ACKNOWLEDGEMENT OF RECEIPT

(To be completed and returned, by e-mail, to FHI 360 Procurement Office by 10:00 AM Eastern, November 6th, 2017)

EMAIL:

PLEASE COMPLETE CLEARLY – DO NOT USE COMPANY STAMP

FROM: Company: ..................................................................

Address: ..................................................................

Telephone: ..................................................................

E-mail and Internet site address: …………………….

Point of Contact: ........................................................

REFERENCE: RFQ for GHSC-QA QC Product Sampling Services

SUBJECT: Acknowledgement of Receipt for RFQ 10-840-2017-1008-QCPSS

We hereby advise that we have received RFQ 10-840-2017-1008-QCPSS on (date) ____________, together with all enclosures.

CHECK ONE:

[ ] As of this date and without commitment on our part, we do intend to participate and submit an offer.

[ ] We do not intend to participate in the sourcing process for this RFQ.

NOTE: Only vendors indicating their intention to participate in the RFQ process will continue to receive all further correspondence related to this RFQ. Unless specified differently, further information will be transmitted to the address provided above.

Signature: ____________________________________

Name: ______________________________________

Title: ______________________________________

Date: ________________________________________