California Lottery Vendor Contact Information

1 Contact Info

2 Service Area

3 Certifications

4 Categories

Contact Information

Vendor Name *

First Name *

Middle Initial

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Office Phone *

Mobile Phone

Fax (optional)

Email Address *

Select your primary service area in California.

Primary Service Area *

Select any applicable business certifications (optional).

The Vendor is a certified Small Business

The Vendor is a certified Disabled Veteran Business Enterprise

Select up to four main categories. Subcategories will appear after selection.

0 / 4

Main Categories Selected

Choose relevant subcategories for your selected main categories.