Model distribution agreement

The following is a sample distribution agreement I have compiled for you for your reference!

Model Distribution Agreement (1) AgreementNo.: _ _ _ _ _ _ _

Party A: _ _ _ _ _ _ _ _ _ _ _

Party B: _ _ _ _ _ _ _ _ _ _ _

Party C: _ _ _ _ _ _ _ _ _ _ _ _

Based on the principle of mutual benefit, Party A, Party B and Party C have reached the following cooperation agreement on opening up the market of _ _ _ _ _ _ computer products and promoting the prosperity and development of their respective undertakings.

I. General principles

1. Subordinate distributors developed from "_ _ _ _ _ _ _ _ _ _ _" are called "_ _ _ _ _ _ _ _ _ _ _". After Party B inspected Party C and applied to Party A, Party A authorized Party C to be "_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _", and during the authorization period, Party C has the right to conduct legal commercial activities of _ _ _ _ _ _ _ _ _ computer products in the above name.

2. Party B conducts standardized management of Party C's sales operation, timely supplies to Party C, and assists Party C in developing _ _ _ _ _ _ computer business in the authorized area.

3. Party C shall truthfully fill in the Registration Form _ _ _ _ _ _ _ _ _ If there is any change, it shall submit a written explanation of the change and relevant documents after the change within _ _ _ _ _.

4. Party C has the right to evaluate and complain about the work of Party A or Party B (market order, marketing, business, product quality, customer service, etc.). ).

Party C has the obligation to increase the market share of computers. In business activities, we must maintain and enhance the image of Party A and its products. Party C shall not use "_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

Second, the sales policy

1. Price: Party C uniformly specifies the distribution price set for Party A from the delivery price (distribution price) of Party A or Party B, and Party B has the right to obtain the distribution price from Party A. ..

2. Price order: Party A, Party B and Party C are responsible for maintaining the market order and image of _ _ _ _ _ _. When Party C sells Party A's products, if it violates the price management system formulated by Party A, disturbs the market and harms the interests of Party A or Party B, Party A and Party B will give Party C a warning, deduct liquidated damages, stop the goods and cancel the monopoly qualification according to the circumstances. _ _ _ _ _ _ _ Computer retail profit (including disguised price reduction of gifts) shall not exceed _ _ _ _ yuan.

3. Sales statistics: Party C purchases contract products from Party A or Party B, and the delivery quantity is included in Party B's sales performance. Before _ _ _ _ of each month, Party C shall report to Party A the total delivery volume of last month confirmed by Party B as an important basis for Party A to provide market support to Party C. ..

4. Sales reward: In order to arouse sales enthusiasm, Party A will negotiate with Party B to establish a rebate base for Party C, and the rebate amount shall be borne by Party B. ..

5. Party C picks up the goods from Party B, and the transportation expenses shall be settled by both parties through negotiation. Party B shall be responsible for Party C's price protection, prototype policy and other related support.

Three. Business policy (in principle, if Party C purchases goods from Party B, it can only purchase goods from Party A with the consent of Party B if it is really because of reducing transportation costs, and the following terms are only applicable to Party C purchasing goods directly from Party A)

1. Ordering: When ordering from Party A, Party C must fill in "_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

2. Payment method: Party A adheres to the principle of cash on delivery, and Party C delivers cash or cheque to Party A before picking up the goods, or faxes payment vouchers (draft and telegraphic transfer) to Party A, and Party A arranges delivery after receiving the payment.

3. Price protection: When the price of Party A's products is adjusted, Party B shall provide price protection for the models that Party C enters and exits _ _ _ days before the price adjustment.

4. Transportation: Party A shall bear the freight of the goods from Party A to the place where Party C is located, and the specific mode of transportation shall be determined by Party A. ..

Fourth, service policy.

1. Party B is responsible for establishing "_ _ _ _ _ _ _ _ _ Authorized Computer Repair Center" to provide after-sales maintenance service guarantee for _ _ _ _ _ _ computer products sold by Party C. Party B may set up "_ _ _ _ _ _ _ _ _ Authorized Computer Repair Station" according to the strength, sales performance and geographical location of its subordinate "Authorized Monopoly Store" (.

2. Party B is responsible for providing technical advice and guidance on _ _ _ _ computer products to Party C and its users.

3. Party C accurately publicizes the maintenance service policy of _ _ _ _ _ _ computer products to users when they purchase. Party A has the right to supervise the service quality of Party B. If you are not satisfied with the after-sales service provided by the service organization authorized by Party B, Party C can complain to Party A. (For details of the above terms, please refer to _ _ _ _ _ _ computer after-sales service system).

Verb (abbreviation for verb) marketing policy

1. Image promotion: Party C shall not violate the regulations on using Party A's corporate logo when advertising.

2. Market investment: According to the market investment plan, Party A can invest in the market where Party C is located according to Party B's application, and cooperate with Party C to explore the local market.

3. Market support: If Party C's sales performance is outstanding, Party B can apply to Party A, and Party A can provide certain market support, including regular and quantitative distribution of various promotional materials for _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

4. After the project approved by Party A is implemented, Party C shall reimburse Party A with the approved application form, complete original advertisements, photos of publicity activities, expense invoices and copies of relevant contracts, otherwise Party A has the right not to reimburse. If it cannot be repaid within one month, the responsibility shall be borne by Party C..

Legal effect of intransitive verbs

1. Confidentiality clause: During the existence of the cooperative relationship between Party A, Party B and Party C, relevant information must be kept confidential, including product price, sales plan, customer list, financial information and technical secrets. Without the written permission of both parties, neither party shall disclose secrets to any fourth party.

2. The right to interpret this agreement belongs to _ _ _ _ _ _ Computer Co., Ltd. ..

3. This Agreement is made in triplicate, with Party A, Party B and Party C holding one copy respectively. Matters not covered in this agreement shall be settled by the three parties through consultation.

Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Seal: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Signature: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Signature time: _ _ _ _ _ _ _ _ _ _ _ _

Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Seal: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Signature: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Signature time: _ _ _ _ _ _ _ _ _ _ _ _

Party C: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Seal: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Signature: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Signature time: _ _ _ _ _ _ _ _ _ _ _ _

Model Distribution Agreement (II) Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Person in charge: _ _ _ _ _ _ _ _ _ _ _ _

Based on the principles of voluntariness, equality, honesty and credibility, Party A and Party B have reached the following agreement through friendly negotiation:

Article 1 Party A grants Party B the regional distribution right to distribute and sell products (hereinafter referred to as _ _ _ _ _ _ _ _ _ _ _ _ _) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Article 2 The authorized distribution period is _ _ _ _ _ years.

Article 3 Party B is an enterprise legal person or organization registered in the local administrative department for industry and commerce, and shall carry out independent accounting, independent operation and self-financing of its own property according to law. Party B shall operate in accordance with the law.

Article 4 The address of the authorized dealer is _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ And put it on record with Party A. Party B can only sell _ _ _ _ _ _ _ _ _ products in authorized stores, and provide relevant services for _ _ _ _ _ _ in strict accordance with Party A's relevant regulations.

Article 5 Rights and obligations of Party A

1. Party A has the right to request Party B to decorate the storefront according to the requirements of Party A's _ _ _ _ _ image scheme, and the expenses shall be borne by Party B. ..

2. Party A has the right to ask Party B to improve its daily business activities according to Party A's requirements, and learn and implement the relevant service standards and other systems formulated by Party A. ..

3. Party A has the right to supervise and inspect Party B's daily business activities, and correct the aspects that Party B does not meet Party A's requirements, and Party B shall fully cooperate.

4. Party A has the right to ask Party B to implement the national unified retail price set by Party A, and Party B shall not discount the sales without permission. Party A has the right to stop and deduct the deposit for private discount sales of Party B until Party B is disqualified as a dealer.

5. Party A has the right to ask Party B to participate in and implement all kinds of national or regional sales activities formulated by Party A, and Party B shall not refuse to participate in and implement the unified activities of Party A without Party A's consent.

6. Party A has the right to ask Party B to execute the ordering time and procedures specified by Party A, and Party A has the right to refuse Party B's ordering behavior in violation of Party A's regulations, and the losses caused thereby shall be borne by Party B. ..

7. Party A will no longer open an authorized dealer in this area without terminating the contract or reaching an agreement through consultation with Party B, so as to protect Party B's income right.

8. Party A has the right to adjust the treatment of Party B according to the operating conditions.

9. Party A is obliged to inform Party B that Party A shall not refuse Party B's order requirements on the premise that Party B's order can be satisfied.

10. Party A has the obligation to train Party B on new product knowledge, and shall not charge additional fees except necessary training fees.

Article 6 Rights and Obligations of Party B

1. Party B has the right to ask Party A to maintain the exclusive right to operate Party B's dealership in the agreed area, that is, there is no second authorized dealership in the agreed area.

2. Party B has the right to enjoy the same treatment as other authorized dealers under the same conditions.

3. Party B has the right to request to participate in various promotional activities involving authorized outlets organized by the company in the whole country or in the area where the authorized outlets are located.

4. Party B has the right to ask Party A to supply the products according to the date and quantity agreed by both parties.

5. Party B has the right to ask Party A to organize all kinds of business and product knowledge training.

6. Party B has the obligation to implement the sales price of products set by Party A, and shall not change the sales price without authorization.

7. Party B shall not transfer the authorized distribution qualification.

8. Party B has the obligation to implement the sales policy formulated by Party A; Have the obligation to sell products in accordance with Party A's sales rules; Have the obligation to provide services to Party A's preferential customers according to Party A's relevant regulations.

Article 7 Party A shall provide Party B with the ci image planning scheme of the authorized dealer and the operation manual of the authorized dealer. Party B shall conduct business activities in strict accordance with Party A's requirements. If Party A's sales activities involve Party B, Party B has the obligation to cooperate unconditionally.

Article 8 Party A shall instruct Party B to make preparations for opening a store. When Party A deems it necessary, Party B shall be educated and trained, and Party B shall actively cooperate with Party A's work, participate in the education and training work, and earnestly learn relevant sales skills and relevant commodity knowledge.

Article 9 In order to ensure the legitimacy of authorized dealers and the consistency of service quality, Party A has the right to guide and supervise Party B's business activities. Party B shall accept the guidance and supervision of Party A. Party B shall fully implement the operation manual provided by Party A for the authorized dealers of _ _ _ _ _ _ _ _. ..

Article 10 Party B must publicize Party A's corporate image, business policy and products according to Party A's correct requirements. Party B shall not print or publish any materials containing Party A's contents without authorization. Party B shall not publicize Party A's contents in public media without authorization.

Article 11 Party B shall not distribute products of other companies that are competitive with Party A and other products not provided by Party A. ..

Article 12 During the authorization period, Party B has no right to transfer all the equipment and technology delivered by Party A to Party B for use. Party B shall be responsible for the losses caused by the unauthorized disposal of Party A's assets.

Article 13 During the authorization period, if Party B violates Party A's management regulations and infringes on Party A's interests, Party A has the right to cancel Party B's distribution qualification at any time. Where losses are caused to Party A, Party A has the right to demand compensation from Party B. ..

Article 14 During the authorization period, Party B has the obligation to keep any information and documents provided by Party A confidential, and Party B shall not provide them to any third party without Party A's permission. At the end of the cooperation, Party B shall return the materials and documents provided by Party A to Party A. ..

Article 15 The term of validity of this contract is _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

Article 16 Any dispute arising from the execution of this contract shall be settled by both parties through consultation. If negotiation fails, it shall be under the jurisdiction of the people's court where Party A is located.

Article 17 This contract shall come into effect as of the date of signature by both parties.

Article 18 This copy is made in triplicate, one for Party B and two for Party A (one for the head office and one for the branch office).

Party A: _ _ _ _ _ _ _ _ _ _ Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Party B.

(Seal) (Seal)

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

Model distribution agreement (III) Party A: _ _ _ _ _ _ _ Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Address: _ _ _ _ _ _ _ _ _ Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Contact information: _ _ _ _ _ Contact information: _ _ _ _ _ _

According to the relevant provisions of the Contract Law of People's Republic of China (PRC) and the Trademark Law, Party A agrees that Party B can distribute Party A's "_ _ _ _ _ _" series of products. In order to clarify the rights, obligations and business relationship of both parties, both parties sign this contract through consultation on the principle of equality, voluntariness and mutual benefit.

Article 1 Term of Contract

This contract is valid for two years. From _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Party A designates Party B as "_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Article 2 Rights of Party A

1. Party A has the right to manage and supervise Party B's distribution of "_ _ _ _ _ _" series products.

2. Party A has the right to require Party B not to engage in business activities similar to this contract beyond the scope stipulated in this contract.

3. Party A has the right to give a warning to Party B's improper business methods. If the circumstances are serious, it will cancel its distribution qualification and pursue legal responsibility and economic compensation.

Four. Party A shall not be jointly and severally liable for Party B's business activities and illegal acts other than those stipulated in this contract.

Verb (abbreviation of verb) Party A has the right to verify the implementation of Party B's business projects in normal operation, especially the wholesale and retail prices and inventory of products.

The price of intransitive verbs is determined by Party A according to the market situation, as follows: (In order to protect the interests of agents, it is not convenient to list the preferential prices of agents here, and you can call for consultation if you are interested).

Article 3 Obligations of Party A

1. Party A has the obligation to assist Party B to establish and improve the distribution network system in the area specified in this contract.

2. Party A's various publicity activities in Party B's area should reflect Party B's name, address and contact information in relevant aspects, so as to improve Party B's popularity and promote product sales.

3. Party A is responsible for the product quality: within three months, if the product has quality problems (non-human reasons) or the product color needs to be changed, Party A can be responsible for replacing the product with the same specification under the condition that the product and packaging are intact, and Party A shall be responsible for the freight and insurance fees arising from the product quality problems, and Party B shall be responsible for the freight and insurance fees arising from the color of the goods; Quality problems caused by Party B are not within this scope.

Four. This contract will come into effect after being signed and sealed by both parties, and Party A will grant Party B a "dealer authorization card".

Article 4 Rights of Party B

1. Party B has the right to develop the distribution network of "_ _ _ _ _ _ _ _ _" series products and develop terminal dealers in the designated area.

2. Party B has the right to obtain unified support for product distribution and marketing advertising specified by Party A..

Three. Party B has the right to propose adjustments to Party A's sales system. ..

Article 5 Obligations of Party B

1. Party B must start to distribute the products within _ _ days after the signing of this contract, and the first payment shall be paid in one lump sum within _ _ days after the signing of this contract.

2. Party B must abide by Party A's relevant sales rules and regulations and accept Party A's supervision.

Three. Party B shall ensure that Party A's brand image, trademark P and its management system and norms are inviolable during the contract period. In case of such phenomena and behaviors, Party B has the obligation to assist Party A in taking legal or other solutions.

4. Without Party A's permission, Party B shall not provide Party A's distribution rights and products to third parties or other industries.

5. Party B can only use P to sell all kinds of promotional materials and products with Party A's product logo in the authorized area, and shall not sell Party A's products across regions, otherwise Party A has the right to terminate the contract, cancel the distribution right and take back the distribution board. Party B has no objection and settles the creditor's rights relationship with Party A on the same day.

6. Party B shall provide Party A with regular, accurate and timely reports on the purchase, sales and storage of products and other promotional items and other market information.

7. Party B shall not engage in competitive products of the same kind and with roughly the same price as Party A. ..

Article 6 Settlement and Delivery

1. Settlement method: cash purchase, cash on delivery.

2. Party B shall place an order with Party A _ _ _ days in advance according to the market sales situation, and remit the payment to Party A's account in time within _ _ _ _ days.

3. Party B places an order with Party A in written form, clearly indicating the variety, specification, quantity and delivery address of the goods. Party A will reply within working days after receiving Party B's order ... and deliver the goods to Party B timely and accurately according to the delivery address agreed by both parties within _ _ _ _ _ days after Party A receives the payment. The mode of transportation is mainly automobile transportation, and the freight shall be borne by Party B. If there is any shortage, Party A shall promptly notify Party B for negotiation.

4. When taking delivery, Party B shall check and inspect the package and quantity of the goods. If damage or quantity discrepancy is found, Party B shall immediately request the consignment department to issue relevant claim proof materials and notify Party A to assist in the claim.

5. Party B shall return the receipt to Party A within two days after receiving the goods. If it fails to do so, it will be deemed as correct acceptance.

Article 7 Principle of confidentiality

1. Except as required by law, Party B shall not show Party A's written business report P, price list and other relevant materials to a third party, and shall not engage in any activities that are detrimental to Party A's image P's interests.

2. Party B shall not disclose trade secrets P, enterprise vi standards and other materials that harm Party A's interests to a third party.

3. Party B has the responsibility to ensure that its employees do not disclose secrets about Party A and its products to third parties.

IV. The above clauses shall remain valid after the expiration of this contract for one year.

Verb (abbreviation of verb) The distribution authorization card and other documents provided by Party A to Party B belong to Party A, and Party B shall keep them intact during the contract period and return them to Party A on the termination date of the contract.

Article 8 Supplementary Provisions

1. In order to ensure the interests of Party B, Party A forbids the backward flow of goods, and so on. If Party B finds that goods from other regions have maliciously attacked the region, Party A shall compensate Party B for twice the amount of goods that have fled into the region, and Party B shall distribute Party A's products in the authorized region. If it is found that the goods have fled outside the officially authorized area, Party A shall also punish Party B at twice the amount of the goods that Party B has fled into the area, and either Party A or Party B has escaped for more than 3 times or 1 time.

2. If the annual cumulative purchase quantity of Party B is less than _ _ _ _, Party A has the right to cancel Party B's distribution qualification; If the annual purchase volume of Party B does not reach _ _ _ _ _ _ _, but the annual sales volume of Party B is higher than the average annual sales volume of all Party A's dealers, Party A can still retain Party B's distribution qualification through negotiation.

Three. When signing this contract, both parties shall attach the following documents (copy of business license, copy of tax registration, copy of legal person ID card, copy of legal person code, etc.). ). If there is an entrusted representative, an authorization document signed and sealed by the legal representative shall be attached.

Four. If there is any change in the accounts of Party A and Party B, it shall notify the other party in time, and the economic loss caused by not notifying the other party shall be borne by the party whose account is changed.

Article 9 Liability for breach of contract

1. In the process of distributing products, Party B shall abide by laws and bear all economic losses and criminal responsibilities caused by Party B's business activities.

2. Party A and Party B shall strictly abide by the responsibilities and obligations stipulated in this contract. If one party violates this contract, the breaching party shall bear all the responsibilities according to the provisions of this contract, except for force majeure (force majeure refers to natural disasters, national policies, wars and other events that cannot be foreseen by both parties and whose results cannot be avoided and overcome).

Article 10 Renewal and Termination of the Contract

1. If the contract expires, if it needs to be renewed, a written application shall be submitted to the other party one month before the expiration of the contract, and the contract can be renewed only after both parties reach an agreement through consultation, otherwise the contract will be terminated.

Two. In any of the following circumstances, this contract shall be terminated:

1. When the contract expires, both parties decide not to extend the contract term.

2. Due to the influence of national policies and laws, this contract cannot be continued.

3. If either party violates this contract, this contract will be automatically terminated, and the other party has the right to pursue its legal responsibility and economic compensation.

4. Due to force majeure, this contract cannot be executed.

5. Before the expiration of the contract, both parties can terminate the contract through consultation.

Article 11 Settlement of disputes

If there is any dispute between the two parties, it shall be settled through consultation in time; If negotiation fails, the court where Party A is located shall be the competent court, and legal measures shall be taken to solve the problem.

Article 12 This contract is made in duplicate, with each party holding one copy. Matters not covered in this contract shall be settled by both parties through consultation, and a supplementary agreement shall be signed, which has the same legal effect as this contract.

Party A: (Seal) _ _ _ _ _ _ _ _ _ _ _ _

Signature of legal person or entrusted agent: _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Party B: (Seal) _ _ _ _ _ _ _ _ _ _ _

Signature of legal person or entrusted agent: _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _