合同編號(hào)：_____________
保證人：_____________________________________________
法定住址：___________________________________________
法定代表人：_________________________________________
職務(wù)：_______________________________________________
委托代理人：_________________________________________
身份證號(hào)碼：_________________________________________
通訊地址：___________________________________________
郵政編碼：___________________________________________
聯(lián)系人：_____________________________________________
電話(huà)：_______________________________________________
傳真：_______________________________________________
帳號(hào)：_______________________________________________
電子信箱：___________________________________________