NOTICE OF REJECTION OF GOODS

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，

______________________________