联系电话：____________________ ;

移动电话：__________________ ;电子邮箱：____________________ .

委托 ( 法定 ) 代理人姓名：___________ ;国籍：____________ ;

住所(址)：_________________________________________________ ;

身份证：_____________________________________________________ ;

通讯地址：___________________________________________________ ;

邮编：______________________ ;联系电话：____________________ .

委托代理机构：______________________________________________ ;

注册地址：___________________________________________________ ;

营业执照号码：______________ ;资质证书号码：________________ ;

法定代表人：________________ ;联系电话：____________________ ;

通讯地址：___________________________________________________ ;

邮编：_______________________________________________________ .