牡丹信用卡權(quán)利質(zhì)押合約
甲方(出質(zhì)人):____________ 乙方(發(fā)卡機(jī)構(gòu)):__________
有權(quán)簽字人:________________ 有權(quán)簽字人:________________
簽章:______________________ 簽章:______________________
地址:______________________ 地址:______________________
郵編:______________________ 郵編:______________________
電話(huà):______________________ 電話(huà):______________________
出質(zhì)日期:__________________ 簽約日期:__________________
登記機(jī)關(guān):__________________
登記編號(hào):__________________
登記日期:__________________