NUSA Merchandiser Set Up Verification Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• INSTRUCTIONS: Train location Manager in each category and check off as completed. Upon completion, submit form to District Manager & Inspections box.

GENERAL MERCHANDISER SET UP

• Game Manual has been Reviewed to Assure Proper Understanding & Operation of Game

• Game Tested for Proper Game Operation/Function

• Game Settings are Accurate Targeting 18% Throw/Payout per Prize Values

• Game Properly Loaded with Desirable & Approved Merchandise

• Prize Display Technique Meets NEI Standards

• Game has been Properly Calibrated & Calibration Schedule Implemented

• Game is Priced per DM Considering Premium & Value Option

• Game is Properly Placed in Visible High Traffic Area Near Entrance

• Game Levelers have been set Properly to Assure Cabinet Level & Balanced

• Prize Tracking Log has been Implemented for Game Accounting Purposes

• Game Access Areas are Properly Secured to Prevent Burglary

• Game Generic Locks Removed & Replaced with NEI Provided Locks

• Game is Properly Secured allowing only assigned Manager & DM access

• Game DBA is Fully Functional

• Game Contains all Required Licenses & Displayed Instructions

SUMMARY

• Game Name

• Photo of Game Upon Set Up Inspection

  Media

• Comments

• I understand that if game is not 100% operational, that I am to take game out of operation and immediately contact Tech Service for assistance to assure game functions properly.

  Yes

  No

  N/A

• Install Date

  Date

• Location #

• Location Address
  Address

• Manager Name & Signature

  Sign

• Installer Name & Signature

  Sign