转让方：（章）               受让方：（章）

                                       法定代表人：                 法定代表人：

                                       地 址：                      地 址：

                                       邮政编码：                   邮政编码：

                                       电 话：                      电 话： 
                                           
                                           传 真：                      传 真：

                                       开户银行：                   开户银行：

                                       银行帐号：                   银行帐号：
                                       合同签订地点：

                                       合同签订时间：＿＿＿年＿＿＿月＿＿＿日

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