公司/社团名称(中英文):Company/Organinzation Name in  Chinese/English  | 
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负责人姓名:Name of Chief Executive  | 
    职务:Position  | 
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业务范围:Business Scope  | 
    法人代表盖章签字:Seal And Authorized Signature  | 
    
联系人:Contact Person  | 
    职务:Position  | 
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联系电话:Telephone  | 
    传真号码:Fax  | 
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电子邮箱:E-mail  | 
    官方网站:Offcial Website  | 
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通讯地址:Mailing Address  | 
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备注:remarks  | 
    申请日期:Date   |