Date： _

　　To： _ [Customer]

　　Reference is made to your order for certain goods under date of  _， 19_.

　　We are withholding delivery for the reason[s] checked：

　　__ Required payment has not been made.

　　__ You repudiated or withdrew your contract to buy.

　　__ You failed to furnish requested shipping instructions.

　　__ Certain goods are back ordered and shipment will be made in single lot.

　　__ Other [Describe] _

　　Very truly，

　　_______________________________