Retailer Name: Retailer#:

Field Service Representative (FSR) Name: FSR#:

Delivery Method: Delivery Date:

Name of store employee authorizing signage order:

Today’s Date:

In the boxes below, write the quantities of any signage you would like to order.

REQUEST APPROVED (NMLA):_________________________________________________________________

TO BE COMPLETED

BY MARKETING

Please fill this out with your Field Service Representative

SIGN CATALOGSIGN CATALOG

REVIEWED BY:________________________________ __________________________________ ASSIGNED TO:______________________________________

FOR INTERNAL USE ONLY

Additional notes or project requests:

04-2019

(Slides in-between ceiling panels)

Simple assembly required.Instructions included.

HookBracketSelect hanging material

BLU

E

Buy Lottery Here!

Winners Buy Tickets

Play today!

GRE

EN

Buy Lottery Here!

Winners Buy Tickets

Play today!

ORA

NG

EBuy Lottery Here!

Winners Buy Tickets

Play today!

Select a Message, Color & indicate Quantity

BuyLotteryBuyLotteryBuyLottery HERE! HERE! HERE!

BuyLottery HERE!

Sample signs

Hooks onto various objectsHook

Panel slides through bracketBracket

W

HSideTop

ReflectiveVinyl & PVC

9.125" x 22"Three sides

Hangs from ceilingDouble-sided Tape

HANGING TRIARAMA

Total # of Triaramas:

Additional notes or project requests:

ORANGE GREEN BLUESelect a color

WINNER BOARDPlace on wall24" x 36"

Vinyl & Black Foam Core12 Winner Clings included

24"x36" Other (W x H) :

Select a sizeW

H

Sample Signs

Display winning tickets �the Winn�s bo�d!.

Winner!

Bam!

wowza!boom!

Winner! Winner!

Winner!

Bam!

Clings Included

BANNERSHangs on wall or poles Size variesBanner materialGrommets included (order Rope below, only if necessary)

8'x3'6'x3'

Other (W x H) Need Rope? (yes or no)If you say “Yes,” you will receive a package of 100 ft. of rope.

: :

10'x3'

Select a Size Select a Location

ORA

NG

EBuy Lottery Here!

Winners Buy Tickets

Play today!

GRE

EN

Buy Lottery Here!

Winners Buy Tickets

Play today!

BLU

E

Buy Lottery Here!

Winners Buy Tickets

Play today!

Select a Message, Color & indicate Quantity Sample Signs

W

H

BuyLotteryBuyLotteryBuyLottery HERE! HERE! HERE!

BuyLottery HERE!

Indoor Outdoor

Additional notes or project requests:

ORA

NG

EBuy Lottery Here!

Winners Buy Tickets

Play today!

GRE

ENBuy Lottery Here!

Winners Buy Tickets

Play today!

BLU

E

Buy Lottery Here!

Winners Buy Tickets

Play today!

Select a Message, Color & indicate Quantity Sample Signs

POLE WRAPSPlace on poles24" x 36"

Zip ties & grommets includedVinyl & Coroplast

Select a size

W

HHEREHEREHEREHERE

24"x36" Other (W x H) :

ORA

NG

EBuy Lottery Here!

Winners Buy Tickets

Play today!

GRE

EN

Buy Lottery Here!

Winners Buy Tickets

Play today!

BLU

E

Buy Lottery Here!

Winners Buy Tickets

Play today!

Select a Message, Color & indicate Quantity Sample Signs

CAR STOPSPlace near pumps Size & shape variesVinyl & Coroplast

*Measure from the inside of the frame.

Size (W"x H")* :

Select size

Please include photos of the frame.

HEREHEREHEREHERE

HEREHEREHEREHERE

EXAMPLE

W

H

Additional notes or project requests:

Diameter (D)

Sample Signs

ORA

NG

EBuy Lottery Here!

Winners Buy Tickets

Play today!

GRE

EN

Buy Lottery Here!

Winners Buy Tickets

Play today!

BLU

E

Buy Lottery Here!

Winners Buy Tickets

Play today!

Select a Message, Color & indicate Quantity

10" 12" 15"

Other (D) :

Select a size

Place on trash can 10"-15"Laminated Vinyl

TRASH CAN SIGNAGE

W

H

**DO NOT MEASURE THE INSIDE OF THE FRAME.**

*Measure the insert (WxH).If there is no insert present, measure the outside of the frame.

FrameInsert

HEREHEREHEREHERE

(Please indicate if you measured an existing insert or the frame.):Other (W x H)*20" x 12.25"

Single-Sided Double-Sided

Additional Requirements

Sample signs

ORA

NG

EBuy Lottery Here!

Winners Buy Tickets

Play today!

Do you have your...?G

REEN

Buy Lottery Here!

Winners Buy Tickets

Play today!

Do you have your...?

BLU

E

Buy Lottery Here!

Winners Buy Tickets

Play today!

Do you have your...?

Select a Message, Color & indicate Quantity

Vinyl & PVC20" x 12.25"Sits on top of pump

Single- or Double-sided

PUMP TOPPERS

WINDOW & DOOR GRAPHICS

STORESTORESTORE

Perforated Window Vinyl� Perfect for windows and doors� Easy to apply� Easy to remove� One way appearance� Multiple sizes available

NEWNEWPICK 4

ADDED!

OUTSIDE VIEW INSIDE VIEW

Close Up Close Up

D

Placement

Door ExampleSelect a graphic

Select a size

20" 28" Other :_________

MegaMillions

Qty:_________

Roadrunner Cash

Qty:_________

Pick 3 &Pick 4

Qty:_________Qty:_________

Lotto America

Qty:_________

Powerball

Draw Games

Qty:_________

Play Today!

Color selection is for “Lottery Messages” ONLY.Lottery Messages

BlueOrangeGreen

Col

or

BlueOrangeGreen

Col

or

BlueOrangeGreen

Col

or

Qty:_________

Buy Lottery Here!

Qty:_________

Winners Buy Tickets!

SEE BACK SIDE FOR DESIGNSSEE BACK SIDE FOR DESIGNS

NEW!

NEW!

NEW!NEW!

WINDOW & DOOR GRAPHICS

Additional notes or project requests:

Draw Games

Lottery Messages

Lotto America Mega Millions

042

019

Pick 3 & Pick 4

Play Today!Blue

Play Today!Orange

Play Today!Green

Buy Lottery Here!Blue

Buy Lottery Here!Orange

Buy Lottery Here!Green

Winners Buy Tickets!Blue

Winners Buy Tickets!Orange

Winners Buy Tickets!Green

Powerball

NEW!

Roadrunner Cash

NEW!