甲方(买受人):______________________________________
国籍:________________________________________________
性别:________________________________________________
出生:________________________________________________
住所(址):__________________________________________
邮编:________________________________________________
联系电话:____________________________________________
传真:________________________________________________
证件类型:身份证□暂住证□护照□永久居留证□营业执照□
证件号码:____________________________________________
委托代理人:__________________________________________
身份证号码:__________________________________________
住所(址):__________________________________________
联系电话:____________________________________________
传真:________________________________________________
乙方(出卖人):______________________________________
住所:________________________________________________
邮编:________________________________________________
法定代表人:__________
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