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We're glad you are interested in becoming a CT Lottery Retailer. Please fill in the information below (and click ’Submit’) to have a CT Lottery Representative contact you. This is not an application.

If you are a purchasing a business that currently sells lottery please contact us here.

If you are a Multi-Store Owner (owner of 4 or more stores), please contact us here.

*First Name	Middle Initial	*Last Name
*Store Name
*Address
Address (p.o. box, apt #, suite)
*City	*State	*Zip
County
*Daytime Phone	Evening Phone	Best time to call
*Email address
*How long have you been in business?	*What type of business entity is this?
*How would you classify your business?	*Have you ever sold lottery before?
*Is your business:
Approval of a CT Lottery Retailer License is not guaranteed based solely on the submission of a CT Lottery application.