Step 1: Business Information — GLC Retailer Licensing

Step 1 of 5: Business Information

Application GLC-2026-NEW · Auto-saved 2 minutes ago

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Business Legal Name

Must match your state business registration exactly.

Doing Business As (DBA) (if different)

Business Entity Type

Years in Operation

Federal Tax ID (EIN)

Georgia State Tax ID

Business Phone

Business Fax (optional)

Business Email Address

Business Website (optional)

Business Trade Style

This business is currently licensed to sell alcohol or tobacco products in Georgia.

Persons authorized to conduct on-site lottery transactions

List up to 2 individuals the Georgia Lottery should contact for all lottery business matters.

Name	Title / Function	Cell Phone

Is this business location licensed for Coin Operated Amusement Machines (COAM)?

No Yes

(Optional) Is business ownership more than 50% of a minority race?

No Yes

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