通讯地址:________________________________________________________
邮政编码:________________________________________________________
营业执照注册号:__________________________________________________
企业资质证书号:__________________________________________________
法定代表人:____________________联系电话:________________________
委托代理人:____________________联系电话:________________________
委托销售代理机构:_______________________________________________
通讯地址:________________________________________________________
邮政编码:________________________________________________________
营业执照注册号:__________________________________________________
买受人:___________________________________________________________