有價證券買入委託書

    ┌────┬─────────────────────────────┐
│證券種類│                                                          │
├────┼─────────────────────────────┤
│數    量│                                                          │
├────┼─────────────────────────────┤
│指定價格│                                                          │
├────┼─────────────────────────────┤
│預存金額│                                                          │
├────┼─────────────────────────────┤
│現 定 期│                                                          │
├────┼─────────────────────────────┤
│限    期│                                                          │
├────┼─────────────────────────────┤
│備    考│                                                          │
└────┴─────────────────────────────┘

上列證券委託 貴公司買入請即依照 貴公司代買證券規則辦理此致上海信託股份有限公司

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