By submitting this form no payment is required to be made to ODA at this time - once you have been confirmed as an Eyebenefit Member, any due payments will be charged by Eyebenefit or via ODA Invoice. You are also agreeing for your information to be shared between ODA and Eyebenefit and agree to ODA's membership terms and conditions. Full membership terms and conditions are available here: T's & C's
Thank you for your submission.
Your request for an Eyebenefit ODA membership has been received.