合同编号:________________
甲方(旅游者):______________________
□本人□法定代表人:__________________
国籍:________________________________
□身份证□护照□营业执照号码:________
地址:________________________________
邮政编码:____________________________
联系电话:____________________________
委托代理人:__________________________
联系电话:____________________________
邮政编码:____________________________
地址:________________________________
乙方(旅行社):______________________
注册地址:____________________________
旅行社经营许可证号码:________________
营业执照号码:________________________
邮政编码:____________________________
法定代表人:__________________________
职务:________________________________
联系电话:____________________________
委托代理人:__________________________
联系电话:____________________________
邮政编码:____________________________
地址:_______________________
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