order contract

9 essays on ordering contracts

With the legal concept deeply rooted in people's hearts, the status of contract can not be ignored more and more. The purpose of signing a contract is to protect the interests of both parties and avoid unnecessary disputes. What is the contract you have seen? The following are nine purchase contracts that I have compiled. Welcome to read the collection.

Order Contract 1 Party A: ProjectNo.:

Party B: ContractNo.: Contract date: product name, brand, model, quantity and amount.

1. Quality requirements, technical standards, conditions and time limit for Party B to undertake quality responsibility: the product quality is qualified.

2. Place, method and time of delivery: Party B will deliver the goods before 20xx (date).

Three. Packaging standards, supply and recovery of packaging materials and expenses: Party B shall bear and ensure that the goods are in good condition.

Four. Acceptance standards, methods and time limit for raising objections: According to the relevant national standards and the sample acceptance confirmed by the buyer, if Party A has quality problems within the service year, the supplier shall replace them.

5. Quantity and supply mode of spare parts, accessories and tools: all accessories are complete.

Intransitive verb payment plan: after the contract is signed, 20% of the contract amount will be paid in advance (in words: RMB); Pay 50% of the contract amount after delivery.

Seven. This contract shall come into effect as of the date of signature and seal by both parties.

Eight. This contract is made in duplicate, one for each party, with the same legal effect.

Party A: Party B:

date month year

Article 2 of the order contract Party A:

Party B:

Due to the production needs of Party A, we now order and print the following printed materials from Party B, and the following contract is reached through negotiation between both parties:

1. Name, quantity and delivery date of printed matter:

2, processing raw materials:

3, quality and style:

① Quality:

② Style:

4, the difference between the order quantity range:

5. Payment settlement.

6, raw material supply:

Party A will process the materials, and Party B will handle the shipment. The payment will be settled by Party A's invoice when Party B delivers the goods.

7. After the printed version is confirmed, both parties shall notify both parties to change it half a day in advance, and agree through consultation, otherwise, they shall bear the liability for breach of contract and compensate the losses caused by the other party.

8. Foreign users can be transported by Party B, and the goods will be delivered immediately after being shipped out by Party B, and all packing and transportation fees will be borne by Party A. ..

9. This contract is made in duplicate, one for each party.

10. If there are any matters not covered in this contract, both parties shall modify it through consultation.

Party A: (Seal)

Party B: (Seal)

Address:

Address:

Bank of deposit:

Bank of deposit:

Account number:

Account number:

Telephone:

Telephone:

Article 3 of the Order Contract: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Address: _ _ _ _ _ _

Postal code: _ _ _ _ _ _

Tel: _ _ _ _ _ _

Legal Representative: _ _ _ _ _ _

Title: _ _ _ _ _ _ _ _ _

Demand side: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Address: _ _ _ _ _ _

Postal code: _ _ _ _ _ _

Tel: _ _ _ _ _ _

Legal Representative: _ _ _ _ _ _

Title: _ _ _ _ _ _ _ _ _

I. Product name, trademark, model, quality, quantity, amount, delivery time and quantity

product

name

trademark

trademark

standard

model

measure

unit

amount

unit price

a sum of money

Delivery time and quantity

total

Total amount of RMB (in words) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Second, quality requirements, technical standards, conditions and deadlines for suppliers to be responsible for quality.

________________________________________________________________

Third, the delivery (delivery) method

________________________________________________________________

Four, the mode of transportation and the cost burden of the arrival station (port)

________________________________________________________________

Verb (the abbreviation of verb): the way to accept and the time limit for raising objections.

________________________________________________________________

Six, packaging standards, packaging supply and recycling and cost burden

________________________________________________________________

Seven. Range, loss and calculation method of overrun and underload

________________________________________________________________

Eight, random accessories, spare parts, tools supply method

________________________________________________________________

Nine. Settlement method and time limit

________________________________________________________________

X. liability for breach of contract

________________________________________________________________

XI。 guarantee

________________________________________________________________

Twelve. Methods of resolving contract disputes

________________________________________________________________

Thirteen. This contract is signed on _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Validity period:

________________________________________________________________

Fourteen Other agreed matters.

________________________________________________________________

provider

Company name: _ _ _ _ _ _ (official seal)

Representative: _ _ _ _ _ _

Authorized Agent: _ _ _ _ _ _

Bank of deposit: _ _ _ _ _ _

Account number: _ _ _ _ _ _

Tel: _ _ _ _ _ _

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

Demand side

Company name: _ _ _ _ _ _ (official seal)

Representative: _ _ _ _ _ _

Authorized Agent: _ _ _ _ _ _

Bank of deposit: _ _ _ _ _ _

Account number: _ _ _ _ _ _

Tel: _ _ _ _ _ _

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

Ordering contract Article 4 Product ordering contract

Contract number:

Signing place:

Signature time:

Party A: (hereinafter referred to as Party A)

Party B: (hereinafter referred to as Party B)

Party A entrusts Party B to produce, and both parties reach the following terms through negotiation:

A, material requirements:

The overall material of the product is (Party B shall provide material guarantee);

Two. Appearance standard (see Annex I):

Third, the quality standard:

Party B shall provide products according to the design samples and styles provided by Party A (see Annex 1), and the quality requirements shall be strictly in accordance with the environmental protection and non-toxic technical standards required by Party A, and the products shall meet the quality standards that are non-toxic and harmless to human body.

Four. pay

1. The unit price of this product is RMB (,the quantity is one, the mold opening fee is RMB (RMB only), the total product price is RMB (RMB only), and the product production cycle is 10 day.

2. After Party A confirms the molds and samples developed by Party B, it will formally place a customized product order with Party B, and pay an advance payment of RMB% of the total contract price within 5 working days after Party A places the customized product order; The remaining% of the total contract amount is RMB (in words) only, and the payment method is (a, cash on delivery; B, collected by the freight company; C, after the quality acceptance, payment delivery).

3: Party A shall remit to the following bank account designated by Party B by way of transfer.

Party A's remittance to the following bank account shall be deemed as the completion of the payment obligations under this contract.

Party B's account information

Company name:

Bank of deposit:

Account number:

4. Party B shall provide Party A with an invoice that meets the requirements of the tax authorities within five days after receiving all the money.

4. Delivery date: Party B shall deliver the goods within days from the date of receiving the advance payment, and the quantity of the goods is.

Verb (abbreviation of verb) Mode and place of transportation: Arrive at _ _ _ _ _ _, and press _ (A: Delivery.

Shipping company consignment; B: Party B shall be responsible for the delivery.

6. Freight burden: It shall be borne by Party A, and Party B shall provide invoices or evidence of the expenses incurred in this freight.

Seven. Liability for breach of contract:

1. If the product quality (or raw materials) is problematic and harmful to human body, Party B shall immediately stop production and send the product to the quality inspection department for inspection. If any damage is caused to any third party, Party B shall bear all the responsibilities. If the sales and reputation of Party A are affected by the suspension of production, Party A has the right to claim compensation from Party B; After acceptance, Party B shall still be responsible for any losses caused to the third party due to the quality of Party B's materials and raw materials.

2. If Party B fails to deliver the goods in time, Party A has the right to demand compensation from Party B, and pay liquidated damages to Party A every day according to the contract amount, which is 0.2 ‰ of the total amount of the current order.

3. If the samples sent by Party B are quite different (including the damage caused by logistics and transportation), Party A shall notify Party B within 5 working days, and Party B will make up the corresponding samples or refund the corresponding funds after confirmation. If losses are caused to Party A, Party B shall be liable for compensation.

4. Party B shall bear all legal responsibilities and economic losses of Party A due to the quality of products or raw materials produced by Party B. ..

5. The products entrusted by Party A to Party B have been patented by relevant departments, and Party B shall keep the design samples confidential. Without Party A's consent, Party B shall not produce products with the same appearance for any third party; If products with the same appearance are produced for any third party without Party A's consent, Party B shall compensate Party A for all losses caused thereby.

Eight, the production allowed standard is the order real number plus or minus 10%, and the settlement is subject to the actual delivery number.

Nine. This contract is made in quadruplicate, with each party holding two copies, all of which have the same legal effect. This contract is signed by the representatives of both parties.

It takes effect after being sealed, and it has the same legal effect when signed by fax.

X. Other matters not covered can be negotiated and supplementary terms signed. If negotiation fails, it shall be under the jurisdiction of the court where Party A is located.

XI。 Annex to the contract

Appendix 1: Draft design sample

Appendix 2: A copy of Party B's business license and qualification certificate with official seal.

Party A:

Signature representative:

-Telephone:

Fax:

-Address:

Postal code:

Party B:

Signature representative:

Telephone:

Fax:

Address:

Postal code:

Article 5 of the Purchase Order Contract: (hereinafter referred to as Party A)

Supplier: (the person in charge is XXX, hereinafter referred to as Party B)

According to the Contract Law of People's Republic of China (PRC) and other laws and regulations, the Contract is hereby concluded through negotiation:

Article 1 Party A orders the following Universe brand security doors from Party B, and their product names, specifications and technical indicators are as follows:

Variety name: Cosmic Sun God; Doorbell: invisible doorbell; Cat eye: wide-angle cat eye; Hinge: new adjustable; Side lock: Yes; Color: half red;

Handle: black gold wire drawing; Blank holder ring: T-shaped, used to strengthen the big side; Lock: ABC insert 75# eccentric; Thickness mm: front plate: 1 rear plate: 0.8 frame plate: 2

Grade: Grade A.

The specifications and dimensions of each set of doors shall be subject to Party B's measurement at Party A's site.

Article 2 The order quantity is 5,000 sets, each set is 1 1,000 yuan, and the total amount is Wu Bai ten thousand yuan only (¥ 5,000,000.00). The total contract price includes all spare parts including tax before design, manufacture, packaging, storage, transportation, installation, debugging, protection, acceptance and quality guarantee period.

The total contract price also includes the accompanying service and after-sales service fees that Party B should provide.

Article 3 Payment Terms

Pay 50% of the payment within three days after the signing of the contract, that is, RMB two million five hundred thousand Yuan only (RMB 2,500,000.00), and pay 30% of the payment after the goods arrive at the site, that is, RMB one million five hundred thousand Yuan only (RMB 65,438+0,500,000.00), and the remaining 20% will be paid after the installation is completed and accepted.

Article 4 Delivery and Installation Provisions

1. Delivery place: Party B is responsible for transporting to the project site of a residential area in Kaili, Guizhou.

2. Installation completion date: 20xx165438+1October 20th (including that day, the same below) to complete all installation tasks, and timely notify Party A for acceptance.

3. Party B shall provide Party A with a complete set of technical materials, factory certificates, inspection reports, company qualifications and other relevant materials as well as other materials required by Party A. ..

Article 5 Warranty clause

According to the relevant provisions of the national commodity "Three Guarantees", the warranty period agreed in this contract is one year, counting from the second day after Party A confirms the acceptance; The warranty content is that all damages caused by non-human factors are within the warranty scope, and the completion of this order contract will not affect the existence of the "three guarantees" warranty period of the goods.

Article 6 of the order contract Supplier: _ _ _ _ _ (hereinafter referred to as Party A)

Buyer: _ _ _ _ _ _ (hereinafter referred to as Party B)

In accordance with the relevant provisions of the Contract Law of People's Republic of China (PRC), the following contract is hereby signed by both parties through consultation:

I. Contents of the contract:

1. Desk: specification, _ _ _ _ _ _, with cabinet, _ _ _ _ _ _ _, high-density plywood.

2, bookcase: specifications _ _ _ _ _ _ _. _ _ _ _ _ _ _ is made of main materials.

3. Chairs are highly matched according to national standards.

4, the style is still the same.

2. Quantity, unit price and amount:

Make * * * _ _ _ _ sets of office desks and chairs for primary schools,

Price: the table is _ _ _ _ _ _ _ _ yuan/set (including cabinets), the chair is _ _ _ _ _ _ _ _ _ _ _ _ _, and the total amount is _ _ _ _ _ _ yuan/set. (Remarks shall be made according to the existing specifications, styles, dimensions and quality on site). These prices are fixed, including tax, installation fee and freight, and the buyer will not bear any other expenses.

Third, the quality requirements:

Party A shall make samples according to the requirements of Party B, and the samples shall be approved and sealed by Party B.. Party A shall produce and deliver samples as required. If there are production problems, Party A shall be responsible for making corrections. (Note: Materials, materials and dimensions must be consistent with Party B's sample. If it is not produced according to Party B's model, Party A shall be responsible for replacing the teaching staff and bear the corresponding economic responsibilities. )

Iv. Processing and after-sales service:

Article 7 of the order contract Party A: Party B:

Address: Address:

Tel: Tel:

Through friendly negotiation, both parties agree to abide by the following terms and conditions on the basis of equality:

1. The materials that Party A requires Party B to sample, whether they are surface materials, bottom materials or packaging materials, shall be marked with the process requirements and delivery deadline in writing, and signed by the unit supervisor for confirmation.

2. All molds that Party A requires Party B to open shall be carried out according to the procedures. Open the sample mold first-confirm OK-open the whole set of molds, and all technical requirements and confirmation results should be handed over in writing.

3. Party A shall provide necessary signature color cards and technical materials, and Party B shall guarantee to complete Party A's order tasks on time and with good quality.

4. If Party A suffers economic losses due to late delivery or quality problems, Party B agrees to impose a fine of at least 1000 yuan.

This agreement is made in duplicate, one for each party.

Seal of Party A: Seal of Party B:

Manager's signature: Manager's signature:

Date of signature: year month day.

Article 8 of the Order Contract (Buyer) (hereinafter referred to as Party A)

(Supplier) (hereinafter referred to as Party B)

Through negotiation and in accordance with the provisions of the economic laws of People's Republic of China (PRC) and China, this contract is hereby concluded as follows: Article 1 The total value of orders from Party A to Party B is RMB. The table lists the product name, specifications, quality (technical indicators), unit price and total price.

Article 2 The goods provided by Party B must provide the inspection report and product ex-factory certificate issued by the national authoritative department.

Article 3 Acceptance Methods

1. Check the outer packaging of ceramic tiles.

1) Carefully check whether the relevant signs on the product packaging box are clear, including the brand, trademark, model, color number, specification, production batch number or production date of the product;

2. Check whether the delivered products conform to the order.

1) Check whether each model of ceramic tile is consistent with the model on the order;

2) Check whether the products delivered by each model are consistent with those when looking at the goods;

3) Check whether the blank tile trademark of each tile is clear and correct. !

4) Check whether the delivery varieties are missing!

3. Check the number of tiles. Carefully check the number of tiles and pay attention to the conversion between the number of tiles and square meters.

4, check the quality of ceramic tile inspection focus on the following aspects:

1) the quality of spare parts and parts, whether there are surface defects such as corners and scratches, and whether the waist line of ceramic tiles is bumped;

2) Check whether the tiles are damaged. You can shake the packing box by hand to hear if there is a "crunch" sound. If there is a creaking sound, the tiles may be damaged. Be sure to unpack and inspect the goods!

3) Check the flatness of the tile: Take out two pieces of products of the same model on the horizontal plane and slide back and forth along the edge of the tile with the fingertips of both hands. If there is no obvious hand lag after passing through the tile seal, it means that the tile size is better and the error is small, so the smaller the size error, the better the tile paving effect will be! On the contrary, if there is an obvious feeling of sticking tiles by hand, it means that the size error of tiles is large, which will affect the effect of paving!

4) Check the flatness of ceramic tiles. Spread two or four tiles of the same model on a plane according to the same lines, and slide back and forth on the surface of the tiles by hand. If there is no obvious sense of height after the tiles are attached, it means that the tiles have good flatness. On the contrary, it shows that the flatness of ceramic tiles is poor, which will affect the overall effect of tile paving. The flatness of ceramic tiles is poor, which will trip people when it is serious!

5) Right angles of tiles At present, tiles are mostly rectangular, and every corner of tiles is right angles. If the right angle is poor, it will also affect the tile paving effect. Take four tiles of the same model and splice them together. If four tiles can't fit closely, there is always a gap in one or two joints, indicating that the right angle of the tiles is not particularly good.

5. Check the unit price and total price of tiles again.

Article 4 Payment and settlement methods of payments and fees.

1) Party A will organize acceptance after receiving the goods, and issue a product receipt after passing the acceptance. Party B shall go to Party A's finance department to handle the payment formalities with the on-site product receipt and the official invoice of the corresponding amount (80% of the total price of the goods). 2) After the paving is completed, if there are no quality problems, Party A will pay Party B 10% of the total price of the corresponding goods. 3) When the project is completed without replenishment, Party A shall settle the account according to the actual received quantity and pay the balance to Party B at one time.

Article 5 Terms of Delivery

1. Delivery method: Party B shall be responsible for transporting the products to the construction site, Party A shall designate the site material docking point, and Party A shall be responsible for unloading.

2. Delivery place: the construction site of this project.

3. Delivery Date: _ _ _ _ Article 6 Economic Responsibility

(I) Economic responsibilities that Party B shall bear

1. If the design, variety, specification and quality of the product do not conform to the provisions of this contract, if Party A agrees to use it, the price will be determined according to the quality. If it cannot be used, Party B shall be responsible for the return and replacement. If the delivery time is delayed due to the above reasons, Party B shall pay Party A liquidated damages for overdue delivery at the rate of three ten thousandths of the total overdue payment.

2. When Party B fails to deliver the goods according to the quantity stipulated in this contract, Party A shall make up the missing part if necessary. If Party A doesn't need it, it can return it. The losses caused by the return of goods shall be borne by Party B. If Party A needs it, Party B shall pay Party A a fine of 5% of the total value of the undelivered part.

3. If the delivery time of the products is not in conformity with the contract, Party B shall pay Party A a fine of three ten thousandths of the total value of the delayed delivery for each day.

(II) Economic responsibilities of Party A

1. If Party A returns the goods midway, it shall negotiate with Party B in advance, and the returned quantity shall not exceed 5% of the total contract amount. If Party B agrees to return the goods, Party A shall pay Party B a fine of 65438+ 0% of the total value of the returned goods. If Party B does not agree to return the goods, Party A will still receive the goods according to the contract.

2. When Party A fails to deliver the technical data, raw materials or packaging materials to Party B according to the specified time and requirements, Party B may postpone the delivery date.

3. If Party A fails to pay Party B on the specified date, Party A shall pay Party B a penalty of three ten thousandths of the total delayed payment for each day of delay.

4. If Party A refuses to accept the products delivered by Party B, Party A shall bear the losses, transportation expenses and fines caused thereby.

Article 7 If the product price needs to be adjusted, it can only be changed after both parties negotiate and report to Party A for approval. Before the approval of Party A, the original contract price shall still be implemented. If the delivery is affected by the price problem, Party B shall pay Party A a penalty of three ten thousandths of the total value of the delayed delivery every day.

Article 8 If Party A and Party B or any party wants to dissolve this contract in whole or in part, they must give sufficient reasons, negotiate with both parties and report to the higher authorities for the record. The party who proposes to terminate the contract shall pay the other party 5% of the total amount of the termination of the contract.

Article 9 In case of major changes in raw materials, production equipment, production technology or market, if Party B needs to change the product variety, color, specification, quality and packaging, it shall negotiate with Party A _20_ days in advance. Article 10 All terms and conditions stipulated in this contract shall not be changed or modified by any party without authorization. If one party independently changes or modifies this contract, the other party has the right to refuse to produce or receive the goods, and demand the party that independently changes or modifies this contract to compensate all losses.

Article 11 If either party is unable to perform this contract due to force majeure, it shall promptly notify the other party of the reasons why it is unable to perform or needs to postpone or partially perform this contract. After obtaining the certificate from the competent authority of the other party, this contract may not be performed or postponed or partially performed, and the liability for breach of contract may be exempted. Article 12 In case of disputes or disputes during the execution of this contract, Party A and Party B shall settle them through consultation. If negotiation fails, either party may apply to the contract management authority stipulated by the state for mediation and arbitration. If one party refuses to accept the arbitration, it may bring a lawsuit to the people's court within 15 days after receiving the arbitration.

Article 13 This contract shall come into effect as of the date of signature by both parties, and shall become invalid after Party B delivers all the goods to Party A for acceptance and settles the payment according to the provisions of this contract.

Article 14 During the execution of this contract, if there are any matters not covered, Party A and Party B may formulate additional supplementary terms through consultation as annexes to this contract. All supplementary clauses have the same legal effect as this contract.

Article 15 This contract is made in quadruplicate, with Party A and Party B holding two copies respectively. A contracting party:

Party A: _ _ _ _ _ _ (seal) Party B: _ _ _ _ _ (seal) Handler: Handler: Person in charge: Address: _ _ _ _ _ _ _ Telephone: _ _ _ _ _ _ Bank, account number: _ _ _ _ Person in charge: Address.

_ _ _ _ _ _ _ _ _ _ _

Order Contract No.9: _ _ _ _ _ _ Signing address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Party A (full name):

Party B (full name):

According to the Contract Law of People's Republic of China (PRC) and relevant regulations, both parties reached an agreement through friendly negotiation and signed this contract.

1. Party A entrusts Party B to make a series of clothing products. Please refer to the attached table for specific specifications, models, quantities, unit prices and prices.

2. Product quality standards, special process requirements and expenses:

Three. Time and mode of delivery: Party B shall deliver the goods within working days after receiving the advance payment from Party A, and the mode of delivery shall be determined by both parties through consultation. Party A confirms the delivery and signs the delivery note of Party B. ..

Four. Acceptance standard and time limit: Party A shall conduct acceptance according to the sample clothes standard within the day of receipt. If there are any quality problems, they should be raised here, and the overdue time should be borne by Party A..

Verb (abbreviation for verb) Packaging requirements and expenses:

Intransitive verb delivery method and place (delivery):

Seven. Amount and time of deposit and advance payment:

Eight. Settlement method and time limit: Party A shall pay off the payment in cash or by transfer within the date of receiving the payment.

Nine. Service commitment:

1. In case of product quality problems due to Party B within one month after the product is delivered for use, Party B shall be responsible for replacement and modification, and the expenses shall be borne by Party B.. ..

2. After this batch of production, if Party A requests additional production, on the basis that the fabric specification, quality and price are the same as this product, Party B will make it according to the sample clothes standard, and both parties will sign a new contract through negotiation.

X. liability for breach of contract:

1. Party B's processing and production shall be subject to the sample clothes confirmed by Party A. If Party A proposes to change the fabric, style and color during the processing, the resulting

Party A shall bear the responsibilities and expenses, and extend the delivery date accordingly. If Party A fails to pay the advance payment as agreed, Party B shall not pay the advance payment and extend the delivery date accordingly until Party A pays the advance payment and starts to pay according to the corresponding requirements of the contract; If Party A fails to deliver the goods according to the agreed time, Party A shall pay Party B liquidated damages at the interest rate of 5%/ month of the unpaid goods.

2. If the fabric, style and color need to be changed due to Party B, Party A's consent is required, otherwise the responsibilities and expenses arising therefrom shall be borne by Party B. If the delivery date needs to be extended, both parties shall negotiate separately.

1 1. If the contract cannot be performed due to force majeure and reasons not attributable to both parties, the liability for breach of contract may be exempted.

12. Other outstanding matters shall be settled by both parties through consultation.

Thirteen. This contract is made in duplicate, one for each party, and shall come into effect as of the date of signature by both parties. After the transaction is completed (including payment), this contract will automatically become invalid.

Party A: (Seal) Party B: (Seal)

Legal representative: (signature) Legal representative: (signature)

Authorized Agent: (signature) Authorized Agent: (signature)

Contact address: contact address:

Tel: Tel:

Bank of deposit: Bank of deposit:

Account number: Account number:

Signing time: Year Month Date Signing time: Year Month Date