法定代表人:________________ 法定代表人:________________
委托代理人:________________ 委托代理人:________________
住所:______________________ 住所:______________________
身份证:____________________ 身份证:____________________
电话:______________________ 电话:______________________
开户行:____________________ 开户行:____________________
户名:______________________ 户名:______________________
帐号:______________________ 帐号:______________________
