X X X 酒店L O G
购买药品委托书
A U T H O R I Z A T I O N O F M E D I C I N E P U R C H A S E
本人, , 入住晋江佰翔世纪酒店 房间，授权
该酒店员工按照本人如下要求为本人购买药品，而该酒店和酒店员工无需承担任何责任。
I, of Fliport Shiji
Hotel Jinjiang, would like to authorize the staff of this hotel to purchase the medicine for me according to my requirement as stated below. The hotel management and the staff will not take any liability whatsoever caused by this.
***************************************************************
1) 药品名称： − Medicine ： 1. 所需药品的说明：
− Description of the medicine expected:
***************************************************************
客人姓名 / Guest name:
房间号码 / Room No.: 经办人 / Handled by: 日期 / Date:
证件号码 / PP or ID No. :
X X X 酒店L O G
购买药品委托书
A U T H O R I Z A T I O N O F M E D I C I N E P U R C H A S E
本人, , 入住晋江佰翔世纪酒店 房间，授权
该酒店员工按照本人如下要求为本人购买药品，而该酒店和酒店员工无需承担任何责任。
I, of Fliport Shiji
Hotel Jinjiang, would like to authorize the staff of this hotel to purchase the medicine for me according to my requirement as stated below. The hotel management and the staff will not take any liability whatsoever caused by this.
***************************************************************
1) 药品名称： − Medicine ： 1. 所需药品的说明：
− Description of the medicine expected:
***************************************************************
客人姓名 / Guest name:
房间号码 / Room No.: 经办人 / Handled by: 日期 / Date:
证件号码 / PP or ID No. :