价格争议调解处理申请书

来源:未知 发布时间:2020-07-28

价格争议调解处理申请书
申请人(甲):          性别:    年龄:          
民族:               职业:                         
单位:                                      
住址:                                           
邮编:           电话:                       
传真:          电子邮箱:                  
法人代表:             职务:                 
住址:                    电话:              
委托代理人:          住址:                  
电话:                 
申请人(乙):          性别:    年龄:         
民族:               职业:                        
单位:                                     
住址:                                          
邮编:           电话:                      
传真:          电子邮箱:                  
法人代表:             职务:                  
住址:                    电话:              
委托代理人:          住址:                  
电话:                
价格争议事项:                                    
价格争议事实、请求及理由 (可另附页):                  
                                                                                    
                                                                                                                                   
                                                                                                                                   
                                                                                                                                   
                                                                                                                                                      
申请人提供的相关证据和材料:
申请人(甲):                                 
                                                                                                
申请人(乙):                                    
                                                                                                     
其他需要说明的有关事项(可另附页):                             
                                                                 
                                                                 
特申请                    对上述价格争议予以调解处理。
声明:1、该争议事项未经过其他价格争议调解处理机构调解。
      2、该争议事项未经提起诉讼、行政复议等其他法律程序。
 
申请人(甲)签名(盖章):   
 
申请人(乙)签名(盖章):               
 
 
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价格争议调解处理申请书