注册地址:
法定代表人:_________职务:_____________电话:_________
授权委托代理人:______________职务:______电话:_______
乙方:_________________________________________________
〖本人〗〖法定代表人〗〖授权委托人〗姓名:_________
〖身份证号〗〖营业执照号〗:______________________________
地址:_____________________________________________________