Please fill in all applicable information completely and verify that all data accurate.

eHealth Technologies

Certify Member ID Request

Please fill in all fields completely and verify that all data provided is accurate.
Please use your TAB key to move between fields - pressing ENTER will submit your form.

Please note that this site is used to request a Member ID for access to Certify, Van Zile Travel’s Profile Management Site.
After submitting your request, you will receive an email with your Member ID and the link to the Certify website.
At that time, please log into the Certify site and complete your travel profile.
Completing this Member ID request does not constitute filling out your profile.

Full Legal Name
 (as it appears on the government issued photo I.D. you will present at the airport upon check-in)