委托代理机构：_______________________________________________________________
注册地址：___________________________________________________________________
营业执照注册号：_____________________________________________________________
法定代表人：_________________ 联系电话：____________________________________
邮政编码：___________________________________________________________________
买受人：_____________________________________________________________________
【本人】【法定代表人】姓名：___________ 国籍：______________________________
【身份证】【护照】【营业执照注册号】【】_____________________________________
地址：_______________________________________________________________________
邮政编码：___________________ 联系电话：____________________________________