_________字第_________號
no：_________
日期：_________
date：_________
簽約地點：_________
signed at：_________
賣方：_________
sellers_________
地址：_________
address：_________
電報掛號：_________
cable address：_________
茲經賣買雙方同意成交下列商品訂立條款如下：
the undersigned sellers and buyers have agreed to c'ose the following transactions according to the terms and conditions stipulated below：
1．商品_________
name of commodity：_________
2．規格_________
specification：_________
3．數量_________
quantity：_________
數量及總值均得有_________％的增減，由賣方決定。
_________％ more or less both in amount and quantity allowed at the sellers' option.
4．單價：_________
unit price：__________
5．總值：_________
total value：_________
6．包裝：_________
packing：__________
7．裝運期：_________
time of shipment：__________
8．裝運口岸和目的地：_________
loading port & destination：_________
9．保險：_________
insurance：_________
10．付款條件terms of payment：買方須於_________年_________月_________日前將保兌的、不可撤銷的，可轉讓可分割的即期信用證開到賣方，信用證議付有效期延至上列裝運期後_________天在_________到期。
by confirmed irrevocable， transferable and divisible letter of credit to be available by sight draft， to reach the sellers before _________ and to remain valid for negotiation _________until the day after the aforesaid time of shipment.
11．裝船標記_________
shipping mark：_________
12．品質、數量、重量，以中國商品檢驗局檢驗證或賣方所出之證明書為最後依據。
quality， quantity and weight certified the china commodity inspection bureau or the sellers， as per the former's inspection certificate or the latter's certificate，are to be taken as final.
賣方（簽章）：_________買方（簽章）：_________
the sellers：_________ the buyers：_________