ACKNOWLEDGMENT AND ACCEPTANCE

OF ORDER

Date: _

To: _ [Customer]

We are in receipt of your order as contained in the

attached purchase order form.

We confirm acceptance on said order subject only to the

following exceptions: [Describe]

_

On exceptions noted, we shall assume you agree to same

unless objection is received within ten days of receipt of

this notice.

Thank you for your patronage.

Very truly,

_______________________________