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：__________
