Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{company_phone}}
Email: {{company_email}}
Website: {{company_website}}
Delivery of Substituted Goods
**Delivery Note Number:** {{delivery_note_number}}
**Date:** {{date}}
**Customer Order Number:** {{customer_order_number}}
Customer Information
**Customer Name:** {{customer_name}}
**Customer Address:** {{customer_address}}
**Contact Person:** {{contact_person}}
**Contact Phone:** {{contact_phone}}
Details of Original Order
The following goods were originally ordered under Customer Order Number {{customer_order_number}}:
{{original_goods_description_and_quantity}}
Reason for Substitution
The original goods were substituted due to:
☐ {{reason_out_of_stock}} (Out of stock)
☐ {{reason_defective}} (Defective/Damaged goods)
☐ {{reason_discontinued}} (Product discontinued)
☐ {{reason_customer_request}} (Customer requested substitution)
☐ {{reason_other}} (Other: {{other_reason}})
Details of Substituted Goods Delivered
The following substitute goods have been delivered on {{delivery_date}}:
| Item Code | Description | Quantity | Unit Price ({{currency}}) | Total Price ({{currency}}) | Remarks |
|---|---|---|---|---|---|
| {{item_code_1}} | {{description_1}} | {{quantity_1}} | {{unit_price_1}} | {{total_price_1}} | {{remarks_1}} |
| {{item_code_2}} | {{description_2}} | {{quantity_2}} | {{unit_price_2}} | {{total_price_2}} | {{remarks_2}} |
| ... | ... | ... | ... | ... | ... |
**Total Value of Substituted Goods:** {{total_substituted_goods_value}} {{currency}}
Acknowledgements and Agreement
By signing below, the customer acknowledges receipt of the substituted goods as detailed above and agrees to the terms and conditions associated with this substitution, including any adjustments to pricing or warranty as communicated. This document serves as an amendment to the original order where applicable.
The customer further acknowledges that they have inspected the substituted goods and found them to be in good order and fit for purpose.
Any discrepancies or concerns regarding the substituted goods must be communicated to {{company_name}} within {{number_of_days}} days of receipt.
Declaration of Recipient
I, {{recipient_name}}, hereby confirm receipt of the aforementioned substituted goods on behalf of {{customer_name}}.
Signature Block
------------------------------------
**For {{company_name}}:**
Name: {{company_representative_name}}
Title: {{company_representative_title}}
Date: {{signature_date}}
------------------------------------
**For Customer:**
Name: {{customer_representative_name}}
Title: {{customer_representative_title}}
Date: {{signature_date}}
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