WingGate Government Travel Service

Travel Request Form

Do you already have a Traveler Profile?

If you are a new member, please fill out the information on the Travel Request Form and you will have the option to create a Traveler Profile.

Creating a Traveler Profile will save you time in the future for filling out new Travel Request Forms.

Contact Information

First Name *

Middle Name

Last Name *

E-Mail Address *

Confirm E-Mail Address *

Date of Birth *

Gender * Male Female

Create Travel Profile
Your e-mail will be your login. Yes No

Password *

Confirm Password *

My WingGate GTS Base *

Business / Duty Phone *

Home / Mobile Phone *

Fax Number

Address *

Emergency Contact Name *

Emergency Contact # *

Travel Request Information

Travel Request Type * Change Request

Flight Details * One-way Roundtrip

Departure City *

Departure State *

Departure Date *

Departure Time

Arrival City *

Arrival State *

Return Date

Return Time

Seat Preference *

Special Meal Request

Car Rental

Hotel Required

Smoking Preference

Bed Preference

Account Type * IBA CBA

Payment Information

Individual GOV Issued Credit Card Info. Please list only last 12 digits of your Credit Card Number with Exp. Date. All Information will remain confidential.

Credit Card Number *

Expiration date *

Your information is protected by an SSL Certifcate with 256-bit Encryption. We do not share your information.