CT Lottery Official Web Site - Retailer -Contact Form

  
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CONTACT FORM

All fields are required.

About You

Contact First Name:
Contact Last Name:
Best phone number to reach you at (Ex. 860-713-2700):
Best time to contact you at this number:
Email Address:
About Your Business

Store Name:
Street Address:
City:
State: CT
ZIP Code:
Year Business Established:
Type of Business:
Square footage of actual selling space at your location:
Daily Foot Traffic:
ATM on site:
Seating Count:
Is your store ADA compliant:
Annual Sales of all products at this location (use last full year in business):
If location has not been open for a full year, tell us what your Average Daily Sales are for all products at this location:


E-mail inquiries are responded to on weekdays only; please allow us 3-5 business days to respond. Your E-mail address and other personal information you provide in this Contact Form are retained and used in order for us to respond back directly to you. If you prefer we not collect, use or store this information, please do not E-mail us. Instead, you may want to communicate with us by phone or in person. Visit our Privacy Policy.
 
RETAILER APPLICATION

Is your business currently operating so the lottery can do an evaluation? If so, download an application here now. Applications can be mailed or brought to the CT Lottery - Retailers Services Department at 301 Hammer Mill Road, Rocky Hill, CT 06067.

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