合同订立时间:________ 年__________ 月__________ 日
合同订立地点:_________________________________________________________________
本合同双方约定_________________________________________________________后生效。
发包人:(公章)_______________________承包人:(公章)______________________________
住所:_______________________________住所:______________________________________
法定代表人:_________________________法定代表人:________________________________
委托代表人:_________________________委托代表人:________________________________
电话:_______________________________电话:______________________________________
传真:_______________________________传真:______________________________________
开户银行:___________________________开户银行:__________________________________
账号:_______________________________账号:______________________________________
邮政编码:__________________________邮政编码:_________________________________。