Step 1 - Your personal details

To join Visionplan and gain immediate access to Visionplan member discounts please provide the information requested below. To view our privacy policy click here.

Note - Visionplan members may use their available product and eye exam allowance instantly or three months after joining(depending on the product selected). The discount on products over and above your allowance from preferred providers is available immediately upon joining.

First Name*	Last Name*
Date of Birth / /	Gender
Email Address*this will be your login name
Password*minimum 6 characters	Confirm password*please re-type your password
Home Phone*	Work Phone
Mobile Phone	Fax Number
Address*
Do you ever wear contact lenses	Do you wear progressive lenses
Name of most recent optometrist	Where did you hear about Visionplan?
Enter Group Code If you have a code to join a Group Vision Plan, please enter it below:	Enter Broker Code If you have been given a code by a Visionplan broker, please enter it below (not required if you have already entered a Group Code):