Aristocrat Maxgaming Participation Order Form

Notification of Venue Agreement for Supply of Aristocrat Gaming Equipment
In accordance with agreements between UNiTAB Limited (“Maxgaming”) & Aristocrat Technologies Australia Pty Limited (“ATA”), maxgaming
advises that it has entered into a Linked Jackpot System Participation Agreement, which provides for the supply by maxgaming of Aristocrat
Gaming Equipment. The details required in respect of agreements between maxgaming & ATA are follows:
Section 1: The Contract Details
Venue Name:
License #:
Venue Contact:
Position:
SWL Theme:
Date:
AM Name:
BDE:
In the far right column, please insert the quantity required for each contract option:
Maxgaming
Contract
Type
Maximise
Maximise
Maximise
Maximise
Maximise
Maximise
Maximise
Maximise
Maximise
Maximise
Maximise
Maximise
Traditional
Traditional
Traditional
Upfront $
(ex-GST)
Option
Existing Xcite LCD Upgrade (with game conversion)
Venue Owned Existing Xtreme (with game conversion)
Xtreme EGM 24 Month Term Purchase
Viridian Outright Purchase
Viridian EGM 12 Month Term Purchase
Viridian EGM 24 Month Term Purchase
ATA Sign 42 inch Plasma Single Sided Term Purchase 12 months
ATA Sign 42 inch Plasma Double Sided Term Purchase 12 months
ATA Sign 42 inch Plasma Single Sided Term Purchase 24 months
ATA Sign 42 inch Plasma Double Sided Term Purchase 24 months
ATA Sign Purchased 100% Paid Upfront
ATA Toppers
Xcite Participation - 100% Participation
Xcite Participation – Game Only Participation
Xcite Participation – Box Buy
$1,500.00
$0.00
$0.00
RRP
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
RRP
$380.00
$0.00
$0.00
RRP
Term
Qty
12
12
24
12
12
24
12
12
24
24
n/a
n/a
12
12
12
Please attach the contract, Venue SWL Jackpot Level Variation Form, and new contract checklist.
Section 2: Order Information & Attached Documents
Please attach appropriate documents to allow Aristocrat to process your order & install.
Please tick the relevant statements below & attach docs:
Please convert attached existing ATA Quote to order; insert quote #
Please generate a new quote & convert to order as per the attached RFQ form
Completed RFQ form attached (Maxgaming AM to complete RFQ form, contact ATA BDE if necessary)
SWL Jackpot Level Variation form is attached
New Contract Checklist is attached
Comments:
ATA use only:
Ordered:
SLX:
Install date:
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24 September 2008
Section 3: Trades
Will venue be returning trades to ATA for a trade in credit? No
Yes
(details to be provided on RFQ form)
This option only available when outright purchasing or Term Purchasing new EGM’s under a Maximise contract
Section 4: Quickchange & Install Information
Quickchange to be completed by: ATA
Other
___________________________(give details)
For ATA to complete the Quickchange please complete the following information:
Link Theme: ______________________________________________________
Jackpot Configuration: Please attach Maxgaming’s “Venue SWL Jackpot Level Variation Form”
ATA will complete a quickchange to install & connect the supplied machines to the above nominated SWL with the Jackpot
Levels requested in the level variation form. Without a Level Variation form we can not install the machines.
If you have any additional requests for the Quickchange please list details below:
Target Installation Timetable
(Minimum 4 weeks after this form
received by ATA)
Preferred Venue Install Date:
_______/________/_________
Preferred Install Day of the week: Mon
Tues
Wed
Thurs
Fri
Earliest Available
Aristocrat will endeavour to meet your requested installation date, but due to factors such as production &
service technician availability your requested installation date can not be guaranteed
Cabling
(Please tick which is applicable)
Existing venue already cabled for SWL, no extra cabling required
; or
Cabling conducted by Maxgaming approved Cabler (Please indicate as below):
Stowe
Rivercorp
Diverse
Comstar
Net Tech
Maxgaming Sign Off
This notice constitutes a request by maxgaming to ATA to supply to maxgaming the Machines, Conversions & Services
referred to above to enable maxgaming to supply those Machines, Conversions & Services to the Participating Venue
referred to in this notice. Words & expressions defined in the Agreements between ATA & maxgaming have the same
meaning in this notice.
Signed for maxgaming on [Insert Date]:
By its authorised
Signature:
representative named:
Notification of Venue Agreement for Supply of Aristocrat Gaming Equipment
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24 September 2008