Date: _

To: _ (Supplier)

We received goods from you pursuant to our order or
contract dated _, 19_.
We hereby reject said goods for the reason(s) checked
below:
__ Goods were not delivered within required time.
__ Goods were defective as described on reverse side.
__ Goods were non-conforming to sample or specifications
as stated on reverse side.
__ Notice of acceptance of our order, as required, has
not been received, and we ordered the goods from other
sources.
__ Prices for said goods do not conform to quote,
catalogue or order.
__ Goods represent only a partial shipment.
__ Other (Describe) _
Please issue appropriate credits or refunds if prepaid,
and provide instruction for return at your expense. Rejection
of said goods shall not be a waiver of any other claim we may
have.

Very truly,

_______________________________