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：__________
