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，
