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：______________________
【委托代理人】【 】姓名：____________国籍：_____________
地址：__________________________________________________