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Date:
To: (Supplier)
We received goods from you persuant to our order or contract dated _____________, 20 _.
We hereby reject said goods for the reason(s) ticked below:
___ Goods were not delivered within required time.
___ Goods were defective as described on reverse side
___ Goods were non-conforming to sample specification 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, catalog or order.
___ Goods represent only a partial shipment.
___ Other (Describe)
Please issue appropriate credits or refunds if prepaid, and provide instructions for return at your expense.
Rejection of said goods shall not be a waiver of any other claim we may have.
Very truly,
___________________________