Simply replace the unfilled areas such as "[]" and "[date]" with your information.
Dear [name]:
This letter is acknowledgment of your preliminary submission to our organization.
For our organization to consider your idea, please sign this document and return the original to us. Make a copy for your files.
It is understood that:
1. Samples or other submissions will be returned to the submitter only if return postage or freight is prepaid.
2. The company accepts no responsibility for casualty or loss to samples in our possession.
3. The company can accept no responsibility for holding any information in confidence.
4. The company shall pay compensation only in the event it,
a) accepts the idea,
b) has received the idea only from the submitter, and
c) reaches agreement with the submitter as to terms and conditions.
If these terms are acceptable to you, please sign where indicated below and return together with your detailed submission.
Very truly,
The foregoing terms and conditions are understood and acknowledged.
--
[submitter]